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  • Magnetic Resonance Imaging Investigation of Cervical-Spine Meniscoid Composition: A Validation Study

    Author(s)
    Farrell, SF
    Cornwall, J
    Osmotherly, PG
    Griffith University Author(s)
    Farrell, Scott F.
    Year published
    2020
    Metadata
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    Abstract
    Objective: The composition of cervical-spine meniscoids may have clinical significance in neck-pain conditions, but the accuracy of assessment of meniscoid composition in vivo using magnetic resonance imaging has not been established. The aim of this study was to compare cervical-spine meniscoid composition by magnetic resonance imaging with histologic composition. Methods: Four embalmed cadaveric cervical spines (mean [standard deviation] age, 79.5 [3.7] years; 1 female, 3 male) underwent magnetic resonance imaging, allowing radiologic classification of lateral atlantoaxial- and zygapophyseal-joint (C2-3 to C6-7) meniscoids ...
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    Objective: The composition of cervical-spine meniscoids may have clinical significance in neck-pain conditions, but the accuracy of assessment of meniscoid composition in vivo using magnetic resonance imaging has not been established. The aim of this study was to compare cervical-spine meniscoid composition by magnetic resonance imaging with histologic composition. Methods: Four embalmed cadaveric cervical spines (mean [standard deviation] age, 79.5 [3.7] years; 1 female, 3 male) underwent magnetic resonance imaging, allowing radiologic classification of lateral atlantoaxial- and zygapophyseal-joint (C2-3 to C6-7) meniscoids as either mostly fatty, mixed tissue, or mostly connective tissue. Subsequently, each joint was dissected and disarticulated to allow excision of meniscoids for histologic processing. Each meniscoid was sectioned sagittally, stained with hematoxylin and eosin, examined using light microscopy, and classified as adipose, fibroadipose, or fibrous in composition. Data were analyzed using the kappa statistic with linear weighting. Results: From dissection, 62 meniscoids were identified, excised, and processed; 46 of these 62 were visualized with magnetic resonance imaging. For single-rater identifying structures, agreement between assessment of meniscoid composition by magnetic resonance imaging and by microscopy was fair (κ = 0.24; 95% confidence interval, 0.02-0.46; P = .02). Conclusion: Findings suggest that the accuracy of this method of magnetic resonance imaging assessment of cervical-spine meniscoid composition may be limited. This should be considered when planning or interpreting research investigating meniscoid composition using magnetic resonance imaging.
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    Journal Title
    Journal of Manipulative and Physiological Therapeutics
    DOI
    https://doi.org/10.1016/j.jmpt.2019.10.010
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Clinical Sciences
    Complementary and Alternative Medicine
    Atlanto-Axial Joint
    Dissection
    Histological Techniques
    Magnetic Resonance Imaging
    Zygapophyseal Joint
    Publication URI
    http://hdl.handle.net/10072/397713
    Collection
    • Journal articles

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