Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4217684 | Academic Radiology | 2016 | 6 Pages |
Abstract
In this paper, we utilize arthroscopy as the gold standard to determine if MRI can predict OCD lesion stability, the most important information to guide patient treatment decisions. To our surprise, the analysis of the existing radiology reports that addressed stability revealed an overall accuracy in defining OCD lesion stability of about 53%. The classification system of the ICRS, created by an international multidisciplinary, multi-expert consortium, did markedly improve the accuracy, but consistency among different readers was lacking. This retrospective study on OCD reporting and classification highlights the inadequacy of existing classification schemes, and emphasizes the critical need for improved diagnostic MRI protocols in musculoskeletal radiology in order to propel it toward evidence-based medicine.
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Authors
Jutta M. MD, PhD, Bryan MD, Sara MD, Takashi MD, Marc MD, Bradley MD, Amanda MD, Christopher MD, Jeffrey MD,