Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

Abstract Background: Multiple published studies quantitatively analysing the diagnostic value of MRI, MR arthrography (MRA) and CT arthrography (CTA) for labral lesions of the shoulder have had inconsistent results. The aim of this meta-analysis was to systematically compare the diagnostic performance of MRI, MRA, CTA and CT. Methods: Two databases, PubMed and EMBASE, were used to retrieve studies targeting the accuracy of MRI, MRA, CTA and CT in detecting labral lesions of the shoulder. After carefully screening and excluding studies, the studies that met the inclusion criteria were used for a pooled analysis, including calculation of sensitivity and specificity with 95% confidence intervals (CIs) and the area under the hierarchical summary receiver operating characteristic (HSROC) curves. Results: The retrieval process identified 2633 studies, out of which two reviewers screened out all but 14 studies, involving a total of 1216 patients who were deemed eligible for inclusion in the meta-analysis. The results assessing the diagnostic performance of MRI vs. MRA for detecting labral lesions showed a pooled sensitivity of 0.77 (95% CI 0.70-0.84) vs. 0.92 (95% CI 0.84-0.96), a specificity of 0.95 (95% CI 0.85-0.98) vs. 0.98 (95% CI 0.91-0.99), and an area under the HSROC curve of 3.78 (95% CI 2.73-4.83) vs. 6.01 (95% CI 4.30-7.73), respectively. Conclusion: MRA was suggested for use in patients with chronic shoulder symptoms or a pathologic abnormality. MRI is by far the first choice recommendation for the detection of acute labral lesions. CT should be a necessary supplemental imaging technique when there is highly suspected glenoid bone damage.

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Variants of the superior labrum and labro-bicipital complex: a comparative study of shoulder specimens using MR arthrography, multi-slice CT arthrography and anatomical dissection

European Radiology ◽

10.1007/s00330-005-2864-0 ◽

2005 ◽

Vol 16 (2) ◽

pp. 451-458 ◽

Cited By ~ 73

Author(s):

Simone Waldt ◽

Stefan Metz ◽

Andreas Burkart ◽

Dirk Mueller ◽

Melanie Bruegel ◽

...

Keyword(s):

Comparative Study ◽

Mr Arthrography ◽

Ct Arthrography ◽

Anatomical Dissection ◽

Superior Labrum

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Comparative study of direct MR arthrography and CT arthrography with arthroscopic correlation in preoperative evaluation of anterior shoulder instability

The Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1016/j.ejrnm.2013.06.010 ◽

2013 ◽

Vol 44 (4) ◽

pp. 817-827 ◽

Cited By ~ 4

Author(s):

Sherif A. Khedr ◽

Hassan Mahmoud Kassem ◽

Mostafa A. Azab

Keyword(s):

Comparative Study ◽

Shoulder Instability ◽

Preoperative Evaluation ◽

Mr Arthrography ◽

Anterior Shoulder Instability ◽

Ct Arthrography ◽

Direct Mr Arthrography

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Comparative Study of CT Arthrography and MR Arthrography for Detecting Bankart Lesion.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.45.1142 ◽

1996 ◽

Vol 45 (4) ◽

pp. 1142-1144

Author(s):

Masao Eto ◽

Nobuyuki Ito ◽

Tadashi Tomonaga ◽

Shin'ichi Harada ◽

Mohammad Ehsanur Rabbi ◽

...

Keyword(s):

Comparative Study ◽

Mr Arthrography ◽

Bankart Lesion ◽

Ct Arthrography

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Role of MRI Arthrography Compared to Conventional MRI in Assessment of Shoulder Joint Disorders

QJM ◽

10.1093/qjmed/hcaa068.012 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

M A Nassef ◽

S A A Abdulrahim ◽

D A A M Eldesouki

Keyword(s):

Joint Instability ◽

Glenohumeral Joint ◽

Imaging Technique ◽

Mr Arthrography ◽

Contrast Injection ◽

Ct Guided ◽

Ct Arthrography ◽

Glenoid Labrum ◽

Conventional Mri

Abstract Glenohumeral joint instability is extremely common. With regard to primary anterior shoulder dislocations, the incidence is between 8.2 and 23.9 per 100 000 person-years, with an estimated prevalence of 1.7%. Many imaging methods, including arthrography, CT arthrography, MR arthrography, have been used to image the glenoid labrum and the associated structures of the capsular mechanism. The aim of the study is to prove MR arthrography is the preferred imaging technique for the investigation of patients with shoulder instability. MR arthrography reliably shows subtle lesions of the labroligamentous complex, providing information essential to the surgeon concerning the surgery or arthroscopic repair .Thirty Patients with clinically evident or suspected shoulder impingemint or glenohumeral instability.of both sexes were included , conventional MRI was performed for all patients followed by CT guided intraarticular contrast injection then MRI Arthrography images taken within thirty minutes. Data were collected, revised, coded and entered to the Statistical Package for Social Science (IBM SPSS) version 20.

