Diagnostic Accuracy of MRI In Detection of ACL Tear Keeping Arthroscopy as Gold Standard
DOI:
https://doi.org/10.70749/ijbr.v3i7.2987Keywords:
Anterior cruciate ligament, Arthroscopy, Diagnostic imaging, Knee injuries, Magnetic resonance imagingAbstract
Background: Anterior cruciate ligament tear is common knee injury observed in young and active persons mostly. Early and accurate diagnosis is important to prevent instability and long-term complication. Arthroscopy is considered gold standard but it is invasive so imaging methods are needed. Objective: To determine the diagnostic accuracy of magnetic resonance imaging in detection of anterior cruciate ligament tear keeping arthroscopy as gold standard. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 7 March 2025 to 7 June 2025 in the Department of Radiology of LUMHS Jamshoro. Methodology: A total of 143 patients aged 15 to 60 years with recent knee injury were included. Magnetic resonance imaging was performed using 1.5 Tesla machine and findings were assessed by radiologist. Arthroscopy was done for confirmation. Data was analyzed using statistical package for social sciences version 22. Diagnostic accuracy parameters were calculated and chi square test was applied. P value ≤0.05 was taken as significant. Results: The mean age was 32.80±7.42 years. Magnetic resonance imaging showed sensitivity of 83.33%, specificity of 92.08%, positive predictive value of 81.40%, negative predictive value of 93.00% and overall diagnostic accuracy of 89.51% (p≤0.05). True positive cases were 35 while true negative was 93. Conclusion: Magnetic resonance imaging is reliable and noninvasive method for detection of anterior cruciate ligament tear with good diagnostic accuracy compared to arthroscopy.
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1. Baid M, Hait S, Daga S, Das A, Kumar Mandal A, Sam J, et al. Arthroscopic reconstruction of an anterior cruciate ligament tear using the anatomic single-bundle technique: a clinical and functional outcome evaluation. Cureus. 2024;16(9):e69069. https://doi.org/10.7759/cureus.69069
2. Kacprzak B, Stańczak M, Surmacz J, Hagner-Derengowska M. Biophysics of ACL injuries. Orthop Rev (Pavia). 2024; 16:126041.
https://doi.org/10.52965/001c.126041
3. Price A, Gangadharan R, Simmons D, Boswell W, Maddox TW, Oldershaw RA, et al. Don't take their word for it: investigating the diagnostic accuracy of history elements for anterior cruciate ligament tears. J Exp Orthop. 2025; 12(4):e70586.
https://doi.org/10.1002/jeo2.70586
4. Mancino F, Kayani B, Gabr A, Fontalis A, Plastow R, Haddad FS. Anterior cruciate ligament injuries in female athletes: risk factors and strategies for prevention. Bone Jt Open. 2024;5(2):94-100.
https://doi.org/10.1302/2633-1462.52.BJO-2023-0166
5. Tanaka S, Inoue Y, Masuda Y, Tian H, Jung H, Tanaka R. Diagnostic accuracy of physical examination tests for suspected acute anterior cruciate ligament injury: a systematic review and meta-analysis. Int J Sports Phys Ther. 2022;17(5):742-752. https://doi.org/10.26603/001c.36434
6. Dietvorst M, van der Steen MCM, Reijman M, Janssen RPA. Diagnostic values of history taking, physical examination and KT-1000 arthrometer for suspect anterior cruciate ligament injuries in children and adolescents: a prospective diagnostic study. BMC Musculoskelet Disord. 2022;23(1):710.
https://doi.org/10.1186/s12891-022-05659-1
7. Allott NEH, Banger MS, McGregor AH. Evaluating the diagnostic pathway for acute ACL injuries in trauma centres: a systematic review. BMC Musculoskelet Disord. 2022;23(1):649.
https://doi.org/10.1186/s12891-022-05595-0
8. Yang T, Li Y, Yang L, Liu Q. Magnetic resonance imaging of cruciate ligament disorders: current updates. EFORT Open Rev. 2025;10(7):475-486.
https://doi.org/10.1530/EOR-2024-0093
9. Prabakar S, Jawaharlal P, Narayanan S. Diagnostic efficacy of fat-suppressed 3D volume isotropic turbo spin-echo acquisition imaging versus conventional 2D sequences in the detection of cruciate and meniscal tears using a 3-tesla magnetic resonance imaging scanner: a comparative study. Cureus. 2025;17(6):e86841.
https://doi.org/10.7759/cureus.86841
10. Minamoto Y, Akagi R, Maki S, Shiko Y, Tozawa R, Kimura S, et al. Automated detection of anterior cruciate ligament tears using a deep convolutional neural network. BMC Musculoskelet Disord. 2022;23(1):577.
https://doi.org/10.1186/s12891-022-05524-1
11. Yaqoob J, Alam MS, Khalid N. Diagnostic accuracy of magnetic resonance imaging in assessment of meniscal and ACL tear: correlation with arthroscopy. Pak J Med Sci. 2015;31(2):263-268.
https://doi.org/10.12669/pjms.312.6499
12. Asad A, Syed MK, Bashir MS, Saleem MS. Diagnostic accuracy of MRI for detecting anterior cruciate ligament injuries with arthroscopy as the reference standard. JCPSP Postgrad. 2026;2(1):83-87. https://doi.org/10.29271/jcpsppg.2026.01.83
13. Javaid A, Anam W, Ullah H, Afzal T, Mahmood R, Balooch SUD. Diagnostic accuracy of magnetic resonance imaging in the detection of anterior cruciate ligament tear, keeping arthroscopic findings as gold standard. Pak Armed Forces Med J. 2023;73(5):1249-1252.
https://doi.org/10.51253/pafmj.v73i5.7687
14. Haider Z, Ali A, Khan S, Khan L, Ullah U, Ahmad W. Accuracy of knee MRI findings in detecting soft tissue injury, taking arthroscopy as the gold standard. J Bahria Uni Med Dent Coll. 2026;16(1):184-190. https://doi.org/10.51985/JBUMDC2025777
15. Kadhim AS, Alardi IM, Saadoon RA. Patterns of radiological misinterpretation of complete anterior cruciate ligament tears on routine MRI reports: an arthroscopic validation study. Al-Rafidain J Med Sci. 2026;10(1):193-198.
https://doi.org/10.54133/ajms.v10i1.2707
16. Khan RH, Iqbal J, Ahmad A, Kamal S. Diagnostic accuracy of magnetic resonance imaging knee in diagnosis of anterior cruciate ligament tear taking arthroscopy as gold standard. Indus J Biosci Res. 2025;3(4).
https://doi.org/10.70749/ijbr.v3i4.1108
17. Thapa S, Panta S, Adhikari A, Upadhyay HP, Shrestha SK. Accuracy of magnetic resonance imaging in diagnosis of anterior cruciate ligament and meniscus tear: an observational study. J Nepal Med Assoc. 2025;63(285):315-320.
https://doi.org/10.31729/jnma.8982
18. Saif-ur-Rehman, Nazir F, Zulfiqar M, Saleem M, Anis Y. Accuracy of clinical examination versus MRI in the diagnosis of anterior cruciate ligament tears taking arthroscopic examination as gold standard. J Fatima Jinnah Med Coll. 2014;8(4):46-47.
19. Thapa R, Lamichhane S, Bhusal A, Shrestha SKD, Yadav S, Swar A, et al. Diagnostic accuracy of magnetic resonance imaging compared with arthroscopy in knee injuries among paramilitary personnel. Nepal J Med Sci. 2026;11(1):17-26.
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