Ultrasound: Can it replace MRI in the evaluation of the rotator cuff tears?

Saraya, Samira; Bakry, Rehab El

doi:10.1016/j.ejrnm.2015.11.010

Cited by 23 publications

(32 citation statements)

References 10 publications

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“…Around two thirds of our cases were males. This was opposite to the study done by Saraya et al [3] in which females predominated (27 females versus only 13 males). Identified risk factors were detected in only one third of our study cases, with history of lifting heavy object was found in 20% of cases, while trauma was recorded by only 4 cases (13.3%) of our cases and history of foreign body penetration was found in one case.…”

Section: Discussioncontrasting

confidence: 87%

“…The age of our cases had two peaks, one at the age of 50 and a smaller one at around the age of 30. A new study done by Saraya et al [3] included 40 patients with age somewhat older than our cases (with a mean age of 56 years and range from 34-65 years . Around two thirds of our cases were males.…”

Section: Discussionmentioning

confidence: 95%

“…Al Shawi et al [7], studied 143 consecutive patients ultrasound and compared with sub-segment arthroscopy and showed that ultrasound had a sensitivity of 95.4%, Negative predictive value of 95.7% for full-thickness tear and 89.5% for partial thickness tear. The new Egyptian study done by Saraya et al [3], showed that compared to MRI, ultrasound sensitivity for tendinitis detection was 85% with 86% NPV and 90% accuracy, while for partial-thickness tears, its sensitivity, specificity, PPV, NPV, and accuracy were 88%, 89%, 94%, 80%, and 83% respectively. But in full-thickness tears, its sensitivity and specificity were 100% each.…”

Section: Discussionmentioning

confidence: 99%

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Role of Ultrasonography in Evaluation of Rotator Cuff Muscle Injury

Mohamed¹,

Ali²,

Mohamed³

et al. 2019

Sohag Medical Journal

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The term "rotator cuff" referred to the four muscles supporting the humeral head originating from the scapular anterior and posterior aspects with their tendons inserted in the lesser and greater tuberosity. These muscles are the subscapularis; supraspinatus; infraspinatus and teres minor. Objective: The aim of this study was to evaluate the accuracy of musculoskeletal ultrasound in the detection of rotator cuff injuries as compared to MRI as a gold standard technique. Patient and methods: This study included 30 patients presented to the radiology department of Sohag University, with shoulder pain for evaluation of the rotator cuff integrity. Ultrasonography and non-enhanced MRI were done to all patients by 2 different radiologists being blind to the results of the other examination to minimize the bias. The age of our cases had two peaks, one at the age of 50 and a smaller one at around the age of 30. Results: The mean age was 42.07years, with ages ranged from 25 to 60 years.10 were males and 20 were females. In our study the sensitivity statistics of MSUS compared to MRI were as follows: sensitivity (96.6%); specificity (100%); positive predictive value (100%); negative predictive value (50%) and accuracy (98.3%). Conclusion: Ultrasound has comparable accuracy with MRI for identifying rotator cuff injuries. Ultrasound can be used as screening modality since it is easily available and cost-effective.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Role of Ultrasonography in Evaluation of Rotator Cuff Muscle Injury

Mohamed¹,

Ali²,

Mohamed³

et al. 2019

Sohag Medical Journal

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“…According to Saraya et al [ 22 ], ultrasound was as accurate as MRI for assessment of tears of the rotator cuff, both full- or partial-thickness tears. They also concluded that due to its lower cost, it may be a useful imaging modality which is cost-effective, provided the examiner has adequate expertise or training.…”

Section: Discussionmentioning

confidence: 99%

Role and Correlation of High Resolution Ultrasound and Magnetic Resonance Imaging in Evaluation of Patients with Shoulder Pain

