MRI Joint | Unilateral Hand | Misdiagnosis by MRI of Unilateral Selected Hand | Missed Diagnosis by MRI of Unilateral Nonselected Hand | ||||
---|---|---|---|---|---|---|---|
Selected | Nonselected | p* | Rate | p* | Rate | p* | |
Synovitis | |||||||
Wrist† | 93 | 94 | 1 | 5 | 0.031 | 4 | 0.063 |
MCPJ2 | 58 | 60 | 0.701 | 12 | < 0.001 | 10 | < 0.001 |
MCPJ3 | 53 | 44 | 0.071 | 9 | < 0.001 | 18 | < 0.001 |
MCPJ4 | 63 | 45 | < 0.001 | 3 | 0.125 | 21 | < 0.001 |
MCPJ5 | 70 | 63 | 0.108 | 7 | 0.008 | 14 | < 0.001 |
Osteitis | |||||||
Wrist⋄ | 91 | 89 | 0.774 | 4 | 0.063 | 6 | 0.016 |
MCPJ2^ | 40 | 38 | 1 | 13 | < 0.001 | 15 | < 0.001 |
MCPJ3^ | 35 | 35 | 1 | 13 | < 0.001 | 13 | < 0.001 |
MCPJ4^ | 36 | 29 | 0.185 | 8 | 0.002 | 15 | < 0.001 |
MCPJ5^ | 44 | 41 | 0.585 | 11 | < 0.001 | 14 | < 0.001 |
Bone erosion | |||||||
Wrist⋄ | 98 | 98 | 1 | 0 | 1 | 0 | 1 |
MCPJ2^ | 44 | 44 | 1 | 15 | < 0.001 | 15 | < 0.001 |
MCPJ3^ | 33 | 38 | 0.362 | 15 | < 0.001 | 10 | < 0.001 |
MCPJ4^ | 21 | 22 | 1 | 12 | < 0.001 | 11 | < 0.001 |
MCPJ5^ | 38 | 31 | 0.175 | 11 | < 0.001 | 18 | < 0.001 |
↵* P value was generated from McNemar test for comparing occurrence frequencies of each MRI feature per joint between dominant and nondominant hand, between selected and nonselected hand, and between MRI of bilateral hands and unilateral hand (dominant, nondominant, selected, or nonselected hand) considered as paired groups. P values in bold face are statistically significant.
↵† Distal radioulnar joint, radiocarpal joint, and intercarpal-carpometacarpal joints were evaluated.
↵⋄ 15 wrist bones were evaluated.
↵^ Metacarpal heads (proximal) and phalangeal bases (distal) were evaluated. MRI: magnetic resonance imaging; MCPJ: metacarpophalangeal joints.