Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist
The aim of the study was to assess the inter-rater reliability of magnetic resonance imaging (MRI) in comparison to computed tomography (CT) and wrist arthroscopy in patients with scapholunate (SLAC) or scaphoid non-union advanced collapse (SNAC) as well as to evaluate a grading score of cartilage l...
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MDPI AG
2021-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/16/3592 |
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| author | Athanasios Terzis Arlena Klinger Jessica Seegmüller Michael Sauerbier |
| author_facet | Athanasios Terzis Arlena Klinger Jessica Seegmüller Michael Sauerbier |
| author_sort | Athanasios Terzis |
| collection | DOAJ |
| description | The aim of the study was to assess the inter-rater reliability of magnetic resonance imaging (MRI) in comparison to computed tomography (CT) and wrist arthroscopy in patients with scapholunate (SLAC) or scaphoid non-union advanced collapse (SNAC) as well as to evaluate a grading score of cartilage lesions. A total of 42 patients (36 male, 6 female) at a mean age of 45 years (range: 19–65 years) with a SLAC or SNAC wrist who had a preoperative MRI and CT scan as well as underwent arthroscopy of the wrist between 2013 and 2018 were included in this study. Cartilage lesions, as assessed by MRI, CT and wrist arthroscopy, were classified by two hand surgeons in three stages. Inter-rater reliability was evaluated using the Kendall Tau-b test as well as the chi-square test to analyze for trend. The correlation between cartilage lesions, classified by arthroscopy and MRI, was low. A moderate correlation between CT and arthroscopy staging was shown. The highest inter-rater correlation was found between MRI and CT staging. An additionally performed logistic regression showed that progression of cartilage lesions as shown in MRI scans correlates with a restriction of range of motion (ROM). The level of cartilage lesion may be more severely classified in an MRI than during arthroscopy. Arthroscopy remains the gold standard in detecting cartilage lesions and thus in the decision-making process of the definitive treatment in carpal collapse. |
| first_indexed | 2024-03-10T08:43:28Z |
| format | Article |
| id | doaj.art-f7c3c61a2d2243069985d2c9f4e31f55 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:43:28Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f7c3c61a2d2243069985d2c9f4e31f552023-11-22T08:10:38ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011016359210.3390/jcm10163592Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC WristAthanasios Terzis0Arlena Klinger1Jessica Seegmüller2Michael Sauerbier3Department of Plastic, Hand and Reconstructive Surgery, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, 60389 Frankfurt am Main, GermanyDepartment of Plastic, Hand and Reconstructive Surgery, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, 60389 Frankfurt am Main, GermanyDepartment of Plastic, Hand and Reconstructive Surgery, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, 60389 Frankfurt am Main, GermanyPrivate Practice for Hand and Plastic Surgery, 61348 Bad Homburg v. d. Höhe, GermanyThe aim of the study was to assess the inter-rater reliability of magnetic resonance imaging (MRI) in comparison to computed tomography (CT) and wrist arthroscopy in patients with scapholunate (SLAC) or scaphoid non-union advanced collapse (SNAC) as well as to evaluate a grading score of cartilage lesions. A total of 42 patients (36 male, 6 female) at a mean age of 45 years (range: 19–65 years) with a SLAC or SNAC wrist who had a preoperative MRI and CT scan as well as underwent arthroscopy of the wrist between 2013 and 2018 were included in this study. Cartilage lesions, as assessed by MRI, CT and wrist arthroscopy, were classified by two hand surgeons in three stages. Inter-rater reliability was evaluated using the Kendall Tau-b test as well as the chi-square test to analyze for trend. The correlation between cartilage lesions, classified by arthroscopy and MRI, was low. A moderate correlation between CT and arthroscopy staging was shown. The highest inter-rater correlation was found between MRI and CT staging. An additionally performed logistic regression showed that progression of cartilage lesions as shown in MRI scans correlates with a restriction of range of motion (ROM). The level of cartilage lesion may be more severely classified in an MRI than during arthroscopy. Arthroscopy remains the gold standard in detecting cartilage lesions and thus in the decision-making process of the definitive treatment in carpal collapse.https://www.mdpi.com/2077-0383/10/16/3592SLACSNACMRICTwrist arthroscopycartilage |
| spellingShingle | Athanasios Terzis Arlena Klinger Jessica Seegmüller Michael Sauerbier Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist Journal of Clinical Medicine SLAC SNAC MRI CT wrist arthroscopy cartilage |
| title | Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist |
| title_full | Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist |
| title_fullStr | Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist |
| title_full_unstemmed | Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist |
| title_short | Inter-Rater Reliability of Magnetic Resonance Imaging in Comparison to Computed Tomography and Wrist Arthroscopy in SLAC and SNAC Wrist |
| title_sort | inter rater reliability of magnetic resonance imaging in comparison to computed tomography and wrist arthroscopy in slac and snac wrist |
| topic | SLAC SNAC MRI CT wrist arthroscopy cartilage |
| url | https://www.mdpi.com/2077-0383/10/16/3592 |
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