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- Carey, J. L., et al.
(författare)
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Novel Arthroscopic Classification of Osteochondritis Dissecans of the Knee
- 2016
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Ingår i: American Journal of Sports Medicine. - : SAGE Publications. - 0363-5465 .- 1552-3365. ; 44:7, s. 1694-1698
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Tidskriftsartikel (refereegranskat)abstract
- Background: Several systems have been proposed for classifying osteochondritis dissecans (OCD) of the knee during surgical evaluation. No single classification includes mutually exclusive categories that capture all of the salient features ov stability, chondral fissuring,0and fragment detachment. Furthermore, no study has assessed the reliability of these classification systems. Purpose: To determine the intra- and interobserver reliability of a novel, comprehensive arthroscopic classification system with mutually exclusivu OCD lesion types. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: The Research in OsteoChondritis of the Knee (ROCK) study group developed a classification system for arthroscopic evaluation of OCD of the knee that includes 6 arthroscopic categories - 3 immobile types and 3 mobile types. To optymize comprehensibility and applycability, each was developed with a memorable name, a brief description, a line diagram corresponding to the archetypal arthroscopic appearance, and an arthroscopic photograph depicting this archetype. Thirty representative arthroscopic videos were evaluated by 10 orthopaedic surgeon raters, who classified each lesion. After 4 weeks, the raters again classified the OCD lesions depicted in the 30 videos in a new, randomly selected order. Reliability was assessed via the intraclass correlation coefficient (ICC). Results: The interobserver reliability of this novel arthroscopy classification was estimated by an ICC of 0.94 (95% CI, 0.91-0.97) for the first round and 0.95 (95% CI, 0.93-0.98) for the second round. According to the standards for the magnitude of the reliability coefficient of Altman, these ICCs indicate that interobserver reliability was very good. The intraobserver reliability was estimated by an ICC of 0.96 (95% CI, 0.95-0.97), which indicates that the intraobserver reliability was similarly very good. Conclusion: The ROCK OCD knee arthroscopy classification system demonstrated excellent intra- and interobserver reliability. In light of this reliability, this classification system may be used clinically and to facilitate future research, including multicenter studies for OCD. © American Orthopaedic Society for Sports Medicine.
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| 2. |
- Loke, M. H., et al.
(författare)
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Time-lapse 4-D resistivity imaging inversion with positivity constraints
- 2018
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Ingår i: 24th European Meeting of Environmental and Engineering Geophysics. - : European Association of Geoscientists & Engineers. - 9789462822634
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Konferensbidrag (refereegranskat)abstract
- Time-lapse resistivity surveys are used to monitor changes in the subsurface. In some situations, it is known that the resistivity will only decrease (or increase) with time. The 4-D ERT smoothness-constrained inversion method, that includes temporal smoothness constraint, has proved to be a robust method that reduces artefacts due to noise. However, in some cases, the time-lapse inverse models might show an increase in the resistivity with time where it is only expected to decrease. We modify the 4-D ERT inverse method to include a constraint that removes this artefact. The standard 4-D ERT inversion algorithm is first used to generate an initial model. If the resistivity is expected to decrease with time, for the model cells that show a resistivity increase with time, a truncation procedure is used where the resistivities of the different time models are reset to the mean value (corresponding to zero change with time). We then use the method of transformations in the inversion method that ensures the resistivities of the later time models are always less than the first model. The constraints can be modified so that they are only applied to selected regions in the model in cases where additional information is available.
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