CME OnDemand: 2022 AOFAS Annual Meeting-3-T MRI outperforms 1.5-T MRI in Diagnosis of Osteochondral Lesions of the Talus in Patients Undergoing Broström Repair

3-T MRI outperforms 1.5-T MRI in Diagnosis of Osteochondral Lesions of the Talus in Patients Undergoing Broström Repair

Video Transcription

Video Summary

The video discusses the diagnostic utility of 3-Tesla MRI compared to 1.5-Tesla MRI in identifying osteochondral lesions of the talus (OLT) in patients undergoing the Brostrom-Gallup procedure for lateral ankle instability. The study utilized a retrospective cohort design and reviewed patient charts to assess the efficacy of both MRI strengths in identifying OLTs compared to diagnostic arthroscopy. The analysis included 40 patients, and it was found that 3-Tesla MRI had greater sensitivity, specificity, and overall diagnostic accuracy than 1.5-Tesla MRI in identifying OLTs. The study concludes that 3-Tesla MRIs outperform 1.5-Tesla MRIs in diagnosing OLTs in this patient population, supporting their use in preoperative planning. Limitations of the study include a limited sample size from one health system and a focus solely on OLTs. The speaker thanks Dr. Michael Nardi and colleagues for their contributions.

Asset Subtitle

Kirsten N. Mansfield, MPH, Kelly Dope, BS, Zachary Koroneos, BS
Chris M. Stauch, MDT, Brandon J. Martinazzi, BS, Michael C. Aynardi, MD

Keywords

3-Tesla MRI

1.5-Tesla MRI

osteochondral lesions of the talus

Brostrom-Gallup procedure

lateral ankle instability