标准化膝关节半月板MRI报告：一项跨学科德尔菲共识
简介
33位来自23个机构的专家（含骨科与影像科）通过三轮德尔菲共识，制定了半月板MRI报告的跨学科标准化指南，涵盖11个主题：撕裂的MRI标准、可疑撕裂、撕裂形态、撕裂描述词、半月板内描述词、半月板根部、后内侧半月板-关节囊交界区、半月板外突、术后半月板评估、再撕裂描述词及伴随征象。三轮全部完成。第一轮提交350条自由文本；第二轮由11个团队（每队1名骨科医生+…
英文摘要
Thirty-three panelists from 23 institutions participated in a three-round Delphi consensus process to establish interdisciplinary guidelines for reporting knee MRI findings on 11 meniscus topics: MRI criteria for tears, possible tears, tear patterns, tear descriptors, intrameniscal descriptors, meniscal roots, posteromedial meniscocapsular junction, meniscus extrusion, assessment of the postoperative meniscus, retear descriptors, and ancillary findings. All panelists completed all Delphi rounds. In round 1, 350 free-text entries (mean, 31.8 entries per topic ± 2.2 [SD]) were submitted. In round 2, 32 statements (mean, 2.9 entries per topic ± 1.6) were collected from 11 teams (one orthopedic surgeon and two musculoskeletal radiologists per team), with 75% (24 of 32 panelists) achieving consensus using a 9-point Likert scale. Consensus was defined as a score of at least 7 (≥80% of panelists) and a median score of at least 7 (IQR ≤3). In round 3, all statements achieved consensus. Between rounds 2 and 3, agreement significantly increased (P < .05) among all panelists on the topics of possible tears (to express uncertainty) and tear descriptors (for treatment planning), among orthopedic surgeons on MRI criteria for tear and the assessment of the postoperative meniscus (specifically on reporting equivocal findings and the use of MR arthrography), and among radiologists on tear patterns, intrameniscal descriptors, meniscal roots, and retear descriptors.