Comparison of 2- and 3-Dimensional Shoulder Ultrasound to Magnetic Resonance Imaging in a Community Hospital for the Detection of Supraspinatus Rotator Cuff Tears with Improved Worktime Room Efficiency

Co, Steven J.; Bhalla, Sonny; Rowan, Kevin; Aippersbach, Sven; Bicknell, Simon

doi:10.1016/j.carj.2011.02.003

Cited by 15 publications

(26 citation statements)

References 33 publications

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“…In this study, MRA has a sensitivity of 0.81 and speci city of 0.96 for detecting articular-sided PTRCTs; however, MRI shows a sensitivity of 0.78 and speci city of 0.97 in detection of the articular-sided PTRCTs. The differences in speci city and sensitivity between MRA and MRI are quite small, and that may be a good reason to avoid the potential risk/cost of MRA, this result is in accordance with a prospective study that the sensitivity and speci city of MRA were improved only by 3-4% when compared with MRI [36].…”

Section: Discussionsupporting

confidence: 89%

“…MRA has a good diagnostic performance mainly depending on the objective evidence of the leakage of contrast agent, accompanied by a good anatomic resolution and subtle defects depicted by contrast agents [33,34]. Nonetheless, MRA, as an invasive diagnosis modality, has many disadvantages and limitations, including a longer examination time, increased risk of infection and adverse complication [35,36].…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Value of MRA and MRI for The Articular-Sided Partial-Thickness Rotator Cuff Tears: A Meta-Analysis

Dong

et al. 2020

Preprint

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Background: This study aims to compare the diagnostic accuracy of magnetic resonance imaging (MRI) and MR arthrography (MRA) for the articular-sided partial-thickness rotator cuff tear (PTRCT).Methods: Three electronic databases, PubMed/Medline, Embase and Cochrane Library, were utilized to retrieve articles comparing the diagnostic value of MRA and MRI for detecting articular-sided PTRCTs. The pooled statistical indexes included sensitivity, specificity, positive/negative predictive value, diagnostic odds ratio (DOR) and the area under receiver operating characteristic curve (AUC). Results: Eleven studies involving 1703 patients and 1704 shoulders were included. The pooled sensitivity, specificity, DOR and AUC and their 95% CIs of MRA to diagnose articular-sided PTRCTs were 0.81 (95% CI, 0.65-0.90), 0.96 (95% CI, 0.91-0.98), 68.14 (95% CI, 33.20-139.84) and 0.96 (95% CI, 0.94-0.97), respectively. The pooled sensitivity, specificity, DOR and AUC and their 95% CIs of MRI were 0.78 (95% CI, 0.65-0.87) and 0.97 (95% CI, 0.84-0.99), 47.82 (95% CI, 8.29-275.89) and 0.89 (95% CI, 0.86-0.92), respectively.Conclusions: This meta-analysis reveals that MRA has a better diagnostic value than that of MRI for the diagnosis of articular-sided partial-thickness rotator cuff tears, but only small improvement of sensitivity. Considering the price and invasion of MRA, MRI is recommended as an initial examination to detect patients suspected with articular-side partial-thickness rotator cuff tears.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of MRA and MRI for The Articular-Sided Partial-Thickness Rotator Cuff Tears: A Meta-Analysis

Dong

et al. 2020

Preprint

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“…However, MRA, usually with a longer examination time, will bring the infections and adverse complications because of an invasive procedure of the injection of contrast agent [52]. Moreover, the classification and basic properties of the contrast agent will have a huge effect on the diagnostic value of MRA [53]. Numerous studies reported that false positive cases were often triggered by the inflamed tendon [54], and false negative cases were caused by the failure of contrast to pass into the bursa [29, 33].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of MRA and MRI for the bursal-sided partial-thickness rotator cuff tears: a meta-analysis

