3D-MR vs. 3D-CT of the shoulder in patients with glenohumeral instability

Stillwater, Laurence; Koenig, James; Maycher, Bruce; Davidson, Michael J.

doi:10.1007/s00256-016-2559-4

Cited by 84 publications

(58 citation statements)

References 35 publications

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“…In an attempt to lower overall costs and the number of tests performed in patients, 3D MRI has started gaining more attention in the literature, especially after Gyftopoulos et al 38 used MRI to create 3D reconstructions of the shoulder to evaluate glenoid bone loss. 13 Furthermore, Stillwater et al 54 looked at 3D MRI osseous reformats and compared them with the gold standard of 3D CT reconstruction. The measurement differences were not statistically significantly different for humeral head dimensions, Hill-Sachs dimensions, and percentage of humeral head loss.…”

Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: To determine the reliability and accuracy of different imaging modalities in assessing Hill-Sachs lesions within the setting of anterior shoulder instability. Methods: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using the PubMed, Scopus, Embase, and Cochrane Library databases. The inclusion criteria were clinical trials or cadaveric studies that assessed the accuracy of humeral head bone loss imaging or reliability and English-language articles. The exclusion criteria were animal studies; imaging studies without measures of accuracy, reliability, or clinical predictive power; studies of shoulder injuries without humeral head bone loss; editorials; abstracts; reviews; case reports; and surveys. The search terms included "imaging" OR "radiographic" OR "CT" OR "MRI" AND "Hill-Sachs" OR "humeral head bone loss." Assessment of the methodologic quality of the included studies was performed using the original Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Results: Forty studies (2,560 shoulders) met the inclusion criteria and were assessed. For diagnosing the presence of Hill-Sachs lesions, computed tomography (CT) arthrography had the highest reported accuracy (median, 91%; range, 66%-100%). For the same assessment, CT arthrography also had the greatest reported sensitivity (median, 94%; range, 50%-100%). For the quantification of Hill-Sachs lesion parameters, reported intraobserver reliabilities were highest for 3-dimensional (3D) CT (intraclass correlation coefficient [ICC] range, 0.916-0.999), followed by 2-dimensional CT (ICC range, 0.858-0.861) and magnetic resonance imaging (MRI) (ICC range, 0.28-0.97). For the same quantification parameters, interobserver reliabilities were also reported for 3D CT (ICC range, 0.772-0.996), 2-dimensional CT (ICC range, 0.721-0.879), and MRI (k range, 0.444-0.700). Intraobserver reliabilities for determining glenoid tracking were only reported for 3D CT (k range, 0.730-1.00; ICC range, 0.803-0.901) and MRI (ICC range, 0.770-0.790). Conclusions: This study shows that the current literature supports a variety of different imaging modalities that provide clinically acceptable accuracy in diagnosing and quantifying Hill-Sachs lesions, as well as determining whether they will cause persistent anterior shoulder instability. Furthermore, this systematic review justifies that further research is needed to help develop a treatment algorithm on the proper imaging modalities needed to help treat patients with anterior shoulder instability that is both reliable and financially acceptable. Level of Evidence: Level IV, systematic review of Level I through IV studies.

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Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Compared with multislice CT, the sensitivity and specificity of fat-suppressed 3D VIBE images in detecting bony Bankart lesions were 95.7-100% and 93.9-97.0%, respectively, and Stillwater et al recently compared the osseous reformats of 3D-MR vs 3D-CT in patients with glenohumeral instability. 12 The results suggested 3D-MR performed as well as CT with no statistical significance between measured parameters of humeral height, glenoid height and glenoid width.…”

Section: Lumbar Osseous Stress Injurymentioning

confidence: 81%

VIBE MRI: an alternative to CT in the imaging of sports-related osseous pathology?

Koh¹,

Walton

Watson³

2018

BJR

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MRI is an excellent diagnostic tool in the imaging of sports-related musculoskeletal pathology; however, standard slice thickness acquisitions can lack the spatial resolution to accurately define and characterise osseous abnormalities. Standard MRI sequences may be supplemented with CT to reduce diagnostic uncertainty. We provide a clinical perspective, in the form of pictorial review, on the potential applications of 3D MRI sequences, specifically using volumetric interpolated breath-hold examination in the characterisation of various musculoskeletal osseous pathologies. The potential to negate the requirement for CT in a young radiation sensitive cohort is a clinically significant concept and suggests the requirement for further studies comparing the performance of volumetric MRI to CT.

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“…Precise determination of GBL percentage can be achieved mainly in two ways: 3D-CT scan was used by Shin et al , whereas MRI was used by Shaha et al . Although 3D-CT scan can help establish precise measurement of GBL (usually using the either the Glenoid Index49 or Pico Method50), 3D-MRI shows equivalent accuracy51–54 and allows for HSL evaluation (ie, on-track vs off-track) and soft tissue damage without the burden of high radiation exposure 55. When using CT scans, the contralateral comparison method was more reliable than the best-fit circle method for quantifying the amount of GBL 56…”

Section: Discussionmentioning

confidence: 99%

How to handle minor and major bone loss in the shoulder? Current concepts

et al. 2020

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3D-MR vs. 3D-CT of the shoulder in patients with glenohumeral instability

Abstract: Three-dimensional-MR osseous models of the shoulder using a 3D isotropic VIBE sequence were equivalent to 3D-CT osseous models, and the differences between modalities were not statistically significant.

Cited by 84 publications

References 35 publications

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

VIBE MRI: an alternative to CT in the imaging of sports-related osseous pathology?

How to handle minor and major bone loss in the shoulder? Current concepts

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