Diagnostic Performance of MR Arthrography After Rotator Cuff Repair
The objective of this study was to investigate the diagnostic performance of MR arthrography after rotator cuff repair. MR arthrographic examinations of the shoulder performed after rotator cuff repair and before revision surgery were retrospectively analyzed in 48 patients (31 males, 17 females; me...
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| Veröffentlicht in: | American journal of roentgenology (1976) 2006-01, Vol.186 (1), p.237-241 |
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| container_title | American journal of roentgenology (1976) |
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| creator | Duc, Sylvain R Mengiardi, Bernard Pfirrmann, Christian W. A Jost, Bernhard Hodler, Juerg Zanetti, Marco |
| description | The objective of this study was to investigate the diagnostic performance of MR arthrography after rotator cuff repair.
MR arthrographic examinations of the shoulder performed after rotator cuff repair and before revision surgery were retrospectively analyzed in 48 patients (31 males, 17 females; mean age, 50.3 years; age range, 17-69 years). Full-thickness and partial-thickness defects of the supraspinatus, infraspinatus, and subscapularis tendons were diagnosed independently by two radiologists. Revision surgery served as the standard of reference.
Observer 1 correctly recognized five of eight intact supraspinatus tendons, 10 of 19 partial-thickness defects, and 19 of 21 full-thickness defects. For observer 2, the numbers were three of eight, eight of 19, and 18 of 21. The corresponding numbers for the infraspinatus tendon for observer 1 were 28 of 31, 0 of three, and 14 of 14 tendons. For observer 2, they were 28 of 31, two of three, and 11 of 14. For the subscapularis tendon, observer 1 made the correct diagnosis in 18 of 31, five of six, and nine of 11 tendons. The results for observer 2 were 26 of 31, one of six, and 10 of 11 tendons. Interobserver agreement (weighted kappa) was 0.47 for the supraspinatus, 0.64 for the infraspinatus, and 0.20 for the subscapularis tendons, respectively.
Postoperative full-thickness defects of the rotator cuff are reliably diagnosed with MR arthrography. The diagnostic performance for partial-thickness defects is only moderate. |
| doi_str_mv | 10.2214/AJR.04.1818 |
| format | Article |
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MR arthrographic examinations of the shoulder performed after rotator cuff repair and before revision surgery were retrospectively analyzed in 48 patients (31 males, 17 females; mean age, 50.3 years; age range, 17-69 years). Full-thickness and partial-thickness defects of the supraspinatus, infraspinatus, and subscapularis tendons were diagnosed independently by two radiologists. Revision surgery served as the standard of reference.
Observer 1 correctly recognized five of eight intact supraspinatus tendons, 10 of 19 partial-thickness defects, and 19 of 21 full-thickness defects. For observer 2, the numbers were three of eight, eight of 19, and 18 of 21. The corresponding numbers for the infraspinatus tendon for observer 1 were 28 of 31, 0 of three, and 14 of 14 tendons. For observer 2, they were 28 of 31, two of three, and 11 of 14. For the subscapularis tendon, observer 1 made the correct diagnosis in 18 of 31, five of six, and nine of 11 tendons. The results for observer 2 were 26 of 31, one of six, and 10 of 11 tendons. Interobserver agreement (weighted kappa) was 0.47 for the supraspinatus, 0.64 for the infraspinatus, and 0.20 for the subscapularis tendons, respectively.
Postoperative full-thickness defects of the rotator cuff are reliably diagnosed with MR arthrography. The diagnostic performance for partial-thickness defects is only moderate.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/AJR.04.1818</identifier><identifier>PMID: 16357409</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Contrast Media ; Female ; Gadolinium DTPA ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Iopamidol ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Osteoarticular system. Muscles ; Predictive Value of Tests ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Retrospective Studies ; Rotator Cuff - pathology ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; Sensitivity and Specificity ; Treatment Outcome</subject><ispartof>American journal of roentgenology (1976), 2006-01, Vol.186 (1), p.237-241</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-1472b679d002d0e4dc4547c6ed65245c98f6a2485e2bce77c0dffe2cb7d638633</citedby><cites>FETCH-LOGICAL-c348t-1472b679d002d0e4dc4547c6ed65245c98f6a2485e2bce77c0dffe2cb7d638633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,4106,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17367398$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16357409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Duc, Sylvain R</creatorcontrib><creatorcontrib>Mengiardi, Bernard</creatorcontrib><creatorcontrib>Pfirrmann, Christian W. A</creatorcontrib><creatorcontrib>Jost, Bernhard</creatorcontrib><creatorcontrib>Hodler, Juerg</creatorcontrib><creatorcontrib>Zanetti, Marco</creatorcontrib><title>Diagnostic Performance of MR Arthrography After Rotator Cuff Repair</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The objective of this study was to investigate the diagnostic performance of MR arthrography after rotator cuff repair.
MR arthrographic examinations of the shoulder performed after rotator cuff repair and before revision surgery were retrospectively analyzed in 48 patients (31 males, 17 females; mean age, 50.3 years; age range, 17-69 years). Full-thickness and partial-thickness defects of the supraspinatus, infraspinatus, and subscapularis tendons were diagnosed independently by two radiologists. Revision surgery served as the standard of reference.
Observer 1 correctly recognized five of eight intact supraspinatus tendons, 10 of 19 partial-thickness defects, and 19 of 21 full-thickness defects. For observer 2, the numbers were three of eight, eight of 19, and 18 of 21. The corresponding numbers for the infraspinatus tendon for observer 1 were 28 of 31, 0 of three, and 14 of 14 tendons. For observer 2, they were 28 of 31, two of three, and 11 of 14. For the subscapularis tendon, observer 1 made the correct diagnosis in 18 of 31, five of six, and nine of 11 tendons. The results for observer 2 were 26 of 31, one of six, and 10 of 11 tendons. Interobserver agreement (weighted kappa) was 0.47 for the supraspinatus, 0.64 for the infraspinatus, and 0.20 for the subscapularis tendons, respectively.
