Rotator cuff tears noncontrast MRI compared to MR arthrography

Lee, Ji Hyun; Yoon, Young Cheol; Jung, Ji‐Yeon; Yoo, Jae Chul

doi:10.1007/s00256-015-2228-z

Cited by 14 publications

(15 citation statements)

References 32 publications

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“…Eleven studies [29, 32, 33, 35–42] used a retrospective study design, whereas the other [34] was a prospective one. Seven studies [29, 33, 37, 38, 40–42] claimed that the blinding method was used to assess the imaging modalities, while 2 studies [34, 35] did not clarify this fact. Among the included studies, 2 studies [37, 38] addressed the value of diagnostic test were evaluated by only 1 reader, 7 [29, 32–35, 40, 41] by 2 readers, and 1 [36] by 3 readers.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies [29, 33, 37, 38, 40–42] claimed that the blinding method was used to assess the imaging modalities, while 2 studies [34, 35] did not clarify this fact. Among the included studies, 2 studies [37, 38] addressed the value of diagnostic test were evaluated by only 1 reader, 7 [29, 32–35, 40, 41] by 2 readers, and 1 [36] by 3 readers. Among the included studies, 11 studies [29, 33–42] claimed that shoulder arthroscopy was used as the gold standard.…”

Section: Resultsmentioning

confidence: 99%

“…Main technical parameters of MRA and MRI are presented in Table 3. According to the QUADAS-2 score, 4 (33.3%) [33, 37, 41, 42], 2 (16.7%) [29, 40], 4 (33.3%) [34–36, 39], 1 (8.3%) [32], and 1 (8.3%) [38] studies scored 11, 10, 9, 8, and 7, respectively (Table 1). Additional file 1: Table S1 shows the accuracy of MRA and MRI for the detection of bursal-sided partial-thickness RCTs.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 8 studies [29, 33–38, 40] evaluated the performance of MRA to diagnose bursal-sided partial-thickness RCTs. The pooled sensitivity and specificity were 0.77 (95% CI, 0.67–0.85) and 0.98 (95% CI, 0.95–0.99), respectively (Fig.…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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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“…The screening of the reference lists of these and other relevant articles yielded 4 additional studies. After screening remaining titles and abstracts, and identifying related full-text, nally, 11 studies [18,[22][23][24][25][26][27][28][29][30][31] published during the period from 2007 to 2018 remained for quantitative analysis. The selection processes for the eligible studies are summarized in Figure 1.…”

Section: Studies Retrieved and Characteristicsmentioning

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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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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How we do it: shifting MR arthrogram compounding from the fluoroscopy suite to the sterile pharmacy

et al. 2018

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Shifting the compounding of the arthrogram injectate from the fluoroscopy room to the main hospital sterile pharmacy provides a modest cost saving and can be accomplished without examination delays or any increase in infection rate. It brought our practice into compliance with USP797, which is the current guideline for compounding practitioners, by transferring the compounding preparation of the arthrogram injectate from a procedure room to the sterile pharmacy.

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Rotator cuff tears noncontrast MRI compared to MR arthrography

Abstract: Indirect magnetic resonance arthrography may facilitate more accurate diagnosis and grading of subscapularis tendon tears compared with noncontrast magnetic resonance imaging.

Cited by 14 publications

References 32 publications

Diagnostic accuracy of MRA and MRI for the bursal-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

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

How we do it: shifting MR arthrogram compounding from the fluoroscopy suite to the sterile pharmacy

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