Evidence map›Paper›PMID 26634253›Full record

SynthesisSkeletal radiology2016

Diagnosis of rotator cuff tears using 3-Tesla MRI versus 3-Tesla MRA: a systematic review and meta-analysis.

Ciaran McGarvey, Ziad Harb, Christian Smith, Russell Houghton, Steven Corbett, Adil Ajuied

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Skeletal radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  18. A novel diagnostic method to predict subscapularis tendon tear with sagittal oblique view magnetic resonance imaging.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ciaran McGarveyDepartment of Trauma and Orthopaedics, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. cpj.mcgarvey@googlemail.com.
Ziad HarbDepartment of Trauma and Orthopaedics, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. ziadharb@doctors.org.uk.
Christian SmithDepartment of Trauma and Orthopaedics, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. drccsmith@doctors.org.uk.
Russell HoughtonDepartment of Radiology, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. rus9000@hotmail.com.
Steven CorbettDepartment of Trauma and Orthopaedics, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. steven.corbett@gstt.nhs.uk.
Adil AjuiedDepartment of Trauma and Orthopaedics, Guy's and St Thomas' Hospital, King's Health Partners, Great Maze Pond, London, SE1 9RT, UK. aajuied@doctors.org.uk.
Kings Health Partners · GBSt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the diagnostic accuracy of magnetic resonance imaging (MRI), 2-dimensional magnetic resonance arthrogram (MRA) and 3-dimensional isotropic MRA in the diagnosis of rotator cuff tears when performed exclusively at 3-T. MATERIALS AND

methodsA systematic review was undertaken of the Cochrane, MEDLINE and PubMed databases in accordance with the PRISMA guidelines. Studies comparing 3-T MRI or 3-T MRA (index tests) to arthroscopic surgical findings (reference test) were included. Methodological appraisal was performed using QUADAS 2. Pooled sensitivity and specificity were calculated and summary receiver-operating curves generated. Kappa coefficients quantified inter-observer reliability.

resultsFourteen studies comprising 1332 patients were identified for inclusion. Twelve studies were retrospective and there were concerns regarding index test bias and applicability in nine and six studies respectively. Reference test bias was a concern in all studies. Both 3-T MRI and 3-T MRA showed similar excellent diagnostic accuracy for full-thickness supraspinatus tears. Concerning partial-thickness supraspinatus tears, 3-T 2D MRA was significantly more sensitive (86.6 vs. 80.5 %, p = 0.014) but significantly less specific (95.2 vs. 100 %, p < 0.001). There was a trend towards greater accuracy in the diagnosis of subscapularis tears with 3-T MRA. Three-Tesla 3D isotropic MRA showed similar accuracy to 3-T conventional 2D MRA.

conclusionThree-Tesla MRI appeared equivalent to 3-T MRA in the diagnosis of full- and partial-thickness tears, although there was a trend towards greater accuracy in the diagnosis of subscapularis tears with 3-T MRA. Three-Tesla 3D isotropic MRA appears equivalent to 3-T 2D MRA for all types of tears.

Indexed as

Magnetic Resonance AngiographyMagnetic Resonance ImagingRotator Cuff InjuriesHumansImaging, Three-DimensionalReproducibility of ResultsRotator CuffSensitivity and Specificity3-TeslaMagnetic resonanceRotator cuffSensitivitySpecificitySubscapularisSupraspinatus

Identifiers

PMID26634253
OpenAlexW2189507689

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.