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KMID : 0374019930160030281
Ewha Medical Journal
1993 Volume.16 No. 3 p.281 ~ p.288
MR Imaging in Meniscal Injury of Knee Joint : ROC Analysis of Diagnostic Performance according to Imaging Planes and Window Widths.


Abstract
Magnetic resonance (MR) is the most widely used diagnostic tool for the meniscal tears. 160 images of menisci of 30 patients and 10 normal subjects were photographed with coronal and sagittal planes and with narrow and conventional wide window
settings.
To access the diagnostic efficacy of imaging planes and the window wettings. MR images of two window settings with coronal and sagittal planes of menisci were interpreted by four experienced observers, Images were graded on a five-point scale to
enable
receiver operating characteristic ROC) curve analysis. The ROC curves constructed from the coronal plane were similar to those of the sagittal images. The area of under ROC curve constructed from the narrow window setting was inferior to one from
the
wide window wettings. There was no difference of diagnostic performance between four observer to detect meniiscal abnormality. This suggests that there is no globally significant improvement in the detection of meniscal tear when narrow window
setting
are used for interpretation, and there is probable improvement when both coronal and sagittal images are used for meniscal MRI.
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