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Shoulder Arthrography

Musculoskeletal Imaging Volume 2 ◽

10.1093/med/9780190938178.003.0098 ◽

2019 ◽

pp. 149-150

Author(s):

Matthew DelGiudice

Keyword(s):

Rotator Cuff ◽

Glenohumeral Joint ◽

Adhesive Capsulitis ◽

Total Shoulder Arthroplasty ◽

Mr Arthrography ◽

Routine Clinical Practice ◽

Ct Arthrography ◽

Cuff Tear ◽

Shoulder Arthrography ◽

Cuff Repair

Chapter 98 describes indications, technique, and imaging findings of shoulder arthrography. Shoulder arthrography is commonly performed in routine clinical practice for MR arthrography (MRA), typically in younger patients. The main indications include evaluation of shoulder instability and postoperative rotator cuff. Other indications include fluoroscopic guidance for therapeutic injections or therapy for adhesive capsulitis. CT arthrography (CTA) may also be performed for evaluation of total shoulder arthroplasty (TSA) loosening and conversion from anatomic to reverse TSA. Contrast should be easy to inject and disperse throughout the joint. Abnormal communication between the glenohumeral joint and subacromial-subdeltoid and subcoracoid bursae is diagnostic of a full-thickness rotator cuff tear unless the contrast is accidentally injected into the bursa. However, in the setting of prior rotator cuff repair, contrast may extend into the bursa even in the absence of re-tear because the cuff is not watertight. Contrast extension into the glenoid labral substance is diagnostic of labral tear.

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Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography

European Radiology ◽

10.1007/s00330-008-1200-x ◽

2008 ◽

Vol 19 (3) ◽

pp. 722-730 ◽

Cited By ~ 90

Author(s):

Matthieu J. C. M. Rutten ◽

James M. P. Collins ◽

Bas J. Maresch ◽

Jacques H. J. M. Smeets ◽

Caroline M. M. Janssen ◽

...

Keyword(s):

Comparative Study ◽

Glenohumeral Joint ◽

Mr Arthrography ◽

Joint Injection

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Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2876-6 ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Fanxiao Liu ◽

Xiangyun Cheng ◽

Jinlei Dong ◽

Dongsheng Zhou ◽

Qian Sun ◽

...

Keyword(s):

Diagnostic Performance ◽

Imaging Modality ◽

Meta Analysis ◽

Mr Arthrography ◽

Diagnostic Value ◽

Pooled Analysis ◽

Summary Receiver Operating Characteristic ◽

Ct Arthrography ◽

First Choice ◽

Bone Damage

Abstract Background Multiple published studies quantitatively analysing the diagnostic value of MRI, MR arthrography (MRA) and CT arthrography (CTA) for labral lesions of the shoulder have had inconsistent results. The aim of this meta-analysis was to systematically compare the diagnostic performance of MRI, MRA, CTA and CT. Methods Two databases, PubMed and EMBASE, were used to retrieve studies targeting the accuracy of MRI, MRA, CTA and CT in detecting labral lesions of the shoulder. After carefully screening and excluding studies, the studies that met the inclusion criteria were used for a pooled analysis, including calculation of sensitivity and specificity with 95% confidence intervals (CIs) and the area under the hierarchical summary receiver operating characteristic (HSROC) curves. Results The retrieval process identified 2633 studies, out of which two reviewers screened out all but 14 studies, involving a total of 1216 patients who were deemed eligible for inclusion in the meta-analysis. The results assessing the diagnostic performance of MRI vs. MRA for detecting labral lesions showed a pooled sensitivity of 0.77 (95% CI 0.70–0.84) vs. 0.92 (95% CI 0.84–0.96), a specificity of 0.95 (95% CI 0.85–0.98) vs. 0.98 (95% CI 0.91–0.99), and an area under the HSROC curve of 3.78 (95% CI 2.73–4.83) vs. 6.01 (95% CI 4.30–7.73), respectively. Conclusion MRA was suggested for use in patients with chronic shoulder symptoms or a pathologic abnormality. MRI is by far the first choice recommendation for the detection of acute labral lesions. CT should be a necessary supplemental imaging technique when there is highly suspected glenoid bone damage.

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