Multimodality correlations of patellar height measurement on X-ray, CT, and MRI

Pearlene P. Lee, Majid Chalian, John A. Carrino, John Eng, Avneesh Chhabra

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose To investigate whether the universally accepted range of normal patellar height ratios derived fromradiography for the Insall-Salvati (IS) and Blackburne-Peel (BP) methods could be similarly applied to both CTand MRI. Materials and methods Institutional review board approval was obtained with waiver of informed consent for this HIPPA-compliant study. A total of 45 knees in 42 patients (15 men, 27 women; age range 11 to 75 years, mean age 39± 20 years) who underwent tri-modality (radiograph, CT, and MRI) examinations were selected. All patients had knee imaging obtained for a variety of reasons and measurements were performed by two independent readers who were blinded to each other's measurements or the respective measurements derived from each of the methods. Paired t test was used to compare the mean values among the modalities. Inter-observer and inter-method agreements were assessed using intra-class correlation coefficients. Results Statistically significant, but small quantitative differences are noted between tri-modality patellar height ratios. For comparable results, the small addition of 0.13 and 0.10 are needed for the Insall-Salvati measurements on MRI and CT respectively, compared with radiographs. For the Blackburne-Peel ratio, an additional adjustment of 0.09 is needed between radiographs and MRI, but not between radiographs and CT. These adjustments are independent of gender. The interobserver reproducibility was excellent (ICC>0.94) for both the Insall-Salvati and Blackburne-Peel methods for all modalities. Conclusion The results indicate that cut-off values for patella alta and baja derived from radiographs should not be directly transposed to CT and MRI; However, the adjustments are relatively minor. These measurements show excellent reproducibility for all modalities currently used for patellar height measurements.

Original languageEnglish (US)
Pages (from-to)1309-1314
Number of pages6
JournalSkeletal Radiology
Volume41
Issue number10
DOIs
StatePublished - Oct 1 2012

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X Ray Computed Tomography
Knee
Patella
Research Ethics Committees
Informed Consent
Reference Values

Keywords

  • Blackburne-Peel
  • CT
  • Insall-Salvati
  • MRI
  • Multimodality correlations
  • Patellar height
  • Radiograph

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Multimodality correlations of patellar height measurement on X-ray, CT, and MRI. / Lee, Pearlene P.; Chalian, Majid; Carrino, John A.; Eng, John; Chhabra, Avneesh.

In: Skeletal Radiology, Vol. 41, No. 10, 01.10.2012, p. 1309-1314.

Research output: Contribution to journalArticle

Lee, Pearlene P. ; Chalian, Majid ; Carrino, John A. ; Eng, John ; Chhabra, Avneesh. / Multimodality correlations of patellar height measurement on X-ray, CT, and MRI. In: Skeletal Radiology. 2012 ; Vol. 41, No. 10. pp. 1309-1314.
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abstract = "Purpose To investigate whether the universally accepted range of normal patellar height ratios derived fromradiography for the Insall-Salvati (IS) and Blackburne-Peel (BP) methods could be similarly applied to both CTand MRI. Materials and methods Institutional review board approval was obtained with waiver of informed consent for this HIPPA-compliant study. A total of 45 knees in 42 patients (15 men, 27 women; age range 11 to 75 years, mean age 39± 20 years) who underwent tri-modality (radiograph, CT, and MRI) examinations were selected. All patients had knee imaging obtained for a variety of reasons and measurements were performed by two independent readers who were blinded to each other's measurements or the respective measurements derived from each of the methods. Paired t test was used to compare the mean values among the modalities. Inter-observer and inter-method agreements were assessed using intra-class correlation coefficients. Results Statistically significant, but small quantitative differences are noted between tri-modality patellar height ratios. For comparable results, the small addition of 0.13 and 0.10 are needed for the Insall-Salvati measurements on MRI and CT respectively, compared with radiographs. For the Blackburne-Peel ratio, an additional adjustment of 0.09 is needed between radiographs and MRI, but not between radiographs and CT. These adjustments are independent of gender. The interobserver reproducibility was excellent (ICC>0.94) for both the Insall-Salvati and Blackburne-Peel methods for all modalities. Conclusion The results indicate that cut-off values for patella alta and baja derived from radiographs should not be directly transposed to CT and MRI; However, the adjustments are relatively minor. These measurements show excellent reproducibility for all modalities currently used for patellar height measurements.",
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