SynthesisJournal of magnetic resonance imaging : JMRI2020
MRI as Diagnostic Modality for Analyzing the Problematic Knee Arthroplasty: A Systematic Review.
Synthesis in Journal of magnetic resonance imaging : JMRI, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Diagnostic value of magnetic resonance imaging for patients with periprosthetic joint infection: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Pooled it
- Review
- Secondary patellar resurfacing after total knee arthroplasty: Functional but not clinical score improvements in a retrospective multicenter study.Journal of experimental orthopaedics · 2025Article
- Is Magnetic Resonance Imaging Overused Among Patients Undergoing Total Knee Arthroplasty?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The Rationality to Requesting in-ward Magnetic Resonance Imaging Investigation.Journal of biomedical physics & engineering · 2023Article
- Magnetic Resonance Safety Evaluation of a Novel Alumina Matrix Composite Ceramic Knee and Image Artifact Comparison to a Metal Knee Implant of Analogous Design.Arthroplasty today · 2023Article
- Review
- Quantification of intra-articular fibrosis in patients with stiff knee arthroplasties using metal-reduction MRI.The bone & joint journal · 2020Article
- The diagnostic potential of low-field MRI in problematic total knee arthroplasties - a feasibility study.Journal of experimental orthopaedics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious diagnostic modalities are available to assess the problematic knee arthroplasty. Visualization of soft-tissue structures in relation to the arthroplasty and bone remains difficult. Recent developments in MRI sequences could make MRI a viable addition to the diagnostic arsenal. PURPOSE: To review the diagnostic properties of MRI, to identify certain causes of complaints that may be directly related to implant failure of total (TKA) or unicompartmental knee arthroplasty (UKA); infection, loosening and wear, instability, malalignment, arthrofibrosis, or patellofemoral problems. STUDY TYPE: Systematic review. POPULATION: Twenty-three studies were included: 16 TKA, four UKA, and three cadaveric studies. Causes of knee arthroplasty complaints analyzed were; infection (three), loosening and wear (11), malalignment (five) and instability (four). FIELD STRENGTH AND SEQUENCES: No field strength or sequence restrictions. ASSESSMENT: PubMed, SCOPUS, and EMBASE were searched. Risk of bias was assessed using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) and the QUality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2). STATISTICAL TESTS: The results of the original research articles are stated.
resultsFifteen studies assessed the reproducibility of analyzing infection, loosening and wear, and malalignment. Fourteen of 15 studies were deemed as adequate to good quality. Results showed a moderate to excellent agreement (ICC/K 0.55-0.97). Fourteen studies addressed the accuracy. For infection and loosening and wear the sensitivity and specificity estimates varied between 0.85-0.97 and 0.70-1.00, respectively. The accuracy for malalignment was excellent (r ≥ 0.81). For these studies QUADAS-2 analysis suggested few risks of bias. A meta-analysis was not possible due to the heterogeneity of the data. DATA
conclusionThis study supports that MRI can be used with overall reproducible and accurate results for diagnosing infection, loosening and wear, and malalignment after knee arthroplasty. Nonetheless, studies regarding the diagnosis of instability, arthrofibrosis or patellofemoral complaints using MRI are limited and inconclusive. LEVEL OF EVIDENCE: 3 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2020;51:446-458.
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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.