New dynamic three‐dimensional MRI technique for shoulder kinematic analysis

Pierrart, J.; Lefèvre-Colau, Marie-Martine; Skalli, Wafa; Vuillemin, V.; Masméjean, E.; Cuenod, Charles‐André; Grégory, Thomas

doi:10.1002/jmri.24204

Cited by 9 publications

(20 citation statements)

References 28 publications

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“…Six studies had a QAS between 70% and 80% [ 30 , 42 , 45 – 48 ]. Seven studies had a QAS ranging from 60% to 70% [ 29 , 36 – 39 , 41 , 43 ]. Three studies had QASs between 50% and 60% [ 35 , 40 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

Dynamic MRI to quantify musculoskeletal motion: A systematic review of concurrent validity and reliability, and perspectives for evaluation of musculoskeletal disorders

Borotikar¹,

Lempereur²,

Lelievre³

et al. 2017

PLoS ONE

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PurposeTo report evidence for the concurrent validity and reliability of dynamic MRI techniques to evaluate in vivo joint and muscle mechanics, and to propose recommendations for their use in the assessment of normal and impaired musculoskeletal function.Materials and methodsThe search was conducted on articles published in Web of science, PubMed, Scopus, Academic search Premier, and Cochrane Library between 1990 and August 2017. Studies that reported the concurrent validity and/or reliability of dynamic MRI techniques for in vivo evaluation of joint or muscle mechanics were included after assessment by two independent reviewers. Selected articles were assessed using an adapted quality assessment tool and a data extraction process. Results for concurrent validity and reliability were categorized as poor, moderate, or excellent.ResultsTwenty articles fulfilled the inclusion criteria with a mean quality assessment score of 66% (±10.4%). Concurrent validity and/or reliability of eight dynamic MRI techniques were reported, with the knee being the most evaluated joint (seven studies). Moderate to excellent concurrent validity and reliability were reported for seven out of eight dynamic MRI techniques. Cine phase contrast and real-time MRI appeared to be the most valid and reliable techniques to evaluate joint motion, and spin tag for muscle motion.ConclusionDynamic MRI techniques are promising for the in vivo evaluation of musculoskeletal mechanics; however results should be evaluated with caution since validity and reliability have not been determined for all joints and muscles, nor for many pathological conditions.

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Section: Resultsmentioning

confidence: 99%

Dynamic MRI to quantify musculoskeletal motion: A systematic review of concurrent validity and reliability, and perspectives for evaluation of musculoskeletal disorders

Borotikar¹,

Lempereur²,

Lelievre³

et al. 2017

PLoS ONE

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“…A dynamic sequence was performed for each shoulder. The protocol was described by Pierrart et al [ 23 ]: the first acquisition was a Fiesta 3D dynamic sequence then a sequence at rest was performed. Prior to imaging, the procedure was explained to the patients, specially the requested motion (pace, orientation of the elbow, position in the scanner and different sequences).…”

Section: Methodsmentioning

confidence: 99%

“…The following steps were performed blinded to the rotator cuff diseases groups. Commercial medical imaging software (AVIZO, Visualisation Science Group,VSG; Burlington,MA) was used to reconstruct 3D shoulder models from coronal T1 sequences as previously described [ 23 ]. Using the Fiesta sequence, 8 shoulders reconstructions, corresponding to 8 successive positions during abduction, were obtained.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, Pierrart et al [ 23 ] established a real time 3D MRI technique (Dynamic-MRI) that enabled the noninvasive monitoring of the kinematics of the shoulder complex during slow active arm elevation. The 3D nature of the Dynamic-MRI avoided the problems associated the 2D MRI techniques mentioned above.…”

Section: Introductionmentioning

confidence: 99%

“…The acquisition process of the Dynamic-MRI technique was fast enough to carry out multiple scans while the patient abducted the shoulder in a continuous motion. The resulting kinematics was that of an isotonically and naturally loaded shoulder joint [ 23 ]. While the fast acquisition resulted in a quality of the images insufficient for assessment of the loaded soft tissues it seems likely that further development will lead to better quality images.…”

