Quantification of meniscal volume by segmentation of 3T magnetic resonance images

Meniscal injuries place the knee at risk for early osteoarthritis (OA) because they disrupt their load-bearing capabilities. Partial resection is routinely performed to alleviate symptomatic meniscal tears. While the removal of meniscal tissue may not be the only factor associated with partial meniscectomy outcome, the amount removed certainly contributes to functional loss. It is unknown, however, whether there is a critical amount of meniscal tissue that can be removed without diminishing the structure's chondroprotective role. In order to examine the existence of such a threshold, it is necessary to accurately quantify meniscal volume both before and after partial meniscectomy to determine the amount of meniscal tissue removed. Therefore, our goal was to develop and validate an MR-based method for assessing meniscal volume. The specific aims were: (1) to evaluate the feasibility of the MR-based segmentation method; (2) to determine the method's reliability for repeated measurements; and (3) to validate its accuracy in situ. MR images were obtained on a 3T magnet, and each scan was segmented using a biplanar approach. The MR-based volumes for each specimen were compared to those measured by water displacement. The results indicate that the biplanar approach of measuring meniscal volumes is accurate and reliable. The calculated volumes of the menisci were within 5% of the true values, the coefficients of variation were 4%, and the intraclass correlation coefficients were greater than 0.96. These data demonstrate that this method could be used to measure the amount of meniscal tissue excised during partial meniscectomy to within 125.7 mm(3).