Evidence map›Paper›PMID 28209142›Full record

SynthesisBMC musculoskeletal disorders2017

Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis.

A M Saied, C Redant, M El-Batouty, M R El-Lakkany, W A El-Adl, J Anthonissen, R Verdonk, E A Audenaert

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06332352 (Intra-articular Platelet-Rich Plasma in the Management of Acetabular Labral Tears), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06332352 nacompletednot on this mapstarted 2024, after this paper: background citation

Intra-articular Platelet-Rich Plasma in the Management of Acetabular Labral Tears: a Prospective Study

TypeinterventionalSponsorUniversity of UtahRan2024 to 2026Enrolled30ConditionsAcetabular Labrum TearArmsPRP
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Best Practices: Hip Femoroacetabular Impingement.AJR. American journal of roentgenology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

A M SaiedDepartment of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium. ahmed.saied@ugent.be.ORCID 0000-0002-1033-1490
C RedantDepartment of Physical Medicine and Rehabilitation, Ghent University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium.
M El-BatoutyDepartment of Orthopaedic Surgery, Mansoura University Hospital, Mansoura University, Mansoura, Egypt.
M R El-LakkanyDepartment of Orthopaedic Surgery, Mansoura University Hospital, Mansoura University, Mansoura, Egypt.
W A El-AdlDepartment of Orthopaedic Surgery, Mansoura University Hospital, Mansoura University, Mansoura, Egypt.
J AnthonissenDepartment of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium.
R VerdonkDepartment of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium.
E A AudenaertDepartment of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral types of Magnetic resonance imaging (MRI) are commonly used in imaging of femoroacetabular impingement (FAI), however till now there are no clear protocols and recommendations for each type. The aim of this meta-analysis is to detect the accuracy of conventional magnetic resonance imaging (cMRI), direct magnetic resonance arthrography (dMRA) and indirect magnetic resonance arthrography (iMRA) in the diagnosis of chondral and labral lesions in femoroacetabular impingement (FAI).

methodsA literature search was finalized on the 17th of May 2016 to collect all studies identifying the accuracy of cMRI, dMRA and iMRA in diagnosing chondral and labral lesions associated with FAI using surgical results (arthroscopic or open) as a reference test. Pooled sensitivity and specificity with 95% confidence intervals using a random-effects meta-analysis for MRI, dMRA and iMRA were calculated also area under receiver operating characteristic (ROC) curve (AUC) was retrieved whenever possible where AUC is equivocal to diagnostic accuracy.

resultsThe search yielded 192 publications which were reviewed according inclusion and exclusion criteria then 21 studies fulfilled the eligibility criteria for the qualitative analysis with a total number of 828 cases, lastly 12 studies were included in the quantitative meta-analysis. Meta-analysis showed that as regard labral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.864, 0.833 and 0.88 and for dMRA were 0.91, 0.58 and 0.92. While in chondral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.76, 0.72 and 0.75 and for dMRA were 0.75, 0.79 and 0.83, while for iMRA were sensitivity of 0.722 and specificity of 0.917.

conclusionsThe present meta-analysis showed that the diagnostic test accuracy was superior for dMRA when compared with cMRI for detection of labral and chondral lesions. The diagnostic test accuracy was superior for labral lesions when compared with chondral lesions in both cMRI and dMRA. Promising results are obtained concerning iMRA but further studies still needed to fully assess its diagnostic accuracy.

Indexed as

Magnetic Resonance ImagingFemoracetabular ImpingementHumansCartilage defectChondral lesionFemoroacetabular impingementHip jointLabral lesionMagnetic resonanceSensitivitySpecificity

Identifiers

PMID28209142
PMCPMC5314626

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.