Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Diagnosis of Rotator Cuff Tears with Non-Arthrographic MR Imaging: 3D Fat-Suppressed Isotropic Intermediate-Weighted Turbo Spin-Echo Sequence versus Conventional 2D Sequences at 3T

  • Hong, Won Sun (Department of Radiology, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Jee, Won-Hee (Department of Radiology, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Lee, So-Yeon (Department of Radiology, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Chun, Chang-Woo (Department of Radiology, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Jung, Joon-Yong (Department of Radiology, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Kim, Yang-Soo (Department of Orthopedic Surgery, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea)
  • Received : 2018.09.11
  • Accepted : 2018.11.16
  • Published : 2018.12.30
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Abstract

Purpose: To assess the diagnostic performance in detecting rotator cuff tears at 3T of non-arthrographic shoulder magnetic resonance imaging (MRI) using 3D isotropic turbo spin-echo (TSE-SPACE) sequence as compared with 2D sequences. Materials and Methods: Seventy-four patients who were arthroscopically confirmed to have underwent non-arthrographic shoulder MRI with 2D sequences and TSE-SPACE were included. Three independent readers retrospectively scored supraspinatus and infraspinatus tendon (SST-IST) and subscapularis tendon (SCT) tears on 2D sequences and TSE-SPACE. Results: The mean sensitivity, specificity, and accuracy of the three readers were 95%, 100%, and 95% on TSE-SPACE and 99%, 93%, and 98% on 2D sequences for detecting SST-IST tears, respectively, whereas those were 87%, 49%, and 68% on TSESPACE and 88%, 66%, and 77% on 2D sequences for detecting SCT tears, respectively. There was no statistical difference between the two sequences, except for in the specificity of one reader for detecting SCT tears. The mean AUCs of the three readers on TSE-SPACE and 2D sequences were 0.96 and 0.98 for detecting SST-IST tears, respectively, which were not significantly different, while those were 0.71 and 0.82 for detecting SCT tears, respectively, which were significantly different (P < 0.05). Conclusion: TSE-SPACE may have accuracy and reliability comparable to conventional 2D sequences for SST-IST tears at non-arthrographic 3T shoulder MRI, whereas TSE-SPACE was less reliable than conventional 2D sequences for detecting SCT tears.

Keywords

References

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