Magnetic Resonance Accuracy in the Diagnosis of Anterior Talo-Fibular Ligament Acute Injury: A Systematic Review and Meta-Analysis.
Magnetic Resonance Accuracy in the Diagnosis of Anterior Talo-Fibular Ligament Acute Injury: A Systematic Review and Meta-Analysis.
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DOI：
10.3390/diagnostics11101782
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发表时间：
2021-09-28
期刊：
影响因子：
--
通讯作者：
Carriero A
中科院分区：
文献类型：
--
作者：
Barini M;Zagaria D;Licandro D;Pansini S;Airoldi C;Leigheb M;Carriero A
背景：关于距腓骨前韧带（ATFL）损伤的研究主要集中在慢性症状和慢性不稳定方面，关于磁共振成像（MRI）在急性损伤中的准确性的文献相当缺乏。方法：本系统综述结合meta分析分析MRI对急性ATFL损伤的诊断准确性。检索三个数据库（MEDLINE、SCOPUS和Cochrane Central Register of Controlled Trails）后检索相关研究。总结符合条件的研究。使用修订后的诊断准确性研究质量评估（QUADAS-2）工具评估纳入文章的质量。提取数据计算MRI的敏感性和特异性。结果：7项研究符合我们的纳入和排除标准。MRI诊断急性ATFL损伤的综合敏感性和特异性分别为1.0 （95% CI: 0.58-1）和0.9 （95% CI: 0.79-0.96）。合并LR+和LR -分别为10.4 （95% CI: 4.6-23）和0 （95% CI: 0 - 0.82）。结论：本系统综述与荟萃分析探讨了急性ATFL损伤的影像学诊断准确性。结果表明，MRI对急性ATFL病变的诊断具有较高的准确性。这些结果表明，在疑似ATFL急性损伤的病例中，常规MRI可能在临床上有用，尽管可能由于成本高而未在临床实践中进行。
Background: The studies about injury to the anterior talo-fibular ligament (ATFL) are focused mainly on chronic symptoms and chronic instability, and the literature about the accuracy of magnetic resonance imaging (MRI) in acute injuries is quite lacking. Methods: This systematic review with meta-analysis analyzes the diagnostic accuracy of MRI on acute ATFL injury. Relative studies were retrieved after searching three databases (MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trails). Eligible studies were summarized. The quality of the included articles was assessed using the revised Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Data were extracted to calculate pooled sensitivity and specificity of MRI. Results: Seven studies met our inclusion and exclusion criteria. For MRI, the pooled sensitivities and specificity in diagnosing acute ATFL injury were respectively 1.0 (95% CI: 0.58–1) and 0.9 (95% CI: 0.79–0.96). Pooled LR+ and LR− were respectively 10.4 (95% CI: 4.6–23) and 0 (95% CI: 0–0.82). Conclusion: This systematic review with meta-analysis investigated the accuracy of imaging for the diagnosis of acute ATFL injury. Our results demonstrated that MRI shows high diagnostic accuracy in the diagnosis of acute ATFL lesions. These results suggest that routine MRI in the case of suspected ATFL acute injury may be clinically useful, although this is not done in clinical practice due probably to high cost.
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2.6
作者：
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3.3
作者：
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通讯作者：
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影响因子：
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作者：
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