Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T
Objectives To compare the diagnostic performance of shoulder magnetic resonance arthrography (MRA) with the anterior trans-subscapularis versus posterior injection approach to diagnose subscapularis tendon (SCT) tears. Methods One hundred and sixty-seven arthroscopically confirmed patients (84 anter...
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| Veröffentlicht in: | European radiology 2017-03, Vol.27 (3), p.1303-1311 |
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| creator | Jung, Joon-Yong Jee, Won-Hee Chun, Chang-Woo Kim, Yang-Soo |
| description | Objectives
To compare the diagnostic performance of shoulder magnetic resonance arthrography (MRA) with the anterior trans-subscapularis versus posterior injection approach to diagnose subscapularis tendon (SCT) tears.
Methods
One hundred and sixty-seven arthroscopically confirmed patients (84 anterior and 83 posterior approaches) were included. Two readers retrospectively scored SCT tears. Proportions of correctly graded tears between MR arthrography and arthroscopy were calculated. Retrospective error analysis was performed.
Results
The sensitivity and specificity were 80 % (24/30) and 72 % (39/54) by reader 1, 73 % (22/30) and 76 % (41/54) by reader 2 in the anterior approach, and 86 % (30/35) and 79 % (38/48) by reader 1, 80 % (28/35) and 88 % (42/48) by reader 2 in the posterior approach, respectively. There were no significant differences in sensitivity and specificity between the two groups. Proportions of correctly graded tears of both readers were 48 % and 36 % in the anterior approach, and 70 % and 68 % in the posterior approach, respectively. The intratendinous collection of contrast material was not statistically significantly different between anterior (n = 8) and posterior (n = 3) approach group.
Conclusions
For the MRA diagnosis of SCT tears, there was no significant difference between the anterior trans-subscapularis and the posterior approach.
Key Points
• Anterior trans-subscapularis and posterior approaches showed no significant difference for SCT tears
• Intratendinous collection of gadolinium is more frequent in anterior trans-subscapularis approach
• Extent of SCT tears tends to be overestimated in anterior trans-subscapularis approach
• Posterior approach should be considered for diagnosing SCT tear |
| doi_str_mv | 10.1007/s00330-016-4467-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826699292</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4313359131</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-840613fdb8cb1ca89536040791d0b6c8b166e07a418b541e5805b2bf88c89e03</originalsourceid><addsrcrecordid>eNp1kc2KFDEUhYMoTtv6AG4k4MZNxptKKj_LZvwbGHHQ2ocknequpjspkyplXsTnNU2NooKrLPKdcy58CD2ncEkB5OsCwBgQoIJwLiRhD9CKctYQCoo_RCvQTBGpNb9AT0o5AICmXD5GF41klLZMr9CPN4PdxVSmwePbkPuUTzb6gFOPP37Gmzztc9plO-7v8Pdh2uNNnEIeUsZdtrGQL7Mr3o7z0eah4G8hl7ng21q3QNfxEPw0pIg345iT9XtcF_DfqS7EbSW6YHPBdsLsErqn6FFvjyU8u3_XqHv3trv6QG4-vb--2twQz2QzEcVBUNZvnfKOeqt0ywRwkJpuwQmvHBUigLScKtdyGloFrWtcr5RXOgBbo1dLbT3u6xzKZE5D8eF4tDGkuRiqGiG0bnRT0Zf_oIc051iPq5SQlTmvrxFdKJ9TKTn0ZszDyeY7Q8GcnZnFmanOzNmZYTXz4r55dqew_Z34JakCzQKU-hV3If8x_d_Wn-pFoqA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1867929895</pqid></control><display><type>article</type><title>Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Jung, Joon-Yong ; Jee, Won-Hee ; Chun, Chang-Woo ; Kim, Yang-Soo</creator><creatorcontrib>Jung, Joon-Yong ; Jee, Won-Hee ; Chun, Chang-Woo ; Kim, Yang-Soo</creatorcontrib><description>Objectives
To compare the diagnostic performance of shoulder magnetic resonance arthrography (MRA) with the anterior trans-subscapularis versus posterior injection approach to diagnose subscapularis tendon (SCT) tears.
Methods
One hundred and sixty-seven arthroscopically confirmed patients (84 anterior and 83 posterior approaches) were included. Two readers retrospectively scored SCT tears. Proportions of correctly graded tears between MR arthrography and arthroscopy were calculated. Retrospective error analysis was performed.
