膝关节半月板病变的标准化MRI命名：SSR共识小组报告
简介
该研究由骨骼放射学会发起，邀请12名肌骨放射科医生和2名骨科医生组成专家组，系统回顾文献，评估膝关节半月板MRI报告术语的变异性，并提出标准化建议。关键发现：在半月板解剖变异（如根部区域定义、血管区描述、盘状半月板诊断标准）和撕裂相关描述（如分级系统、“完全/不完全”撕裂、挤压测量方法、以及“创伤性/退变性/可修复性/稳定性”等标签）中，术语使用高度不一致。…
英文摘要
OBJECTIVE: To assess nomenclature variability and develop recommendations on standardized MRI reporting of meniscal findings. METHODS: The Society of Skeletal Radiology identified standardized MRI reporting of knee menisci as an important topic for study and invited all members to serve on a panel to provide consensus recommendations. The Society empaneled 12 musculoskeletal radiologists and 2 orthopaedic surgeons. The panel reviewed published literature (PubMed, Scopus, and Embase) using predetermined criteria for inclusion (peer-reviewed, English-language, human studies) and exclusion (case reports, conference abstracts, book chapters, expert opinions, and commentaries). Literature analysis focused on nomenclature relevant to MRI reporting in two general domains: (I) meniscal anatomy and anatomic variants and (II) meniscal tears and associated findings. RESULTS: Substantial nomenclature variability was identified across both domains. For anatomy and variants, inconsistencies involved root zone definitions, vascular zone descriptors, perimeniscal stabilizer terminology (including eponyms), and diagnostic criteria for the discoid meniscus. For tears and associated findings, variability involved numerical grading systems, the terms "complete" and "incomplete," extrusion measurement methodology, and interpretive labels (e.g., "traumatic," "degenerative," "repairable," "stable"). Ten consensus recommendations for standardized MRI reporting were developed. CONCLUSION: Descriptive anatomic language-specifying what is seen and where-can be more reproducible and clinically actionable than reporting variable numerical grades and evolving classifications. Adoption of our ten pragmatic recommendations has the potential to reduce miscommunication, improve inter-institutional consistency, and support clinical research.