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Titolo:
3-DIMENSIONAL SONOGRAPHY IN THE CLINICAL- DIAGNOSIS OF MENISCAL TEARS
Autore:
RIEDL S; TAUSCHER A; KUHNER C; GOHRING U; SOHN C; MEEDER PJ;
Indirizzi:
UNIV HEIDELBERG,CHIRURG KLIN,KIRSCHNERSTR 1 D-69120 HEIDELBERG GERMANY UNIV HEIDELBERG,FRAUENKLIN D-6900 HEIDELBERG GERMANY
Titolo Testata:
Ultraschall in der Medizin
fascicolo: 1, volume: 19, anno: 1998,
pagine: 28 - 33
SICI:
0172-4614(1998)19:1<28:3SITCD>2.0.ZU;2-2
Fonte:
ISI
Lingua:
GER
Soggetto:
ULTRASOUND EXAMINATION; LESIONS; KNEE;
Keywords:
3-DIMENSIONAL SONOGRAPHY; MENISCAL TEARS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
S. Riedl et al., "3-DIMENSIONAL SONOGRAPHY IN THE CLINICAL- DIAGNOSIS OF MENISCAL TEARS", Ultraschall in der Medizin, 19(1), 1998, pp. 28-33

Abstract

Aim: To compare the significance of the two-dimensional and three-dimensional sonography in the diagnostis of meniscal tears under clinicalconditions. Methods: Sixty menisci of knees with clinical symptoms (44 medial and 16 lateral menisci) were examined by an identical transducer in a two-and three-dimensional sonography technique. The findings were compared with the diagnosis made with subsequent arthroscopy. Results: In the diagnosis of meniscal lesions the two-and three-dimensional sonography reached a sensitivity of 92% and 100% and a specificity of 83% and 88%, respectively. The positive predictive value of these methods was 58% and 67%. The negative predictive value was 98% and 100%. Because of the good results with the two-dimensional sonography, there were no statistically significant differences between both methods. The three-dimensional sonography, however, proved to be superior, to the two-dimensional sonography in the analysis of subgroups (medial and lateral menisci, menisci with and without clinical symptoms). The negative predictive value of the three-dimensional sonography was 100% for all of these subgroups. Conclusion: Although this study shows no significant difference in the results of two-and three-dimensional sonography, the analysis of subgroups displays a slightly improved significance for diagnosis of meniscal tears by three-dimensional sonography. The high negative predictive value shows that three-dimensional sonography, performed by an experienced examiner, may be useful to exclude meniscal tears. This result may help focus further cost-intensive or invasive examinations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 15:31:33