Z Xu1, X Duan1, X Yu1, H Wang1, X Dong2, Z Xiang3. 1. Department of Orthopedics, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan, China. 2. Department of Pathology, Chengdu Women's and Children's Central Hospital, No. 1617 Riyue Avenue, Chengdu 610000, Sichuan, China. 3. Department of Orthopedics, West China Hospital, Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan, China. Electronic address: xiangzhou15@hotmail.com.
Abstract
AIM: To determine the accuracy of MRI versus ultrasound for Morton's neuroma. MATERIALS AND METHODS: A search was undertaken for clinical studies published in any language in PubMed up to the date of December 2013. Studies assessing the accuracy of the ultrasound or MRI for the diagnosis of Morton's neuroma were included. Data were pooled for meta-analysis. Study selection, data collection, and extraction were performed independently by two authors. Meta-disc 1.4 and Revman 5.2 software were applied for statistical analysis. RESULTS: The study included 12 studies; 217 patients underwent MRI and 241 underwent ultrasound examinations. There appeared greater diagnostic accuracy for ultrasound than MRI for the diagnosis of Morton's neuroma (ultrasound sensitivity 90%, specificity 88%, positive likelihood ratio 2.77, negative likelihood ratio 0.16 versus MRI sensitivity 93%, specificity 68%, positive likelihood ratio 1.89, negative likelihood ratio 0.19). CONCLUSIONS: The available evidence suggests that ultrasound can provide better accuracy for the diagnosis of Morton's neuroma than MRI.
AIM: To determine the accuracy of MRI versus ultrasound for Morton's neuroma. MATERIALS AND METHODS: A search was undertaken for clinical studies published in any language in PubMed up to the date of December 2013. Studies assessing the accuracy of the ultrasound or MRI for the diagnosis of Morton's neuroma were included. Data were pooled for meta-analysis. Study selection, data collection, and extraction were performed independently by two authors. Meta-disc 1.4 and Revman 5.2 software were applied for statistical analysis. RESULTS: The study included 12 studies; 217 patients underwent MRI and 241 underwent ultrasound examinations. There appeared greater diagnostic accuracy for ultrasound than MRI for the diagnosis of Morton's neuroma (ultrasound sensitivity 90%, specificity 88%, positive likelihood ratio 2.77, negative likelihood ratio 0.16 versus MRI sensitivity 93%, specificity 68%, positive likelihood ratio 1.89, negative likelihood ratio 0.19). CONCLUSIONS: The available evidence suggests that ultrasound can provide better accuracy for the diagnosis of Morton's neuroma than MRI.
Authors: Luca Maria Sconfienza; Domenico Albano; Georgina Allen; Alberto Bazzocchi; Bianca Bignotti; Vito Chianca; Fernando Facal de Castro; Elena E Drakonaki; Elena Gallardo; Jan Gielen; Andrea Sabine Klauser; Carlo Martinoli; Giovanni Mauri; Eugene McNally; Carmelo Messina; Rebeca Mirón Mombiela; Davide Orlandi; Athena Plagou; Magdalena Posadzy; Rosa de la Puente; Monique Reijnierse; Federica Rossi; Saulius Rutkauskas; Ziga Snoj; Jelena Vucetic; David Wilson; Alberto Stefano Tagliafico Journal: Eur Radiol Date: 2018-06-06 Impact factor: 5.315
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