Injuries to the anterior cruciate ligament (ACL) are very common, and ACL injuries increase the risk of developing post-traumatic knee osteoarthritis and total knee replacement (TKR). At present, Magnetic Resonance Imaging (MRI) is the most effective imaging modality for distinguishing structural properties of the ACL in relation to adjacent musculoskeletal structures. Several multi-grading scoring systems have been developed to standardize reporting of knee joint abnormalities using MRI including the Whole-Organ Magnetic Resonance Imaging Scale (WORMS) and the Anterior Cruciate Ligament OsteoArthritis Score (ACLOAS). However, both of these grading metrics are susceptible to inter-rater variability.
Deep learning methods have recently shown potential to serve as an aid for clinicians with limited time or experience in osteoarthritis grading of the knee menisci and cartilage….
