Evidence map›Paper›PMID 42488317›Full record

Observational studyThe Iowa orthopaedic journal2026

Reliability of Semi-Automated Volumetric Quantification of Knee Effusion Using MRI After Acl Injury.

Reginald O Chinweze, Neal C Weldon, Matthew A Tao, Melissa N Manzer, Elizabeth A Wellsandt

Abstract readObservational Study
In one paragraph

Observational study in The Iowa orthopaedic journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Reginald O ChinwezeDepartment of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Neal C WeldonDepartment of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Matthew A TaoDepartment of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Melissa N ManzerPrivate Practice, Omaha, Nebraska, USA.
Elizabeth A WellsandtDepartment of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI HOLSTEIN, SARAH A · 2016 to 2025
$42.8M
Osteoarthritis After ACL Injury: Establishing Cumulative Joint Loading as a Preventative TargetR21AR075254 · NIAMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WELLSANDT, ELIZABETH A · 2020 to 2021
$373k
NIAMS NIH HHS R21 AR075254NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

Background: Effusion is a frequent finding after anterior cruciate ligament (ACL) injury and reconstruction, but the reliability of its quantification on routine [non-contrast] magnetic resonance imaging (MRI) is not established. This study sought to evaluate the intra-rater and inter-rater reliability of volumetric quantitative measurements (VQM) of knee effusion volumes (EV) using axial proton density-weighted, fat-suppressed (PD-FS) sequences after ACL injury and reconstruction. Methods: Twenty deidentified MRIs (10 ACL-injured knees and 10 uninjured knees) were randomly selected from a prospective observational cohort of participants aged 15-35 years. Two independent raters analyzed EV using a custom MATLAB protocol. Intra- and inter-rater reliability was assessed using intraclass correlation coefficients (ICC Results: Mean EV were higher in the injured compared to uninjured knees (11.88±8.14 mL vs 2.03±0.76 mL). Volumetric effusion measurements demonstrated excellent intra-rater (ICC Conclusion: VQM using standard axial PD-FS MRI sequences demonstrate excellent reliability across raters. Restricting segmentation to the anterior compartment aligns with clinical assessment (e.g., sweep tests), though it does not capture whole-joint eflusion. This semi-automated approach may provide a relevant biomarker for monitoring EV in ACL research and rehabilitation trials. Level of Evidence: III.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionKnee JointMagnetic Resonance ImagingAdolescentAdultFemaleHumansMaleObserver VariationProspective StudiesReproducibility of ResultsYoung Adulteffusion-synovitisimage segmentationMRIreproducibilityvolumetric analysis

Identifiers

PMID42488317
PMCPMC13389605

What OpenQuestion holds

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Registered trials

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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.