Section: Introductionmentioning

confidence: 99%

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Dynamic Three-Dimensional Shoulder Mri during Active Motion for Investigation of Rotator Cuff Diseases

et al. 2016

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BackgroundMRI is the standard methodology in diagnosis of rotator cuff diseases. However, many patients continue to have pain despite treatment, and MRI of a static unloaded shoulder seems insufficient for best diagnosis and treatment. This study evaluated if Dynamic MRI provides novel kinematic data that can be used to improve the understanding, diagnosis and best treatment of rotator cuff diseases.MethodsDynamic MRI provided real-time 3D image series and was used to measure changes in the width of subacromial space, superior-inferior translation and anterior-posterior translation of the humeral head relative to the glenoid during active abduction. These measures were investigated for consistency with the rotator cuff diseases classifications from standard MRI.ResultsThe study included: 4 shoulders with massive rotator cuff tears, 5 shoulders with an isolated full-thickness supraspinatus tear, 5 shoulders with tendinopathy and 6 normal shoulders. A change in the width of subacromial space greater than 4mm differentiated between rotator cuff diseases with tendon tears (massive cuff tears and supraspinatus tear) and without tears (tendinopathy) (p = 0.012). The range of the superior-inferior translation was higher in the massive cuff tears group (6.4mm) than in normals (3.4mm) (p = 0.02). The range of the anterior-posterior translation was higher in the massive cuff tears (9.2 mm) and supraspinatus tear (9.3 mm) shoulders compared to normals (3.5mm) and tendinopathy (4.8mm) shoulders (p = 0.05).ConclusionThe Dynamic MRI enabled a novel measure; ‘Looseness’, i.e. the translation of the humeral head on the glenoid during an abduction cycle. Looseness was better able at differentiating different forms of rotator cuff disease than a simple static measure of relative glenohumeral position.

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New methods for the in vivo diagnostics of shoulder kinematics

2023

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Zusammenfassung Hintergrund Die Erfassung der In-vivo-Schulterkinematik gewinnt zunehmend an Bedeutung. Fragestellung Welche neuen Methoden stehen für die In-vivo-Diagnostik der Schulterkinematik zur Verfügung? Material und Methode Es wird eine Übersicht über aktuelle Literatur und Technologien gegeben. Ergebnisse Neben der etablierten markerbasierten Bewegungsanalyse können markerlose Bewegungsanalyse, elektromagnetische Systeme, ultraschallbasierte Bewegungsanalyse, tragbare Sensoren und medizinische Bildgebung zur In-vivo-Diagnostik der Schulterkinematik verwendet werden. Jedes dieser Systeme birgt Chancen, muss aber im Kontext der jeweiligen (technischen) Vor- und Nachteile beurteilt werden. Schlussfolgerung Neue Methoden zur In-vivo-Diagnostik der Schulterkinematik erlauben die Erfassung komplexer Bewegungsmuster sowie Alltagsbewegungen und können einen direkten Bezug zur Anatomie und jeweiligen Pathologie herstellen.

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New dynamic three‐dimensional MRI technique for shoulder kinematic analysis

Abstract: This study reported a dynamic MRI protocol for the monitoring of shoulder 3D kinematics during continuous movement. The results suggest that there is no superior shift of the humeral head during the first phase of abduction.

Cited by 9 publications

References 28 publications

Dynamic MRI to quantify musculoskeletal motion: A systematic review of concurrent validity and reliability, and perspectives for evaluation of musculoskeletal disorders

Dynamic MRI to quantify musculoskeletal motion: A systematic review of concurrent validity and reliability, and perspectives for evaluation of musculoskeletal disorders

Dynamic Three-Dimensional Shoulder Mri during Active Motion for Investigation of Rotator Cuff Diseases

New methods for the in vivo diagnostics of shoulder kinematics

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