Comparison of fat‐saturation fast spin echo versus conventional spin‐echo MRI in the detection of rotator cuff pathology

Needell, Steven D.; Zlatkin, Michael B.

doi:10.1002/jmri.1880070411

Cited by 33 publications

(29 citation statements)

References 13 publications

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“…Multiple imaging modalities have been reported for the evaluation of index and recurrent tears of the rotator cuff, including conventional arthrography, computed tomography arthrography, ultrasound imaging, and MRI. 1,10,15,16,18,19,22 MRI has a reported sensitivity of 84% to 91% and specificity of 25% to 91% in the detection of a full-thickness tear of the rotator cuff after repair. 10,16,19 Currently, 4 arthroscopic studies provide data on postoperative repair status, with retear rates of 27% to 94%.…”

Section: Discussionmentioning

confidence: 98%

Arthroscopic rotator cuff repair: Prospective functional outcome and repair integrity at minimum 2-year follow-up

Cole

McCarty

Kang

et al. 2007

Journal of Shoulder and Elbow Surgery

285

168

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Section: Discussionmentioning

confidence: 98%

Arthroscopic rotator cuff repair: Prospective functional outcome and repair integrity at minimum 2-year follow-up

Cole

McCarty

Kang

et al. 2007

Journal of Shoulder and Elbow Surgery

285

168

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“…MAGNETIC RESONANCE (MR) IMAGING is regarded as a useful and accurate technique for diagnosing shoulder disorders, including rotator cuff disease and lesions of the glenoid labrum (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). MR imaging of the shoulder has been predominantly performed by using wholebody MR systems operating at high-field-strengths (1.0 -1.5 Tesla) or, more recently, utilizing low-fieldstrength (0.2-0.35 Tesla) scanners (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

mentioning

confidence: 99%

“…MR imaging of the shoulder has been predominantly performed by using wholebody MR systems operating at high-field-strengths (1.0 -1.5 Tesla) or, more recently, utilizing low-fieldstrength (0.2-0.35 Tesla) scanners (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). In 2001, Shellock et al (3) studied the diagnostic capabilities of an extremity MR system for identifying shoulder pathology.…”

mentioning

confidence: 99%

Assessment of the rotator cuff and glenoid labrum using an extremity MR system: MR results compared to surgical findings from a multi‐center study

Zlatkin¹,

Hoffman²,

Shellock

2004

Magnetic Resonance Imaging

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Purpose: To conduct a multi-center assessment of the use of a 0.2-T, extremity MR system (E-scan; General Electric Lunar Corp. and Esaote, Genoa, Italy) for identifying tears of the rotator cuff and glenoid labrum. Materials and Methods:A retrospective study was performed involving 160 patients (age range, 15-84 years old) from five facilities in the United States, comparing shoulder MR imaging to surgical findings. MR imaging of the shoulder was conducted as follows: shoulder coil; T1-weighted spin echo, coronal-oblique and axial images; short Tau inversion recovery (STIR), coronal-oblique images and axial images; and T2-weighted spin echo, coronal-oblique and sagittal-oblique images. The MR examinations were interpreted in an independent, prospective manner by two radiologists with extensive musculoskeletal MRI experience. Arthroscopic (N ϭ 103) or open surgical (N ϭ 57) procedures were performed within a mean of 53 days after MR imaging.Results: Surgical findings demonstrated rotator cuff tears in 131 patients and labral tears in 60 patients. For the rotator cuff, the sensitivity, specificity, positive predictive value, and negative predictive value were 90%, 93%, 98%, and 68%, respectively. For the labrum, the sensitivity, specificity, positive predictive value, and negative predictive value were 55%, 100%, 100%, and 82%, respectively. Conclusions:There was good agreement when MR results obtained using the extremity MR system were compared to surgical findings for identifying rotator cuff tears, while the sensitivity of MR imaging for determining labral tears was relatively poor. Nevertheless, these findings were comparable to those reported in the peer-reviewed literature for MR systems operating at mid-, and high-field-strengths. MAGNETIC RESONANCE (MR) IMAGING is regarded as a useful and accurate technique for diagnosing shoulder disorders, including rotator cuff disease and lesions of the glenoid labrum (1-16). MR imaging of the shoulder has been predominantly performed by using wholebody MR systems operating at high-field-strengths (1.0 -1.5 Tesla) or, more recently, utilizing low-fieldstrength (0.2-0.35 Tesla) scanners (1-16). In 2001, Shellock et al (3) studied the diagnostic capabilities of an extremity MR system for identifying shoulder pathology. This investigation compared MR examinations to surgical findings in 47 patients and reported good agreement with regard to determining tears of the rotator cuff and glenoid labrum. In fact, the diagnostic performance of the extremity MR system was reported to compare favorably to that of whole-body, mid-and high-field-strength MR scanners for a variety of musculoskeletal applications (17,18).Performing MR examinations of the shoulder using the extremity MR system offers distinct advantages over conventional MR systems, including reduced start-up costs, more convenient siting and installation, lower maintenance fees, and greater patient comfort and safety (17,18). Importantly, these advantageous features permit the extremity MR system to be readily utilized...

