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Updated: Jun 24, 2026

Destabilization of the Medial Meniscus and Cartilage Scratch Murine Model of Accelerated Osteoarthritis
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Standardized Knee Meniscus MRI Reporting: An Interdisciplinary Delphi Consensus.

Jie C Nguyen1,2, Vandan S Patel1,3, Geoffrey D Abrams4

  • 1Department of Radiology, Section of Musculoskeletal Imaging, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104.

Radiology
|June 23, 2026
PubMed

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Summary
This summary is machine-generated.

Interdisciplinary guidelines for reporting knee MRI findings were established through a Delphi consensus process. These guidelines cover 11 meniscus topics, improving reporting consistency for tears and postoperative assessments.

Area of Science:

  • Orthopedics
  • Radiology
  • Medical Imaging

Background:

  • Standardized reporting of knee magnetic resonance imaging (MRI) findings is crucial for accurate diagnosis and treatment planning.
  • Existing guidelines may lack comprehensive coverage of all relevant meniscus pathologies and reporting nuances.

Purpose of the Study:

  • To establish interdisciplinary consensus guidelines for reporting knee MRI findings across 11 key meniscus topics.
  • To enhance consistency and clarity in the communication of meniscal pathology between orthopedic surgeons and musculoskeletal radiologists.

Main Methods:

  • A three-round Delphi consensus process involving 33 panelists from 23 institutions.
  • Panelists included orthopedic surgeons and musculoskeletal radiologists working in teams.
  • Consensus was defined using a 9-point Likert scale, requiring a score of at least 7 (≥80% agreement) and a median score of at least 7 (IQR ≤3).

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Main Results:

  • All 11 meniscus topics achieved consensus after three rounds.
  • Significant increases in agreement were observed between rounds 2 and 3 on specific topics, including possible tears, tear descriptors, MRI criteria for tears, and postoperative meniscus assessment.
  • Radiologists showed increased consensus on tear patterns, intrameniscal descriptors, meniscal roots, and retear descriptors.

Conclusions:

  • The Delphi process successfully generated interdisciplinary guidelines for reporting knee MRI findings on meniscus pathology.
  • These guidelines aim to standardize the description of meniscal tears, postoperative changes, and related findings.
  • The established consensus is expected to improve diagnostic accuracy and treatment planning for knee injuries.