Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study

Background: While MRI is the gold standard for meniscal assessment, its cost and accessibility limitations have led to growing interest in ultrasound, though its validity for quantifying meniscal tissue remains unclear. To validate the use of ultrasound in quantifying meniscal tissue across the ante...

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Autores: Rodríguez-Sanz, Jacobo, Malo Urriés, Miguel, Borrella Andrés, Sergio, Albarova-Corral, Isabel, López-de-Celis, Carlos
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/4824
Acceso en línea:http://hdl.handle.net/20.500.12328/4824
https://dx.doi.org/10.3390/diagnostics15030389
Access Level:acceso abierto
Palabra clave:Ecografia
Menisc
Cadàver
Validació
Genoll
Ultrasonido
Menisco
Cadáver
Validación
Rodilla
Ultrasound
Meniscus
Cadaver
Validation
Knee
616.3
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oai_identifier_str oai:recercat.cat:20.500.12328/4824
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spelling Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric studyRodríguez-Sanz, JacoboMalo Urriés, MiguelBorrella Andrés, SergioAlbarova-Corral, IsabelLópez-de-Celis, CarlosEcografiaMeniscCadàverValidacióGenollUltrasonidoMeniscoCadáverValidaciónRodillaUltrasoundMeniscusCadaverValidationKnee616.3Background: While MRI is the gold standard for meniscal assessment, its cost and accessibility limitations have led to growing interest in ultrasound, though its validity for quantifying meniscal tissue remains unclear. To validate the use of ultrasound in quantifying meniscal tissue across the anterior, middle, and posterior regions of both menisci (medial and lateral) in longitudinal and transverse planes by comparison with cadaveric dissection. Methods: A cross-sectional study was conducted on ten cryopreserved anatomical donors, obtaining a total of 120 ultrasound scans from the different meniscal regions. Following ultrasound imaging, cadaveric dissection was performed to facilitate photometric measurements, thereby enabling validation of the ultrasound findings. The intra-examiner reliability of the ultrasound measurements was also assessed. Results: The intra-examiner reliability of ultrasound measurements ranged from moderate to excellent. A strong and statistically significant positive correlation was observed between ultrasound and photometric measurements across all meniscal regions (r > 0.821; p < 0.05). In the medial meniscus, ultrasound visualized 99.1% of the anterior region (8.71 mm with ultrasound; 8.64 mm with photometry), 96.3% of the middle region (9.09 mm with ultrasound; 9.39 mm with photometry), and 98.5% of the posterior region (10.54 mm with ultrasound; 10.61 mm with photometry). In the lateral meniscus, ultrasound visualized 107.1% of the anterior region, 105.1% of the middle region, and 97.8% of the posterior region. The observed excess in tissue visualization in some regions likely reflects the inclusion of adjacent connective tissue, indistinguishable from meniscal tissue on ultrasound. Conclusions: Ultrasound is a valid and reliable modality for visualizing most meniscal tissue across regions, with a measurement discrepancy under 0.7 mm compared to anatomical dissection. However, caution is advised as adjacent connective tissue may sometimes be misidentified as meniscal tissue during evaluations.info:eu-repo/semantics/publishedVersionMDPI2025info:eu-repo/semantics/article16http://hdl.handle.net/20.500.12328/4824https://dx.doi.org/10.3390/diagnostics15030389reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésDiagnostics15© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/48242026-05-29T05:05:01Z
dc.title.none.fl_str_mv Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
title Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
spellingShingle Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
Rodríguez-Sanz, Jacobo
Ecografia
Menisc
Cadàver
Validació
Genoll
Ultrasonido
Menisco
Cadáver
Validación
Rodilla
Ultrasound
Meniscus
Cadaver
Validation
Knee
616.3
title_short Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
title_full Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
title_fullStr Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
title_full_unstemmed Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
title_sort Validation of ultrasound for quantification of knee meniscal tissue: a cadaveric study
dc.creator.none.fl_str_mv Rodríguez-Sanz, Jacobo
Malo Urriés, Miguel
Borrella Andrés, Sergio
Albarova-Corral, Isabel
López-de-Celis, Carlos
author Rodríguez-Sanz, Jacobo
author_facet Rodríguez-Sanz, Jacobo
Malo Urriés, Miguel
Borrella Andrés, Sergio
Albarova-Corral, Isabel
López-de-Celis, Carlos
author_role author
author2 Malo Urriés, Miguel
Borrella Andrés, Sergio
Albarova-Corral, Isabel
López-de-Celis, Carlos
author2_role author
author
author
author
dc.subject.none.fl_str_mv Ecografia
Menisc
Cadàver
Validació
Genoll
Ultrasonido
Menisco
Cadáver
Validación
Rodilla
Ultrasound
Meniscus
Cadaver
Validation
Knee
616.3
topic Ecografia
Menisc
Cadàver
Validació
Genoll
Ultrasonido
Menisco
Cadáver
Validación
Rodilla
Ultrasound
Meniscus
Cadaver
Validation
Knee
616.3
description Background: While MRI is the gold standard for meniscal assessment, its cost and accessibility limitations have led to growing interest in ultrasound, though its validity for quantifying meniscal tissue remains unclear. To validate the use of ultrasound in quantifying meniscal tissue across the anterior, middle, and posterior regions of both menisci (medial and lateral) in longitudinal and transverse planes by comparison with cadaveric dissection. Methods: A cross-sectional study was conducted on ten cryopreserved anatomical donors, obtaining a total of 120 ultrasound scans from the different meniscal regions. Following ultrasound imaging, cadaveric dissection was performed to facilitate photometric measurements, thereby enabling validation of the ultrasound findings. The intra-examiner reliability of the ultrasound measurements was also assessed. Results: The intra-examiner reliability of ultrasound measurements ranged from moderate to excellent. A strong and statistically significant positive correlation was observed between ultrasound and photometric measurements across all meniscal regions (r > 0.821; p < 0.05). In the medial meniscus, ultrasound visualized 99.1% of the anterior region (8.71 mm with ultrasound; 8.64 mm with photometry), 96.3% of the middle region (9.09 mm with ultrasound; 9.39 mm with photometry), and 98.5% of the posterior region (10.54 mm with ultrasound; 10.61 mm with photometry). In the lateral meniscus, ultrasound visualized 107.1% of the anterior region, 105.1% of the middle region, and 97.8% of the posterior region. The observed excess in tissue visualization in some regions likely reflects the inclusion of adjacent connective tissue, indistinguishable from meniscal tissue on ultrasound. Conclusions: Ultrasound is a valid and reliable modality for visualizing most meniscal tissue across regions, with a measurement discrepancy under 0.7 mm compared to anatomical dissection. However, caution is advised as adjacent connective tissue may sometimes be misidentified as meniscal tissue during evaluations.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/4824
https://dx.doi.org/10.3390/diagnostics15030389
url http://hdl.handle.net/20.500.12328/4824
https://dx.doi.org/10.3390/diagnostics15030389
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Diagnostics
15
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 16
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543