Evidence map›Paper›PMID 39698608›Full record

ArticleQuantitative imaging in medicine and surgery2024

Clinical application of ultrasound-guided magnetic resonance arthrography for the diagnosis of supraspinatus tendon tears.

Huimei Zhang, Huajun Xu, Huihui Fan

Abstract read
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Article in Quantitative imaging in medicine and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Huimei ZhangDepartment of Radiology, Huzhou Central Hospital, Huzhou, China.
Huajun XuDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Huihui FanDepartment of Ultrasound, Huzhou Central Hospital, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There are only a few isolated studies that have examined ultrasound-guided magnetic resonance arthrography (USMRA) of the glenohumeral joint and subacromial bursa with the use of gadolinium contrast agent. This study aimed to determine the clinical value of USMRA in the diagnosis of supraspinatus tendon tears and its subtypes. Methods: Musculoskeletal ultrasound (MSKUS) was performed in 207 patients with shoulder pain as confirmed by arthroscopic examination, 103 of whom underwent shoulder joint magnetic resonance imaging (MRI), and 104 of whom underwent USMRA. Based on tear subtypes and grading matching, the diagnostic value of MSKUS, MRI, and USMRA was assessed in terms of identifying the presence of supraspinatus tendon tears and its subtypes. Results: The results demonstrated statistically significant differences between the three groups in terms of diagnostic sensitivity, specificity, positive and negative predictive values, and accuracy in identifying supraspinatus tendon tears (P<0.05). The analysis of area under the receiver operating characteristic curve (AUC) indicated that MSKUS (AUC =0.76) and MRI (AUC =0.86) had moderate diagnostic value, while USMRA (AUC =0.95) had a higher diagnostic value. Regarding the tear subtypes in the MSKUS, MRI, and USMRA groups, the AUCs for articular-sided tears were 0.62, 0.75, and 0.87, respectively, while those for intratendinous tears were 0.57, 0.72, and 0.89, respectively, indicating moderate diagnostic value across the three groups; meanwhile, the AUCs for bursal-sided tears were 0.71, 0.73, and 0.92, respectively, while those for full-thickness tears were 0.75, 0.87, and 0.93, respectively, indicating moderate diagnostic values in the MSKUS group and MRI group and high diagnostic values in the USMRA group. The incidence of adverse reactions in the USMRA group was 1.92% (2/104). Conclusions: USMRA demonstrated high diagnostic value for the diagnosis of supraspinatus tendon tears and bursal-sided and full-thickness tears.

Indexed as

diagnostic valuemusculoskeletal ultrasound (MSKUS)Supraspinatus tendon tearsultrasound-guided magnetic resonance arthrography (USMRA)

Identifiers

PMID39698608
PMCPMC11652019

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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.