The aim of this study is to identify the role of pathology grading in improving the effectiveness of MRI in detecting tears in the meniscus. This includes examination of the relationship between MRI signal changes and pathology. The essence of this examination is to reveal how radiologists are able to design grading systems to quantify the extent of degeneration and how to put such systems into use.
Pathology of meniscal tears is very crucial because it is commonly used to describe tears that are believed to originate primarily from a certain traumatic injury occasion, which can be categorized as redial, bucket handle and bucket handle tears. Traumatic tears usually take place in younger sports-active individuals typically associated with cruciate ligament injury, which normally splits in a vertical direction – a condition referred to as meniscus (Nawata et al. 1999; Magee and Williams, 2004). Through pathology grading, the degenerative tears category is examined, through description of tears that primarily originate from degenerative processes, including flap, horizontal, complex, in addition to meniscal destruction and degeneration (Englund et al., 2008).
For the meniscal tears in MRI to be useful to the orthopedist, the radiologist should undertake the pathology grading with the aim of providing complete and accurate description of each meniscal tear. MRI is very important because it provides an increase in the accuracy of diagnosis over clinical analysis as well as a noninvasive means to demonstrate a torn meniscus(Jerosch and Riemer, 2004; Englund et al., 2008; Kornaat, et al., 2006). The sensitivity for diagnosing a meniscal tear is between 70 percent and 75 percent. However, with proper pathology grading of meniscal tears, more accurate description can help attain a higher clinical sensitivity and specificity. Furthermore, even the most accurate physical examination cannot provide a proper description of the orientation, location, or the level of the tear. In this case, MRI offers both higher specificity and sensitivity in regards to detection of meniscal tears (McNally, 2002; Gillies and Seligson, 1979; Jerosch et al., 1997; Dorsa and Helms, 2003).
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