Evidence map›Paper›PMID 36418625›Full record

ArticleEuropean radiology2023

Clinical value of three-dimensional ultrasonography in the morphologic evaluation of rotator cuff tear: a prospective study.

Xianghui Chen, Yuexiang Wang, Jian Chen, Fei Zhang, Lin Xu, Xu Yan, Yaqiong Zhu, Qiang Zhang, Jie Tang

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Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

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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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. [Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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

9 authors at 2 institutions in 1 country.

Xianghui ChenChinese People's Liberation Army (PLA) Medical School, Fuxing Road 28, Beijing, 100853, China.
Yuexiang WangDepartment of Ultrasound, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
Jian ChenNankai University, Weijin Road 94, Nankai District, Tianjin, 300071, China.
Fei ZhangDepartment of Orthopedics, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
Lin XuDepartment of Radiology, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
Xu YanDepartment of Radiology, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
Yaqiong ZhuDepartment of Ultrasound, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
Qiang ZhangDepartment of Orthopedics, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China. 301zq@live.cn.
Jie TangDepartment of Ultrasound, The First Medical Center of PLA General Hospital, Fuxing Road 28, Beijing, 100853, China. txiner@vip.sina.com.
Chinese PLA General Hospital · CNNankai University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the clinical value of three-dimensional ultrasonography (3D-US) in the morphological evaluation of rotator cuff tears (RCTs).

methodsBased on previously published literature, RCT patterns in our study were divided into crescent, L-shaped with the remnant tendon retracted to the anterior rotator cuff (aL-shaped), L-shaped with the remnant tendon retracted to the posterior rotator cuff (pL-shaped), T-shaped (a tear pattern that is a combination of aL-shaped and pL-shaped), U-shaped, and massive type. Two radiologists prospectively assessed the tear patterns using 3D-US as well as magnetic resonance imaging (MRI) and compared these results using arthroscopy to calculate diagnostic accuracy.

resultFifty-two patients (52 shoulders) were enrolled. The overall diagnostic accuracy of 3D-US in evaluating RCT patterns (82.7%, 43/52; 95% CI: 72.1-93.3%) was significantly higher (p = 0.008) than that of the MRI (57.7%, 31/52; 95% CI: 45.8-73.4%). The accuracy of 3D-US was higher than that of MRI for most types of tears (crescent: 95.0% vs. 55.0%, aL-shaped: 83.3% vs. 77.8%, pL-shaped: 50.0% vs. 25.0%, T-shaped: 75.0% vs. 0.0%, and massive type: 80.0% vs. 100.0%). The accuracies of 3D-US with respect to evaluation by the two radiologists were 84.6% (44/52) and 76.9% (40/52), and there was substantial agreement evident (κ = 0.709). The time taken by the two radiologists to reconstruct the 3D-US images and evaluate the tear pattern was < 5 min.

conclusionThe 3D-US can be used for the preoperative evaluation of RCT patterns, and thus be useful for the correct selection of the surgical repair technique for RCTs. KEY POINTS: • Few studies have been found exploring the value of 3D-US for the morphological evaluation of RCTs and correlated with the arthroscopic findings. • Based on previous studies on the morphological classification, anterior L shape (aL-shaped), and posterior L shape (pL-shaped) were used for the first time to describe the torn patterns of RCT.

Indexed as

Rotator Cuff InjuriesArthroscopyHumansMagnetic Resonance ImagingProspective StudiesRotator CuffRuptureTendonsUltrasonographyMagnetic resonance imagingRotator cuff Injuries/surgeryThree-dimensionalUltrasonography/methods

Identifiers

PMID36418625
OpenAlexW4309913109

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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.