Evidence map›Paper›PMID 34199917›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Seeing Beyond Morphology-Standardized Stress MRI to Assess Human Knee Joint Instability.

Eva-Maria Winkelmeyer, Justus Schock, Lena Marie Wollschläger, Philipp Schad, Marc Sebastian Huppertz, Niklas Kotowski, Andreas Prescher, Christiane Kuhl, Daniel Truhn, Sven Nebelung

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. A scoping review and guide for in vitro healthy human knee joint laxity.Frontiers in bioengineering and biotechnology · 2026
    Review
  2. Article
  3. Article
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

10 authors at 3 institutions in 1 country.

Eva-Maria WinkelmeyerDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.
Justus SchockDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Duesseldorf, Germany.ORCID 0000-0003-0512-3053
Lena Marie WollschlägerDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, D-40225 Duesseldorf, Germany.ORCID 0000-0002-1159-863X
Philipp SchadDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.ORCID 0000-0003-1158-0568
Marc Sebastian HuppertzDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.
Niklas KotowskiDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.
Andreas PrescherInstitute of Anatomy, RWTH Aachen University, 52074 Aachen, Germany.
Christiane KuhlDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.
Daniel TruhnDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.
Sven NebelungDepartment of Diagnostic and Interventional Radiology, Aachen University Hospital, 52074 Aachen, Germany.ORCID 0000-0002-5267-9962
Universitätsklinikum Aachen · DEHeinrich Heine University Düsseldorf · DERWTH Aachen University · DE

Funding

Deutsche Forschungsgemeinschaft NE 2136/3-1Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf NebelungMedizinische Fakultät, RWTH Aachen University Schad
6 · The paper itself

Abstract

While providing the reference imaging modality for joint pathologies, MRI is focused on morphology and static configurations, thereby not fully exploiting the modality's diagnostic capabilities. This study aimed to assess the diagnostic value of stress MRI combining imaging and loading in differentiating partial versus complete anterior cruciate ligament (ACL)-injury. Ten human cadaveric knee joint specimens were subjected to serial imaging using a 3.0T MRI scanner and a custom-made pressure-controlled loading device. Emulating the anterior-drawer test, joints were imaged before and after arthroscopic partial and complete ACL transection in the unloaded and loaded configurations using morphologic sequences. Following manual segmentations and registration of anatomic landmarks, two 3D vectors were computed between anatomic landmarks and registered coordinates. Loading-induced changes were quantified as vector lengths, angles, and projections on the x-, y-, and z-axis, related to the intact unloaded configuration, and referenced to manual measurements. Vector lengths and projections significantly increased with loading and increasing ACL injury and indicated multidimensional changes. Manual measurements confirmed gradually increasing anterior tibial translation. Beyond imaging of ligament structure and functionality, stress MRI techniques can quantify joint stability to differentiate partial and complete ACL injury and, possibly, compare surgical procedures and monitor treatment outcomes.

Indexed as

anterior cruciate ligamentbiomechanical phenomenaknee jointmagnetic resonance imagingphysiology

Identifiers

PMID34199917
PMCPMC8226919
OpenAlexW3169624128

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.