ArticleSkeletal radiology2022
MR imaging detection of adhesive capsulitis of the shoulder: impact of intravenous contrast administration and reader's experience on diagnostic performance.
Article in Skeletal radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- ZTE MRI for Rotator Cuff Tear Arthropathy: Integrated Bone-Muscle Analysis and Its Association with Pseudoparesis.Journal of clinical medicine · 2025Article
- [Comparison of the Clinical Examination, Magnetic Resonance Imaging and Intraoperative].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2025Article
- An approach leveraging radiomics and model checking for the automatic early diagnosis of adhesive capsulitis.Scientific reports · 2024Article
- Can magnetic resonance imaging distinguish clinical stages of frozen shoulder? A state-of-the-art review.JSES reviews, reports, and techniques · 2024Review
- Capsular and retinaculum thickening in type II mucopolysaccharidosis: a novel MRI finding.Skeletal radiology · 2024Article
- Diagnostic performance and interreader agreement of individual and combined non-enhanced and contrast-enhanced MR imaging parameters in adhesive capsulitis of the shoulder.Skeletal radiology · 2024Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCorrect identification of adhesive capsulitis of the shoulder (ACS) has an important impact on adequate therapy. The aim of our study was to investigate the influence of intravenous contrast administration and of reader's experience on sensitivity and specificity of MRI in diagnosing ACS. MATERIALS AND
methodsA total of 180 patients were included in a retrospective study: 60 subjects with at least 4 of 5 clinical signs of adhesive capsulitis of the shoulder and 120 patients with other shoulder diseases who underwent contrast-enhanced MRI. In a first session, only non-enhanced images and in a second session also contrast-enhanced (CE) series were independently evaluated by three radiologists with various levels of professional experience. Readers were blinded to all clinical information and had to rate the shoulder MRIs for absence or presence of adhesive capsulitis. Data analysis included McNemar's test, t test, and U test (p < .05).
resultsUsing non-enhanced MRI, readers achieved a mean sensitivity of 63.9% and a mean specificity of 86.4%. By additional use of CE sequences, the mean sensitivity (85.5%) and the sensitivity for each reader increased significantly (p = .046, p < .01, p < .001, p = .045) while the improvement in mean specificity was not significant. Reader's experience had a positive effect on sensitivity and specificity, which was in part but not consistently significant.
conclusionThe addition of CE sequences can significantly increase the sensitivity of MRI in the diagnosis of ACS. Reader's experience has shown to be another important factor for the diagnostic outcome.
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