Q. 4 In a retrospective study of 71 knees scanned by MRI. One of the indicators they examined was the absence of the "bow-tie sign" in the MRI as evidence of a bucket-handle or "bucket-handle type" tear of the meniscus. In the study, surgery confirmed that 43 of the 71 cases were bucket-handle tears. The cases may be cross-classified by "bow-tie sign" status and surgical results as follows: Tear Surgically Confirmed as Test result Confirmed (D) not present (D) Positive Test 38 10 (absent bow-tie design)(7) Negative Test (absent bow-tie design)(T) 5 18 (a) What is the sensitivity and specificity of testing to see if the absent bow- tie sign indicates a meniscal tear? (b) What additional information would you need to determine the predictive value of the test?

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Q. 4 In a retrospective study of 71 knees scanned by MRI. One of the
indicators they examined was the absence of the "bow-tie sign" in the MRI
as evidence of a bucket-handle or "bucket-handle type" tear of the
meniscus. In the study, surgery confirmed that 43 of the 71 cases were
bucket-handle tears. The cases may be cross-classified by "bow-tie sign"
status and surgical results as follows:
Tear Surgically
Confirmed as
Test result
Confirmed
(D)
not present (D)
Positive Test
38
10
(absent bow-tie
design) (7)
Negative Test
(absent bow-tie
design)(T)
5
18
(a) What is the sensitivity and specificity of testing to see if the absent bow-
tie sign indicates a meniscal tear?
(b) What additional information would you need to determine the predictive
value of the test?
Transcribed Image Text:Q. 4 In a retrospective study of 71 knees scanned by MRI. One of the indicators they examined was the absence of the "bow-tie sign" in the MRI as evidence of a bucket-handle or "bucket-handle type" tear of the meniscus. In the study, surgery confirmed that 43 of the 71 cases were bucket-handle tears. The cases may be cross-classified by "bow-tie sign" status and surgical results as follows: Tear Surgically Confirmed as Test result Confirmed (D) not present (D) Positive Test 38 10 (absent bow-tie design) (7) Negative Test (absent bow-tie design)(T) 5 18 (a) What is the sensitivity and specificity of testing to see if the absent bow- tie sign indicates a meniscal tear? (b) What additional information would you need to determine the predictive value of the test?
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