Results
The sensitivity and specificity were 80 % (24/30) and 72 % (39/54) by reader 1, 73 % (22/30) and 76 % (41/54) by reader 2 in the anterior approach, and 86 % (30/35) and 79 % (38/48) by reader 1, 80 % (28/35) and 88 % (42/48) by reader 2 in the posterior approach, respectively. There were no significant differences in sensitivity and specificity between the two groups. Proportions of correctly graded tears of both readers were 48 % and 36 % in the anterior approach, and 70 % and 68 % in the posterior approach, respectively. The intratendinous collection of contrast material was not statistically significantly different between anterior (n = 8) and posterior (n = 3) approach group.
Conclusions
For the MRA diagnosis of SCT tears, there was no significant difference between the anterior trans-subscapularis and the posterior approach.
Key Points
• Anterior trans-subscapularis and posterior approaches showed no significant difference for SCT tears
• Intratendinous collection of gadolinium is more frequent in anterior trans-subscapularis approach
• Extent of SCT tears tends to be overestimated in anterior trans-subscapularis approach
• Posterior approach should be considered for diagnosing SCT tear</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-016-4467-3</identifier><identifier>PMID: 27311539</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthrography - methods ; Bone surgery ; Contrast Media - administration & dosage ; Diagnostic Radiology ; Female ; Gadolinium DTPA - administration & dosage ; Humans ; Image Enhancement - methods ; Imaging ; Injections ; Internal Medicine ; Interventional Radiology ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Musculoskeletal ; Neuroradiology ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Rotator cuff ; Rotator Cuff - diagnostic imaging ; Rotator Cuff Injuries - diagnostic imaging ; Sensitivity and Specificity ; Shoulder ; Ultrasound ; Young Adult</subject><ispartof>European radiology, 2017-03, Vol.27 (3), p.1303-1311</ispartof><rights>European Society of Radiology 2016</rights><rights>European Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-840613fdb8cb1ca89536040791d0b6c8b166e07a418b541e5805b2bf88c89e03</citedby><cites>FETCH-LOGICAL-c372t-840613fdb8cb1ca89536040791d0b6c8b166e07a418b541e5805b2bf88c89e03</cites><orcidid>0000-0002-1875-3997</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-016-4467-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-016-4467-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27311539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Joon-Yong</creatorcontrib><creatorcontrib>Jee, Won-Hee</creatorcontrib><creatorcontrib>Chun, Chang-Woo</creatorcontrib><creatorcontrib>Kim, Yang-Soo</creatorcontrib><title>Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To compare the diagnostic performance of shoulder magnetic resonance arthrography (MRA) with the anterior trans-subscapularis versus posterior injection approach to diagnose subscapularis tendon (SCT) tears.
Methods
One hundred and sixty-seven arthroscopically confirmed patients (84 anterior and 83 posterior approaches) were included. Two readers retrospectively scored SCT tears. Proportions of correctly graded tears between MR arthrography and arthroscopy were calculated. Retrospective error analysis was performed.
Results
The sensitivity and specificity were 80 % (24/30) and 72 % (39/54) by reader 1, 73 % (22/30) and 76 % (41/54) by reader 2 in the anterior approach, and 86 % (30/35) and 79 % (38/48) by reader 1, 80 % (28/35) and 88 % (42/48) by reader 2 in the posterior approach, respectively. There were no significant differences in sensitivity and specificity between the two groups. Proportions of correctly graded tears of both readers were 48 % and 36 % in the anterior approach, and 70 % and 68 % in the posterior approach, respectively. The intratendinous collection of contrast material was not statistically significantly different between anterior (n = 8) and posterior (n = 3) approach group.
Conclusions
For the MRA diagnosis of SCT tears, there was no significant difference between the anterior trans-subscapularis and the posterior approach.
