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A novel adapted MRI-based scheme for Dejour classification of trochlear dysplasia.
Jian-Lüssi, Ni; Pfirrmann, Christian W A; Buck, Florian M; Frauenfelder, Thomas; Rosskopf, Andrea B.
Afiliación
  • Jian-Lüssi N; Faculty of Medicine, University of Zurich, Zurich, Switzerland.
  • Pfirrmann CWA; Faculty of Medicine, University of Zurich, Zurich, Switzerland.
  • Buck FM; Medical Radiological Institute (MRI) Zurich, Schulthess Clinic, Lengghalde 2, CH-8008, Zurich, Switzerland.
  • Frauenfelder T; Faculty of Medicine, University of Zurich, Zurich, Switzerland.
  • Rosskopf AB; Medical Radiological Institute (MRI) Zurich, Schulthess Clinic, Lengghalde 2, CH-8008, Zurich, Switzerland.
Skeletal Radiol ; 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39042200
ABSTRACT

PURPOSE:

To elaborate an optimized scheme for the Dejour classification of trochlear dysplasia based on axial and sagittal MR images and to evaluate its intra- and inter-reader reliability. MATERIAL AND

METHODS:

Over a period of 20 months patients with a knee MRI and the diagnosis of trochlear dysplasia were retrospectively included. Exclusion criteria were incomplete examination, qualitatively non-diagnostic examination, post trochlear surgery, missing informed consent for research purposes. Three independent evaluations were performed by two radiologists first using an established description of the Dejour classification (types A-D) and then two evaluations using a new adapted scheme (types A-D). The adapted scheme includes a shallow trochlea, in type A no spur/no cliff, in type B with spur/no cliff, in type C no spur/with cliff, and in type D with spur/with cliff.

RESULTS:

One hundred seventy-one knee MRIs (female65.5%; left side52.6%) were included with a median age of 34.3 years (range11.3-79.2). Inter-reader reliability using the established description was fair for the four-type-classification (kappa(k) = 0.23; 95%CI0.11-0.34), fair for differentiation low-grade versus high-grade dysplasia (k = 0.28;0.13-0.43), slight for differentiation spur versus no-spur types (k = 0.20;0.05-0.34). Inter-reader reliability using the adapted scheme was substantial (k = 0.79;0.75-0.83) for the four-type-classification, substantial for differentiation low-grade versus high-grade dysplasia (k = 0.80;0.75-0.85), substantial for differentiation spur versus no-spur presence (k = 0.76;0.71-0.81). Intra-reader reliability was almost perfect for the adapted scheme (k-values 0.88-0.95; 95%CIs 0.84-0.98).

CONCLUSION:

The novel adapted scheme for Dejour classification shows an almost perfect intra-reader reliability and a substantially higher inter-reader reliability. It may become a helpful tool in the daily diagnostic work of radiologists.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Skeletal Radiol Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Skeletal Radiol Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania