Reliability of Magnetic Resonance Imaging Prediction of Anterior Cruciate Ligament Autograft Size and Comparison of Radiologist and Orthopaedic Surgeon Predictions

Abstract:
Background: In anterior cruciate ligament (ACL) reconstruction, hamstring tendon autografts <8 mm have been associated with increased failure rates. There has been no established modality by which orthopaedic surgeons can preoperatively predict graft sizes. Purpose/Hypothesis: The purposes of this study were to (1) determine whether routine magnetic resonance imaging (MRI) measurement of hamstring tendon cross-sectional area (CSA) can reliably be used by sports medicine fellowship–trained orthopaedic surgeons to predict graft size and (2) determine whether radiologists and sports medicine surgeons are able to discriminate grafts below a predetermined cutoff value. We hypothesized that radiologists will find a correlation between MRI measurement and intraoperative graft size. Similarly, orthopaedic surgeons will be able to correctly estimate the graft size based on MRI measurement. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Included in this study were 30 consecutive patients (15 women and 15 men) (mean age, 23 years [range, 13-43 years]) for whom MRI-determined hamstring tendon CSA and graft size measurements could be compared. Patients were included if they had a preoperative MRI demonstrating acute ACL rupture and were scheduled with 1 of 3 surgeons for a reconstruction performed using the ST and GR tendons. Operative data were collected over 1 year. Sectra imaging software was used to measure the CSA of the semitendinosus (ST) and gracilis (GR) tendons on the preoperative MRIs. Control measurements were performed intraoperatively using a graft sizing block with 0.5-mm increments. Simple linear regression analysis was used to evaluate the ability of MRI measurements to predict autograft size. Logistic regression was used to determine the minimum CSA for a graft of 8 mm. The intraclass correlation coefficient (ICC) was used to evaluate interrater reliability. Results: MRI CSA measurement of the average STGR (ST CSA added to the GR CSA) was a significant predictor of graft size (adjusted R 2 = 0.186; P < .001). The 3 measurements with the strongest correlations with graft size were the ST at the medial femoral condyle (MFC), the STGR at the MFC, and the average STGR. The minimum CSA for the average STGR on MRI to achieve a graft size of 8 mm was 17.168 mm2 (P < .001). The area under the receiver operating characteristic curve was 0.765. The overall ICC was 0.977. Conclusion: Routine preoperative MRI can be used by both radiologists and orthopaedic surgeons to predict the expected ACL autograft size and identify those below a cutoff of 8 mm. This will help in preoperative planning and graft selection.
Author Listing: Andrew Hanna;Katharine Hollnagel;Kelley Whitmer;Christopher John;Brent Johnson;Jonathan Godin;Thomas Miller
Volume: 7
Pages: None
DOI: 10.1177/2325967119889593
Language: English
Journal: Orthopaedic Journal of Sports Medicine

Orthopaedic Journal of Sports Medicine

ORTHOP J SPORTS MED

影响因子:2.4 是否综述期刊:否 是否OA:是 是否预警:不在预警名单内 发行时间:- ISSN:2325-9671 发刊频率:- 收录数据库:SCIE/Scopus收录/DOAJ开放期刊 出版国家/地区:United States 出版社:SAGE

期刊介绍

The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of:-Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries-Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot)-Relevant translational research-Sports traumatology/epidemiology-Knee and shoulder arthroplastyThe OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).

《骨科运动医学杂志》(OJSM)由美国骨科运动医学学会(AOSSM)开发,是一本全球性、同行评审、开放获取的期刊,结合了骨科运动医学、关节镜检查和膝关节置换术研究人员和临床从业者的兴趣。主题包括以下领域的原创研究:-骨科运动医学,包括骨科运动损伤的手术和非手术治疗-关节镜手术(肩/肘/腕/髋/膝/踝/足)-相关转化研究-运动创伤学/流行病学-膝关节和肩关节成形术OJSM还发表相关系统综述和荟萃分析。该杂志是出版伦理委员会(科普)的成员。

年发文量 423
国人发稿量 39
国人发文占比 9.22%
自引率 8.3%
平均录取率 -
平均审稿周期 12 Weeks
版面费 -
偏重研究方向 Medicine-Orthopedics and Sports Medicine
期刊官网 https://journals.sagepub.com/home/ojs
投稿链接 https://us.sagepub.com/en-us/nam/journal/orthopaedic-journal-sports-medicine#submission-guidelines

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
87.47% 91.23% - -

相关指数

{{ relationActiveLabel }}
{{ item.label }}

期刊预警不是论文评价,更不是否定预警期刊发表的每项成果。《国际期刊预警名单(试行)》旨在提醒科研人员审慎选择成果发表平台、提示出版机构强化期刊质量管理。

预警期刊的识别采用定性与定量相结合的方法。通过专家咨询确立分析维度及评价指标,而后基于指标客观数据产生具体名单。

具体而言,就是通过综合评判期刊载文量、作者国际化程度、拒稿率、论文处理费(APC)、期刊超越指数、自引率、撤稿信息等,找出那些具备风险特征、具有潜在质量问题的学术期刊。最后,依据各刊数据差异,将预警级别分为高、中、低三档,风险指数依次减弱。

《国际期刊预警名单(试行)》确定原则是客观、审慎、开放。期刊分区表团队期待与科研界、学术出版机构一起,夯实科学精神,打造气正风清的学术诚信环境!真诚欢迎各界就预警名单的分析维度、使用方案、值得关切的期刊等提出建议!

预警情况 查看说明

时间 预警情况
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q2区

版本 按学科 分区
WOS期刊SCI分区
WOS期刊SCI分区是指SCI官方(Web of Science)为每个学科内的期刊按照IF数值排 序,将期刊按照四等分的方法划分的Q1-Q4等级,Q1代表质量最高,即常说的1区期刊。
(2021-2022年最新版)
ORTHOPEDICS Q2
SPORT SCIENCES Q2

关于2019年中科院分区升级版(试行)

分区表升级版(试行)旨在解决期刊学科体系划分与学科发展以及融合趋势的不相容问题。由于学科交叉在当代科研活动的趋势愈发显著,学科体系构建容易引发争议。为了打破学科体系给期刊评价带来的桎梏,“升级版方案”首先构建了论文层级的主题体系,然后分别计算每篇论文在所属主题的影响力,最后汇总各期刊每篇论文分值,得到“期刊超越指数”,作为分区依据。

分区表升级版(试行)的优势:一是论文层级的主题体系既能体现学科交叉特点,又可以精准揭示期刊载文的多学科性;二是采用“期刊超越指数”替代影响因子指标,解决了影响因子数学性质缺陷对评价结果的干扰。整体而言,分区表升级版(试行)突破了期刊评价中学科体系构建、评价指标选择等瓶颈问题,能够更为全面地揭示学术期刊的影响力,为科研评价“去四唯”提供解决思路。相关研究成果经过国际同行的认可,已经发表在科学计量学领域国际重要期刊。

《2019年中国科学院文献情报中心期刊分区表升级版(试行)》首次将社会科学引文数据库(SSCI)期刊纳入到分区评估中。升级版分区表(试行)设置了包括自然科学和社会科学在内的18个大类学科。基础版和升级版(试行)将过渡共存三年时间,推测在此期间各大高校和科研院所仍可能会以基础版为考核参考标准。 提示:中科院分区官方微信公众号“fenqubiao”仅提供基础版数据查询,暂无升级版数据,请注意区分。

中科院分区 查看说明

版本 大类学科 小类学科 Top期刊 综述期刊
医学
3区
ORTHOPEDICS
骨科
3区
SPORT SCIENCES
运动科学
3区
2021年12月
基础版
医学
3区
ORTHOPEDICS
骨科
3区
SPORT SCIENCES
运动科学
3区
2021年12月
升级版
医学
3区
ORTHOPEDICS
骨科
3区
SPORT SCIENCES
运动科学
3区
2020年12月
旧的升级版
医学
3区
ORTHOPEDICS
骨科
3区
SPORT SCIENCES
运动科学
3区
2022年12月
最新升级版
医学
3区
ORTHOPEDICS
骨科
3区
SPORT SCIENCES
运动科学
3区