Postoperative full-thickness defects of the rotator cuff are reliably diagnosed with MR arthrography. The diagnostic performance for partial-thickness defects is only moderate.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Iopamidol</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarticular system. Muscles</subject><subject>Predictive Value of Tests</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Retrospective Studies</subject><subject>Rotator Cuff - pathology</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Sensitivity and Specificity</subject><subject>Treatment Outcome</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0M1LwzAYx_Egis7pybvkohfpzFuT9DjqOxNlKHgLWZqslXaZScvYf2_HCjs9lw8_Hr4AXGE0IQSz--nbfILYBEssj8AIp4wnFDN8DEaIcpxIRH_OwHmMvwghITNxCs4wp6lgKBuB_KHSy5WPbWXgpw3Oh0avjIXewfc5nIa2DH4Z9LrcwqlrbYBz3-rWB5h3zsG5XesqXIATp-toL4c7Bt9Pj1_5SzL7eH7Np7PEUCbbBDNBFlxkBUKkQJYVhqVMGG4LnhKWmkw6rgmTqSULY4UwqHDOErMQBaeSUzoGt_vddfB_nY2taqpobF3rlfVdVALhjEuR9vBuD03wMQbr1DpUjQ5bhZHaNVN9M4WY2jXr9fUw2y0aWxzsEKkHNwPQ0ejahb5QFQ9OUC5oJg__ldWy3FTBqtjouu5nsdpsNlhyhRWhgv4D84CAEA</recordid><startdate>20060101</startdate><enddate>20060101</enddate><creator>Duc, Sylvain R</creator><creator>Mengiardi, Bernard</creator><creator>Pfirrmann, Christian W. A</creator><creator>Jost, Bernhard</creator><creator>Hodler, Juerg</creator><creator>Zanetti, Marco</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20060101</creationdate><title>Diagnostic Performance of MR Arthrography After Rotator Cuff Repair</title><author>Duc, Sylvain R ; Mengiardi, Bernard ; Pfirrmann, Christian W. A ; Jost, Bernhard ; Hodler, Juerg ; Zanetti, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-1472b679d002d0e4dc4547c6ed65245c98f6a2485e2bce77c0dffe2cb7d638633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Contrast Media</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Iopamidol</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarticular system. Muscles</topic><topic>Predictive Value of Tests</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Retrospective Studies</topic><topic>Rotator Cuff - pathology</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Sensitivity and Specificity</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duc, Sylvain R</creatorcontrib><creatorcontrib>Mengiardi, Bernard</creatorcontrib><creatorcontrib>Pfirrmann, Christian W. A</creatorcontrib><creatorcontrib>Jost, Bernhard</creatorcontrib><creatorcontrib>Hodler, Juerg</creatorcontrib><creatorcontrib>Zanetti, Marco</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Duc, Sylvain R</au><au>Mengiardi, Bernard</au><au>Pfirrmann, Christian W. A</au><au>Jost, Bernhard</au><au>Hodler, Juerg</au><au>Zanetti, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Performance of MR Arthrography After Rotator Cuff Repair</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>2006-01-01</date><risdate>2006</risdate><volume>186</volume><issue>1</issue><spage>237</spage><epage>241</epage><pages>237-241</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The objective of this study was to investigate the diagnostic performance of MR arthrography after rotator cuff repair.
MR arthrographic examinations of the shoulder performed after rotator cuff repair and before revision surgery were retrospectively analyzed in 48 patients (31 males, 17 females; mean age, 50.3 years; age range, 17-69 years). Full-thickness and partial-thickness defects of the supraspinatus, infraspinatus, and subscapularis tendons were diagnosed independently by two radiologists. Revision surgery served as the standard of reference.
Observer 1 correctly recognized five of eight intact supraspinatus tendons, 10 of 19 partial-thickness defects, and 19 of 21 full-thickness defects. For observer 2, the numbers were three of eight, eight of 19, and 18 of 21. The corresponding numbers for the infraspinatus tendon for observer 1 were 28 of 31, 0 of three, and 14 of 14 tendons. For observer 2, they were 28 of 31, two of three, and 11 of 14. For the subscapularis tendon, observer 1 made the correct diagnosis in 18 of 31, five of six, and nine of 11 tendons. The results for observer 2 were 26 of 31, one of six, and 10 of 11 tendons. Interobserver agreement (weighted kappa) was 0.47 for the supraspinatus, 0.64 for the infraspinatus, and 0.20 for the subscapularis tendons, respectively.
Postoperative full-thickness defects of the rotator cuff are reliably diagnosed with MR arthrography. The diagnostic performance for partial-thickness defects is only moderate.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>16357409</pmid><doi>10.2214/AJR.04.1818</doi><tpages>5</tpages></addata></record> |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Biological and medical sciences Contrast Media Female Gadolinium DTPA Humans Investigative techniques, diagnostic techniques (general aspects) Iopamidol Magnetic Resonance Imaging Male Medical sciences Middle Aged Osteoarticular system. Muscles Predictive Value of Tests Radiodiagnosis. Nmr imagery. Nmr spectrometry Retrospective Studies Rotator Cuff - pathology Rotator Cuff - surgery Rotator Cuff Injuries Sensitivity and Specificity Treatment Outcome |
| title | Diagnostic Performance of MR Arthrography After Rotator Cuff Repair |
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