et al. 2018

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SummaryBackgroundThe study aimed to evaluate of the role of high-resolution ultrasound and magnetic resonance imaging in patients with shoulder pain.Material/MethodsThis prospective study included 50 patients referred for ultrasound and MRI because of shoulder pain. All patients were examined clinically, followed by radiography of the affected shoulder. High-resolution ultrasound examination of the involved shoulder was performed together with an examination of the contralateral normal shoulder, followed by MRI of the symptomatic shoulder in all 50 patients.ResultsIn the present study, the majority of patients were in age group 56–65 years, 56% were males and 44% were females (of a total of 50 patients). A total of 40 patients were diagnosed as having rotator cuff tears on ultrasound (USG) and MRI. USG showed complete-thickness tears in 25 patients and partial-thickness tears in 15 patients. MRI detected 28 complete- and 12 partial-thickness tears of the rotator cuff. In the diagnosis of rotator cuff tears, the strength of agreement between ultrasound and magnetic resonance imaging was good (kappa coefficient=0.79).ConclusionsUltrasonography of the shoulder shows promising results in the diagnosis of rotator cuff tears and in differentiating partial from complete tears. A wide availability, cost effectiveness and better tolerability of ultrasonography make it a modality of first choice for evaluating rotator cuff tears.

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“…12 Several studies recently showed that US is as sensitive as MRI in the diagnosis of full-thickness tears, but less sensitive than MRI for detecting partial-thickness tears. Studies by Kulkarni and Chandrasekharan 13 and Saraya and El Bakry 14 showed high sensitivity and a specificity of 100% in the detection of full-thickness tears. For partial-thickness tears, US sensitivity and accuracy were 88% and 83%, respectively, in a study by Saraya and El Bakry, 14 while a study by Kulkarni and Chandrasekharan 13 yielded an US sensitivity and specificity of 100% and 78%, respectively.…”

Section: Introductionmentioning

confidence: 97%

Accuracy of shoulder ultrasound examination for diagnosis of rotator cuff pathologies: a single-center retrospective study

et al. 2019

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BACKGROUND: Shoulder pathologies need accurate diagnosis for best management and treatment provided to patients. OBJECTIVE: Determine the diagnostic sensitivity, specificity and accuracy of shoulder ultrasonography (US). DESIGN: Retrospective, analytical. SETTING: Tertiary care center in Riyadh, Saudi Arabia. PATIENTS AND METHODS: We included all shoulder exams performed between January 2010 and December 2016 that met the inclusion criteria. Data was collected retrospectively from the a picture archiving and communication system and patient records. The patients were evaluated using US for the presence of rotator cuff tears and classified into intact, full-thickness tear, partial-thickness tear, tendinosis, subacromial/subdeltoid bursitis and acromioclavicular joint degenerative changes. The US findings were correlated with the shoulder MRI study findings. The time interval between the US examination and MRI ranged from 0 to 180 days (6 months). MAIN OUTCOME MEASURES: To compare the sensitivity, specificity and accuracy of shoulder US studies in the detection of rotator cuff pathologies in comparison to MRI findings. SAMPLE SIZE AND CHARACTERISTICS: 86 (60 females, 26 male), mean age 53.7 years (range, 19-85). RESULTS: The sensitivity, specificity and accuracy of US for the detection of full-thickness supraspinatus tears compared with those of MRI were 86%, 82% and 83%, respectively. The sensitivity, specificity and accuracy of US for the detection of partial-thickness supraspinatus tears compared with those of MRI were 38%, 70% and 58%, respectively. Overall PPV, NPV, sensitivity, specificity and accuracy of US for the detection of full-thickness tears compared with those of MRI were 35%, 97%, 78%, 83% and 83%, respectively. For partial-thickness tears, the overall PPV, NPV, sensitivity, specificity and accuracy of US compared with those of MRI were 51%, 60%, 51%, 60% and 56%, respectively. CONCLUSION: Overall, US has high sensitivity, specificity and accuracy for the detection of full-thickness tears compared with the detection of partial-thickness tears. LIMITATIONS: Small sample size and retrospective. CONFLICT OF INTEREST: None.

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Ultrasound: Can it replace MRI in the evaluation of the rotator cuff tears?

Cited by 23 publications

References 10 publications

Role of Ultrasonography in Evaluation of Rotator Cuff Muscle Injury

Role of Ultrasonography in Evaluation of Rotator Cuff Muscle Injury

Role and Correlation of High Resolution Ultrasound and Magnetic Resonance Imaging in Evaluation of Patients with Shoulder Pain

Accuracy of shoulder ultrasound examination for diagnosis of rotator cuff pathologies: a single-center retrospective study

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