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“…Finally, sensitivity for pathologic fl uid collections and areas of edema are enhanced greatly with fat suppression techniques (Mirowitz 1991). Fat-saturation FSE imaging can effectively replace conventional FSE imaging for the detection of rotator cuff pathology and tends to perform better in the diagnosis of partial tears (Reinus et al 1995;Quinn et al 1995;Singson et al 1996;Needell and Zlatkin 1997).…”

Section: Sequencesmentioning

confidence: 99%

Imaging of the Shoulder

Davies¹,

Hodler²

2004

Medical Radiology

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The use of general descriptive names, trademarks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every case the user must check such information by consulting the relevant literature. Cover-Design and Typesetting: Verlagsservice Teichmann, 69256 Mauer Printed on acid-free paper -21/3151xq -5 4 3 2 1 Contents V It is my great pleasure and privilege to introduce another volume on modern musculoskeletal imaging edited by A. M. Davies and J. Hodler following two already published, superb and highly successful volumes on imaging of the knee, edited by A.M. Davies and V. N. Cassar-Pullicino, and imaging of the foot and ankle, edited by A. M. Davies, R. W. Whitehouse and J.P.R. Jenkins.The concept of these volumes is based on comprehensive coverage both of the imaging modalities and of the applications of all these techniques to a specifi c anatomical area and all the pathological conditions related to it.The short "gestational" period of this volume -less than 18 months between the beginning of the project and fi nal manuscript delivery to the publisher -ensures, as in the two foregoing volumes, that the most recent advances in shoulder imaging and radiological management are covered.I am greatly indebted to Dr. Davies and Dr. Hodler for their brilliant editorial work and personal contributions. I congratulate them on their judicious choice of contributing authors, all well-known experts in the fi eld.I am convinced that this excellent volume will be of great interest for both radiologists in training and certifi ed radiologists, and also for orthopaedic surgeons and rheumatologists. It is my sincere wish that this work meet with the same success as so many previous volumes in the series Medical Radiology -Diagnostic Imaging. LeuvenAlbert L. Baert Foreword Contents VII PrefaceAs our understanding of the disease processes and the biomechanics of shoulder disorders improves, there is a need to continuously update radiologists, orthopaedic surgeons and other professionals working in this fi eld. Several recent texts on the shoulder have concentrated on a single imaging technique such as MR imaging. This book, in common with several others published in this series, takes a dual approach to the subject. The fi rst section acquaints the reader with the full range of techniques available for imaging shoulder pathology, emphasising the indications and contraindications. The six chapters include contributions on radiography, computed tomography and CT arthrography, magnetic resonance imaging and MR arthrography, ultrasound and interventional techniques. The remaining 13 chapters discuss the optimal application of these techniques to specifi c pathologies, highlighting practical solutions to both common and uncommon clinical problems.The disce...

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Comparison of fat‐saturation fast spin echo versus conventional spin‐echo MRI in the detection of rotator cuff pathology

Cited by 33 publications

References 13 publications

Arthroscopic rotator cuff repair: Prospective functional outcome and repair integrity at minimum 2-year follow-up

Arthroscopic rotator cuff repair: Prospective functional outcome and repair integrity at minimum 2-year follow-up

Assessment of the rotator cuff and glenoid labrum using an extremity MR system: MR results compared to surgical findings from a multi‐center study

Imaging of the Shoulder

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