Interdisciplinary Delphi Consensus Defines Standardized Knee Meniscus MRI Reporting

A three-round Delphi consensus of 33 MSK experts from 23 institutions achieved 100% agreement on standardized MRI reporting terms for 11 knee meniscus topics, including tear criteria, possible tears, and postoperative assessment—though not yet externally validated.

• Delphi consensus with 33 panelists (orthopedic surgeons and MSK radiologists) from 23 institutions over three rounds.
• Between rounds 2 and 3, agreement significantly increased (P<.05) on possible tears and tear descriptors, with subgroup-specific improvements among surgeons and radiologists.
• Limitation: Expert consensus not yet externally validated in routine clinical practice.

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