Key Points
• Anterior trans-subscapularis and posterior approaches showed no significant difference for SCT tears
• Intratendinous collection of gadolinium is more frequent in anterior trans-subscapularis approach
• Extent of SCT tears tends to be overestimated in anterior trans-subscapularis approach
• Posterior approach should be considered for diagnosing SCT tear</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthrography - methods</subject><subject>Bone surgery</subject><subject>Contrast Media - administration & dosage</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Gadolinium DTPA - administration & dosage</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Imaging</subject><subject>Injections</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal</subject><subject>Neuroradiology</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - diagnostic imaging</subject><subject>Rotator Cuff Injuries - diagnostic imaging</subject><subject>Sensitivity and Specificity</subject><subject>Shoulder</subject><subject>Ultrasound</subject><subject>Young Adult</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc2KFDEUhYMoTtv6AG4k4MZNxptKKj_LZvwbGHHQ2ocknequpjspkyplXsTnNU2NooKrLPKdcy58CD2ncEkB5OsCwBgQoIJwLiRhD9CKctYQCoo_RCvQTBGpNb9AT0o5AICmXD5GF41klLZMr9CPN4PdxVSmwePbkPuUTzb6gFOPP37Gmzztc9plO-7v8Pdh2uNNnEIeUsZdtrGQL7Mr3o7z0eah4G8hl7ng21q3QNfxEPw0pIg345iT9XtcF_DfqS7EbSW6YHPBdsLsErqn6FFvjyU8u3_XqHv3trv6QG4-vb--2twQz2QzEcVBUNZvnfKOeqt0ywRwkJpuwQmvHBUigLScKtdyGloFrWtcr5RXOgBbo1dLbT3u6xzKZE5D8eF4tDGkuRiqGiG0bnRT0Zf_oIc051iPq5SQlTmvrxFdKJ9TKTn0ZszDyeY7Q8GcnZnFmanOzNmZYTXz4r55dqew_Z34JakCzQKU-hV3If8x_d_Wn-pFoqA</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Jung, Joon-Yong</creator><creator>Jee, Won-Hee</creator><creator>Chun, Chang-Woo</creator><creator>Kim, Yang-Soo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1875-3997</orcidid></search><sort><creationdate>20170301</creationdate><title>Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T</title><author>Jung, Joon-Yong ; Jee, Won-Hee ; Chun, Chang-Woo ; Kim, Yang-Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-840613fdb8cb1ca89536040791d0b6c8b166e07a418b541e5805b2bf88c89e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthrography - methods</topic><topic>Bone surgery</topic><topic>Contrast Media - administration & dosage</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Gadolinium DTPA - administration & dosage</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Imaging</topic><topic>Injections</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal</topic><topic>Neuroradiology</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - diagnostic imaging</topic><topic>Rotator Cuff Injuries - diagnostic imaging</topic><topic>Sensitivity and Specificity</topic><topic>Shoulder</topic><topic>Ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, Joon-Yong</creatorcontrib><creatorcontrib>Jee, Won-Hee</creatorcontrib><creatorcontrib>Chun, Chang-Woo</creatorcontrib><creatorcontrib>Kim, Yang-Soo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, Joon-Yong</au><au>Jee, Won-Hee</au><au>Chun, Chang-Woo</au><au>Kim, Yang-Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>27</volume><issue>3</issue><spage>1303</spage><epage>1311</epage><pages>1303-1311</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
To compare the diagnostic performance of shoulder magnetic resonance arthrography (MRA) with the anterior trans-subscapularis versus posterior injection approach to diagnose subscapularis tendon (SCT) tears.
Methods
One hundred and sixty-seven arthroscopically confirmed patients (84 anterior and 83 posterior approaches) were included. Two readers retrospectively scored SCT tears. Proportions of correctly graded tears between MR arthrography and arthroscopy were calculated. Retrospective error analysis was performed.
Results
The sensitivity and specificity were 80 % (24/30) and 72 % (39/54) by reader 1, 73 % (22/30) and 76 % (41/54) by reader 2 in the anterior approach, and 86 % (30/35) and 79 % (38/48) by reader 1, 80 % (28/35) and 88 % (42/48) by reader 2 in the posterior approach, respectively. There were no significant differences in sensitivity and specificity between the two groups. Proportions of correctly graded tears of both readers were 48 % and 36 % in the anterior approach, and 70 % and 68 % in the posterior approach, respectively. The intratendinous collection of contrast material was not statistically significantly different between anterior (n = 8) and posterior (n = 3) approach group.
Conclusions
For the MRA diagnosis of SCT tears, there was no significant difference between the anterior trans-subscapularis and the posterior approach.
Key Points
• Anterior trans-subscapularis and posterior approaches showed no significant difference for SCT tears
• Intratendinous collection of gadolinium is more frequent in anterior trans-subscapularis approach
• Extent of SCT tears tends to be overestimated in anterior trans-subscapularis approach
• Posterior approach should be considered for diagnosing SCT tear</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27311539</pmid><doi>10.1007/s00330-016-4467-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1875-3997</orcidid></addata></record> |
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| ispartof | European radiology, 2017-03, Vol.27 (3), p.1303-1311 |
| issn | 0938-7994 1432-1084 |
| language | eng |
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| subjects | Adult Aged Aged, 80 and over Arthrography - methods Bone surgery Contrast Media - administration & dosage Diagnostic Radiology Female Gadolinium DTPA - administration & dosage Humans Image Enhancement - methods Imaging Injections Internal Medicine Interventional Radiology Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Middle Aged Musculoskeletal Neuroradiology Radiology Reproducibility of Results Retrospective Studies Rotator cuff Rotator Cuff - diagnostic imaging Rotator Cuff Injuries - diagnostic imaging Sensitivity and Specificity Shoulder Ultrasound Young Adult |
| title | Diagnostic Performance of MR Arthrography with Anterior Trans-Subscapularis versus Posterior Injection Approach for Subscapularis Tendon Tears at 3.0T |
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