Huang

Liu

et al. 2019

J Orthop Surg Res

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Background Numerous quantitatively studies have focused on the diagnosis of bursal-sided partial-thickness rotator cuff tears (RCTs); however, the accuracy of magnetic resonance imaging (MRI) and MR arthrography (MRA) remains inconclusive. This study was performed systematically to compare the diagnostic value of MRA and MRI for the bursal-sided partial-thickness RCTs. Methods Three electronic databases, PubMed, Embase, and Cochrane Library, were utilized to retrieve articles comparing the diagnostic value of MRA and MRI for detecting bursal-sided partial-thickness RCTs. After screening and diluting out the articles that met the inclusion criteria to be used for statistical analysis, the pooled evaluation indexes include sensitivity, specificity, positive and negative predictive values, diagnostic odds ratio (DOR), and the area under the receiver operating characteristic curve (AUC). Results Twelve studies involving 1740 patients and 1741 shoulders were identified. The pooled sensitivity, specificity, DOR, and AUC of MRA to diagnose bursal-sided partial-thickness RCTs were 0.77 (95% CI, 0.67–0.85), 0.98 (95% CI, 0.95–0.99), 73.01 (95% CI, 35.01–152.26), and 0.88 (95% CI, 0.85–0.91), respectively. The pooled sensitivity, specificity, DOR, and AUC of MRI were 0.77 (95% CI, 0.66–0.86) and 0.96 (95% CI, 0.81–0.99), and 37.12 (95% CI, 8.08–170.64) and 0.82 (95% CI, 0.78–0.85), respectively. Conclusions This meta-analysis reveals that MRA and MRI have similar diagnostic value for the diagnosis of bursal-sided partial-thickness rotator cuff tears.

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“…Previous authors have demonstrated that US and MRI have comparable and high accuracy for detecting full-and partial thickness tears in rotator cuff(24)(25)(26). MRI gives more information about muscle degeneration, the under acromion area and other coexisting pathologic process.…”

mentioning

confidence: 99%

“…We chose ultrasound because it is dynamic, less invasive and more sensitive than MRI in assessment of rotator cuff pre-insetional tendinopathy. Other studies carried out in volleyball, basketball, baseball and swimmers used US to evaluate the rotator cuff tendinopathy(1,(24)(25)(26)(27).The international protocol proposed by European Society of Musculoskeletal Radiology (ESMR) was adopted because considered as the most detailed and effective protocol for analysis and the comparison with other overhead-throwing studies (17). 61% of patients had a higher degeneration of the dominant supraspinatus compared with non-dominant (P< .05).…”

mentioning

confidence: 99%

Clinical and ultrasonographic evaluation of shoulder in elite waterpolo players a cross-sectional study

Ronga

Callegari

2019

Preprint

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Background: Rotator cuff structural changes are common in overhead throwing athletes, such as baseball, javelin, swimming, volleyball, by increasing the risk of shoulder pain and injury. The structural alterations in elite waterpolo players are not well known. In elite waterpolo athletes there are structural alterations of rotato cuff tendons due to overuse of the dominant shoulder compared to the non-dominant, like in oth er overhead disciplines, identifiable by ultrasound (US). Methods: Asymptomatic elite men waterpolo players were selected. All athletes were evaluated with standardized scales of shoulder pain and function (Oxford Shoulder Score, Constant Shoulder Score) and provided data of training, injury and shoulder pain history. Each athlete underwent clinical evaluation of shoulders followed by US of rotator cuff, biceps and bursas. Results : 23 athletes met the inclusion criteria, mean age 24.2±3.3. 14 athletes (60.9%) presented higher degeneration grade at the dominant supraspinatus compared to the contralateral, always in the same area in outfield pla yers: anterior, lateral, pre-insertional. In 22/23 (95.6%) the biceps tendon was damaged: 20/23 athletes (87%) bilaterally, 2/23 (8.7%) at the only dominant limb. The site was always at the bicipital groove in its insertion on the humerus. Power Doppler (PD) evidenced neovascularization in only 5/23 (21.7%) players at supraspinatus: 4 bilaterally, 1 only at the non-dominant. No statistical correlation was found between tendon degeneration and age, career years. Conclusion: Outfield waterpolo players have peculiar changes in supraspinatus at preinsertional level, as seen in other overhead throwing athletes. We found changes also in biceps, bilaterally, like in shoulders of elite swimmers. We suppose that these changes are predictive of shoulder pain and injury.

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Comparison of 2- and 3-Dimensional Shoulder Ultrasound to Magnetic Resonance Imaging in a Community Hospital for the Detection of Supraspinatus Rotator Cuff Tears with Improved Worktime Room Efficiency

Cited by 15 publications

References 33 publications

Diagnostic Value of MRA and MRI for The Articular-Sided Partial-Thickness Rotator Cuff Tears: A Meta-Analysis

Diagnostic Value of MRA and MRI for The Articular-Sided Partial-Thickness Rotator Cuff Tears: A Meta-Analysis

Diagnostic accuracy of MRA and MRI for the bursal-sided partial-thickness rotator cuff tears: a meta-analysis

Clinical and ultrasonographic evaluation of shoulder in elite waterpolo players a cross-sectional study

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