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http://dx.doi.org/10.13104/jksmrm.2014.18.2.157

The Difference in Diagnostic Performance for Detection of Supraspinatus Tendon Tears by Adding Angled Oblique Sagittal Plane Image to the Routine Shoulder MRI  

Kim, Ji Hee (Department of Radiology, Soonchunhyang University Hospital)
Kim, Hyun Joo (Department of Radiology, Soonchunhyang University Hospital)
Cha, Jang Gyu (Department of Radiology, Soonchunhyang University Hospital)
Choi, Duk Lin (Department of Radiology, Soonchunhyang University Hospital)
Hong, Seong Sook (Department of Radiology, Soonchunhyang University Hospital)
Chang, Yun Woo (Department of Radiology, Soonchunhyang University Hospital)
Hwang, Jung Hwa (Department of Radiology, Soonchunhyang University Hospital)
Publication Information
Investigative Magnetic Resonance Imaging / v.18, no.2, 2014 , pp. 157-166 More about this Journal
Abstract
Purpose : The purpose of this study is to determine whether adding an angled oblique sagittal plane to the routine shoulder MRI improves the diagnostic performance in the evaluation of supraspinatus tendon tears with arthroscopic correlation. Materials and Methods: The study included 121 patients who had a shoulder MRI followed by arthroscopy. Two radiologists separately evaluated the supraspinatus tendon for tears on shoulder MRI either with or without the angled oblique sagittal images. Arthroscopy was used as the reference standard. The sensitivity and specificity for diagnosing supraspinatus tendon tears were calculated and compared by using McNemar test. Interobserver and intertechnique variability in the interpretation of supraspinatus tendon tears were calculated as a kappa value. Results: Adding the angled oblique sagittal images to the standard shoulder MRI showed improvement in the sensitivity for diagnosing full-thickness supraspinatus tendon tears and also in the sensitivity, specificity and accuracy for the detection of partial-thickness tears. However, there was no statistically significant difference in all of them between with and without the angled set. Interobserver agreement was substantial to almost perfect and intertechnique agreement was moderate. Conclusion: Adding an angled oblique sagittal plane image to the routine shoulder MRI showed no significantly different diagnostic performance in detecting the partial- and full-thickness supraspinatus tendon tears, compared to MRI without angled oblique sagittal plane.
Keywords
Shoulder joint; Rotator cuff; Tendon injuries; Magnetic resonance imaging (MRI);
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1 Meislin RJ, Sperling JW, Stitik TP. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop (Belle Mead NJ) 2005;34:5-9
2 Waldt S, Bruegel M, Mueller D, et al. Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. Eur Radiol 2007;17:491-498   DOI   ScienceOn
3 Favard L, Bacle G, Berhouet J. Rotator cuff repair. Joint Bone Spine 2007;74:551-557   DOI
4 Neri BR, Chan KW, Kwon YW. Management of massive and irreparable rotator cuff tears. J Shoulder Elbow Surg 2009;18:808-818   DOI   ScienceOn
5 Goergen SK, Bradley WG, Jr., Liu J, et al. Improving the diagnostic accuracy of MR in the detection of infraspinatus tendon injuries. J Comput Assist Tomogr 1996;20:829-833   DOI   ScienceOn
6 Tuite MJ, Asinger D, Orwin JF. Angled oblique sagittal MR imaging of rotator cuff tears: comparison with standard oblique sagittal images. Skeletal Radiol 2001;30:262-269   DOI
7 Reinus WR, Shady KL, Mirowitz SA, Totty WG. MR diagnosis of rotator cuff tears of the shoulder: value of using T2-weighted fat-saturated images. AJR Am J Roentgenol 1995;164:1451-1455   DOI   ScienceOn
8 Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-174   DOI   ScienceOn
9 Brox JI. Regional musculoskeletal conditions: shoulder pain. Best Pract Res Clin Rheumatol 2003;17:33-56
10 de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 2009; 192:1701-1707   DOI   ScienceOn
11 Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess 2003;7:iii, 1-166
12 Wright T, Yoon C, Schmit BP. Shoulder MRI refinements: differentiation of rotator cuff tear from artifacts and tendonosis, and reassessment of normal findings. Semin Ultrasound CT MR 2001;22:383-395   DOI
13 Kijowski R, Farber JM, Medina J, Morrison W, Ying J, Buckwalter K. Comparison of fat-suppressed T2-weighted fast spin-echo sequence and modified STIR sequence in the evaluation of the rotator cuff tendon. AJR Am J Roentgenol 2005;185:371-378   DOI   ScienceOn
14 Sahin-Akyar G, Miller TT, Staron RB, McCarthy DM, Feldman F. Gradient-echo versus fat-suppressed fast spin-echo MR imaging of rotator cuff tears. AJR Am J Roentgenol 1998;171:223-227   DOI
15 Singson RD, Hoang T, Dan S, Friedman M. MR evaluation of rotator cuff pathology using T2-weighted fast spin-echo technique with and without fat suppression. AJR Am J Roentgenol 1996;166:1061-1065   DOI   ScienceOn
16 Fukuda H. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br 2003;85:3-11   DOI   ScienceOn