Diagnostic performance of susceptibility-weighted magnetic resonance imaging for the assessment of sub-coracoacromial spurs causing subacromial impingement syndrome

Nörenberg, Dominik; Armbruster, Marco; Bender, Yi-Na Yvonne; Walter, Thula; Ebersberger, Hans U; Diederichs, Gerd; Hamm, Bernd; Ockert, Ben; Makowski, Marcus R.

doi:10.1007/s00330-016-4441-0

Cited by 13 publications

(7 citation statements)

References 34 publications

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“…The ossification of the coracoclavicular ligament might be 1 potential cause of shoulder pain and motion restriction. [ 20 ] Osteolysis of the lateral clavicle refers to the osteolysis of the distal clavicle that may occur after acute shoulder injury or which is caused by repeated micro-trauma to the shoulder. It is characterized by gradual reabsorption of the lateral clavicle.…”

Section: Discussionmentioning

confidence: 99%

Comparison of surgical and conservative treatment of Rockwood type-III acromioclavicular dislocation

Tang¹,

Zhang²,

Liu

et al. 2018

Medicine

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Section: Discussionmentioning

confidence: 99%

Comparison of surgical and conservative treatment of Rockwood type-III acromioclavicular dislocation

Tang¹,

Zhang²,

Liu

et al. 2018

Medicine

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“…Besides brain imaging, possible clinical applications of SW-MRI have also been extended to other areas, among which belong the detection of prostatic calcification 1 , 21 , the identification of calcific tendonitis 41 and subacromial spurs 42 as well as the visualization of peripheral vessel calcifications 16 .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic performance of susceptibility-weighted magnetic resonance imaging for the detection of calcifications: A systematic review and meta-analysis

Adams

Bressem

Böker

et al. 2017

Sci Rep

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Since its introduction, susceptibility-weighted-magnetic resonance imaging (SW-MRI) has shown the potential to overcome the insensitivity of MRI to calcification. Previous studies reporting the diagnostic performance of SW-MRI and magnetic resonance imaging (MRI) for the detection of calcifications are inconsistent and based on single-institution designs. To our knowledge, this is the first meta-analysis on SW-MRI, determining the potential of SW-MRI to detect calcifications. Two independent investigators searched MEDLINE, EMBASE and Web of Science for eligible diagnostic accuracy studies, which were published until March 24, 2017 and investigated the accuracy of SW-MRI to detect calcifications, using computed tomography (CT) as a reference. The QUADAS-2 tool was used to assess study quality and methods for analysis were based on PRISMA. A bivariate diagnostic random-effects model was applied to obtain pooled sensitivities and specificities. Out of the 4629 studies retrieved by systematic literature search, 12 clinical studies with 962 patients and a total of 1,032 calcifications were included. Pooled sensitivity was 86.5% (95%-confidence interval (CI): 73.6–93.7%) for SW-MRI and 36.7% (95%–CI:29.2–44.8%) for standard MRI. Pooled specificities of SW-MRI (90.8%; 95%–CI:81.0–95.8%) and standard MRI (94.2; 95%–CI:88.9–96.7%) were comparable. Results of the present meta-analysis suggest, that SW-MRI is a reliable method for detecting calcifications in soft tissues.

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“…A change in bone structure can thus be directly detected with SWI. [15][16][17][18] The aim of this study was to directly compare the diagnostic accuracy of T1w, VIBE and SWI MRI sequences for the detection of erosions in patients with hand arthritis. CT was used as standard of reference.…”

Section: Key Messagesmentioning

confidence: 99%

“…Calcium as the main component of bone has diamagnetic properties, which leads to a negative phase shift and is demarked by SWI. A change in bone structure can thus be directly detected with SWI 15–18…”

Section: Introductionmentioning

confidence: 99%

CT-like images in MRI improve specificity of erosion detection in patients with hand arthritis: a diagnostic accuracy study with CT as standard of reference

et al. 2022

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ObjectiveTo compare the diagnostic accuracy of susceptibility-weighted imaging (SWI), standard T1-weighted (T1w) images and high-resolution 3D-gradient echo sequences (volumetric interpolated breath-hold examination (VIBE)) for detection of erosions in patients with peripheral arthritis using CT as standard of reference.Materials and methodsA total of 36 patients were included in the study. All patients underwent CT and MRI, including SWI, VIBE and T1w sequences of the clinically more affected hand. Two trained readers scored all imaging datasets separately for erosions in a blinded fashion. Specificity, sensitivity and diagnostic accuracy of MRI sequences were calculated on a per-patient level.ResultsCT was positive for erosion in 16 patients and 77 bones (Rheumatoid Arthritis MRI Score >0), T1w in 28 patients, VIBE in 25 patients and SWI in 17 patients. All MRI sequences performed with comparably high sensitivities (T1w 100%, VIBE 94% and SWI 94%). SWI had the highest specificity of 90%, followed by VIBE (50%) and T1w (40%). Both T1w and VIBE produced significantly higher sum scores than CT (341 and 331 vs 148, p<0.0001), while the sum score for SWI did not differ from CT (119 vs 148; p=0.411).ConclusionSpecificity for erosion detection remains a challenge for MRI when conventional and high-resolution sequences are used but can be improved by direct bone depiction with SWI. Both T1w and VIBE tend to overestimate erosions, when CT is used as the standard of reference.

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Diagnostic performance of susceptibility-weighted magnetic resonance imaging for the assessment of sub-coracoacromial spurs causing subacromial impingement syndrome

Cited by 13 publications

References 34 publications

Comparison of surgical and conservative treatment of Rockwood type-III acromioclavicular dislocation

Comparison of surgical and conservative treatment of Rockwood type-III acromioclavicular dislocation

Diagnostic performance of susceptibility-weighted magnetic resonance imaging for the detection of calcifications: A systematic review and meta-analysis

CT-like images in MRI improve specificity of erosion detection in patients with hand arthritis: a diagnostic accuracy study with CT as standard of reference

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