Abstract
To investigate the accuracy of plain radiographs, and the effect of observer experience, in the assessment of ankle effusions compared with an MRI gold standard. Anteroposterior (AP) and lateral radiographs of the ankle of 39 patients were evaluated by four observers, ranging from first-year radiology resident to an attending musculoskeletal radiologist. Observers independently graded the lateral films from 0 to 5 at one sitting, and the AP films at a second sitting. All patients had an MRI scan performed within 48 h of the ankle radiographs, on which distention of the anterior recess was used as the gold standard for an effusion. Lateral radiographs had variable sensitivity (range 17-63%), but specificity (81-94%) was usually high. AP radiographs similarly had variable sensitivity (15-55%), but their specificity (63-75%) was surprisingly good. Overall, sensitivity and specificity were inversely proportional and more related to individual variability than experience (observer 1, 53% and 81%; observer 2, 17% and 94%; observer 3, 63% and 88%; observer 4, 21% and 94%); however, individual sensitivity and specificity were consistent between AP and lateral radiographs (observer 1, 53% and 81%, 50% and 65%; observer 2, 17% and 94%, 1...Continue Reading
References
Apr 1, 1975·Radiology·F M Hall
Sep 1, 1992·Foot & Ankle·H ThermannH Tscherne
Sep 1, 1988·Journal of General Internal Medicine·B ArrollS B Sheps
Nov 2, 1984·JAMA : the Journal of the American Medical Association·S B Sheps, M T Schechter
Feb 1, 1980·AJR. American Journal of Roentgenology·C K Hayden, L E Swischuk
May 1, 1981·Investigative Radiology·B L EngelstadW A Murphy
Oct 1, 1995·Radiology·L N NazarianM E Schweitzer
Mar 1, 1995·Radiology·P L RobertsonJ M Fenlin
Jan 1, 1994·AJR. American Journal of Roentgenology·M E SchweitzerK Wapner
Mar 1, 1993·Cancer·D G SienkoR L Berkelman
May 1, 1993·Radiology·J K ZawinR L Teele
Sep 1, 1996·Clinical Radiology·T W ClarkD G Connell
May 9, 1998·AJR. American Journal of Roentgenology·J A JacobsonD Resnick
Apr 14, 1999·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D TimmermanT H Bourne
Dec 10, 1999·Clinical Pediatrics·V K RehanV Cook
Mar 1, 2002·European Radiology·P WunderbaldingerF Kainberger
Nov 1, 1940·The Journal of Clinical Investigation·M W RopesW Bauer
Citations
Sep 23, 2009·AJR. American Journal of Roentgenology·Angela W TaiBarbara N Weissman
Sep 17, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Xing-Zhao LiZhi-Xia Sun
Apr 24, 2021·Open Access Emergency Medicine : OAEM·Josie AcunaSrikar Adhikari