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Clinical value of weight-bearing CT and radiographs for detecting patellofemoral cartilage visualized by MRI in the MOST study

Osteoarthritis and Cartilage Jul 31, 2021

Segal NA, Murphy MT, Everist BM, et al. - This study was carried out to ascertain the sensitivity, specificity, and accuracy of axial Weight-Bearing CT (WBCT) and lateral radiographs (XR) for detection of patellofemoral joint osteoarthritis (PFOA) features in comparison with cartilage damage on MRI. Researchers examined a convenience sample of 60 right knees from the MOST cohort. They further compared the sensitivity, specificity, and accuracy of patellofemoral OARSI JSN scores (based on WBCT and XR) using MOAKS scoring on MRI (referent standard). For identification of PFOA, WBCT indicates significantly greater sensitivity and accuracy than radiographs. The findings demonstrate that WBCT holds promise to improve understanding of the weight-bearing patellofemoral joint, given the same Relative Radiation Level as XR and improved visualization.

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