Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries

Sied Kazem Razavi Ratki; Masoud Nakhaie-Nejad; Nasim Namiranian; Hamid reza Shafai Arani; Mona Ghasemian; Reza Nafisi-Moghadam

doi:doi:10.11648/j.ijcems.20150103.11

Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries

Sied Kazem Razavi Ratki, Masoud Nakhaie-Nejad, Nasim Namiranian, Hamid reza Shafai Arani, Mona Ghasemian, Reza Nafisi-Moghadam

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 1, Issue 3)

Received: 15 July 2015 Accepted: 24 July 2015 Published: 28 July 2015

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Abstract

Background and Objectives: Rotator cuff injuries are problems commonly encountered in athletic and non-athletic patients. Its definite diagnosis is also important. Accordingly, this study was performed to determine the diagnostic accuracy of ultra-sonography (US) compared with magnetic resonance imaging (MRI) in cases with suspicion of rotator cuff injuries. Methods and materials: In this prospective comparative study, 130 patients who had undergone shoulder arthroscopy and open rotator cuff repairing and confirm rotator cuff tears have been enrolled and evaluated with both ultrasonography and MRI methods. Results: The overall sensitivity (95% confidence interval[CI]) of US was 87.64% (78.55-93.37), the specificity (95%CI) was 89.02% (61.24-95.45). The overall sensitivity (95% confidence interval) of MRI was 91.31% (75.47-94.4) and the specificity (95%CI) of MRI was 83.02% (61.23-91.45). There was no statistical significance between sensitivity of two methods (p-value: 0.092). Conclusions: Totally, according to our findings and comparison with other similar studies, it could be concluded that ultrasonography has a good diagnostic modality in patients suspicious to rotator cuff tearing compared with MRI as a more diagnostic imaging test. Accordingly, its use is recommended in patients suspicious to have rotator cuff tearing

Published in	International Journal of Clinical and Experimental Medical Sciences (Volume 1, Issue 3)
DOI	10.11648/j.ijcems.20150103.11
Page(s)	35-37
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Rotator Cuff Tearing, Ultrasonography, MRI

References

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[2]	Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am. 2004;86:708-716.
[3]	Smith TO, Daniell H, Geere J-A, Toms AP, Hing CB. The diagnostic accuracy of MRI for the detection of partial-and full-thickness rotator cuff tears in adults. Magn Reson Imaging. 2012;30:336-346.
[4]	Lenza M, Buchbinder R, Takwoingi Y, Johnston RV, Hanchard NC, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database Syst Rev. 2013; 9:CD009020.
[5]	de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol. 2009;192:1701-1707.
[6]	Iannotti JP, Ciccone J, Buss DD, et al. Accuracy of office-based ultrasonography of the shoulder for the diagnosis of rotator cuff tears. J Bone Joint Surg Am. 2005;87:1305-1311.
[7]	Moosmayer S, Smith H-J, Tariq R, Larmo A. Prevalence and characteristics of asymptomatic tears of the rotator cuff AN ULTRASONOGRAPHIC AND CLINICAL STUDY. J Bone Joint Surg Br. 2009;91:196-200.
[8]	Pujol N, Hargunani R, Gadikoppula S, Holloway B, Ahrens P.M. Dynamic ultrasound assessment in the diagnosis of intra-articular entrapment of the biceps tendon (hourglass biceps): A preliminary investigation. Int J Shoulder Surg. 2009;3:80-84.
[9]	Schibany N, Zehetgruber H, Kainberger F, et al. Rotator cuff tears in asymptomatic individuals: a clinical and ultrasonographic screening study. Eur J Radiol. 2004;51:263-268.
[10]	Teefey SA, Middleton WD, Yamaguchi K. Shoulder sonography. State of the art. Radiologic clinics of North America. 1999;37:767-785.
[11]	Teefey SA, Hasan SA, Middleton WD, Patel M, Wright RW, Yamaguchi K. Ultrasonography of the rotator cuff. A comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases. J Bone Joint Surg Am. 2000;82:498-504.
[12]	Seltzer SE, Finberg HJ, Weissman BN. Arthrosonography--technique, sonographic anatomy, and pathology. Invest Radiol. 1980;15:19-28.
[13]	Crass JR, Craig EV, Bretzke C, Feinberg SB. Ultrasonography of the rotator cuff. Radiographics. 1985;5:941-953.
[14]	Middleton WD, Reinus WR, Totty WG, Melson CL, Murphy WA. Ultrasonographic evaluation of the rotator cuff and biceps tendon. J Bone Joint Surg Am. 1986;68:440-450.
[15]	Al-Shawi A, Badge R, Bunker T. The detection of full thickness rotator cuff tears using ultrasound. J Bone Joint Surg Br. 2008;90:889-892.

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APA Style

Sied Kazem Razavi Ratki, Masoud Nakhaie-Nejad, Nasim Namiranian, Hamid reza Shafai Arani, Mona Ghasemian, et al. (2015). Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. International Journal of Clinical and Experimental Medical Sciences, 1(3), 35-37. https://doi.org/10.11648/j.ijcems.20150103.11

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ACS Style

Sied Kazem Razavi Ratki; Masoud Nakhaie-Nejad; Nasim Namiranian; Hamid reza Shafai Arani; Mona Ghasemian, et al. Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. Int. J. Clin. Exp. Med. Sci. 2015, 1(3), 35-37. doi: 10.11648/j.ijcems.20150103.11

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AMA Style

Sied Kazem Razavi Ratki, Masoud Nakhaie-Nejad, Nasim Namiranian, Hamid reza Shafai Arani, Mona Ghasemian, et al. Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. Int J Clin Exp Med Sci. 2015;1(3):35-37. doi: 10.11648/j.ijcems.20150103.11

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@article{10.11648/j.ijcems.20150103.11,
  author = {Sied Kazem Razavi Ratki and Masoud Nakhaie-Nejad and Nasim Namiranian and Hamid reza Shafai Arani and Mona Ghasemian and Reza Nafisi-Moghadam},
  title = {Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {1},
  number = {3},
  pages = {35-37},
  doi = {10.11648/j.ijcems.20150103.11},
  url = {https://doi.org/10.11648/j.ijcems.20150103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20150103.11},
  abstract = {Background and Objectives: Rotator cuff injuries are problems commonly encountered in athletic and non-athletic patients. Its definite diagnosis is also important. Accordingly, this study was performed to determine the diagnostic accuracy of ultra-sonography (US) compared with magnetic resonance imaging (MRI) in cases with suspicion of rotator cuff injuries. Methods and materials: In this prospective comparative study, 130 patients who had undergone shoulder arthroscopy and open rotator cuff repairing and confirm rotator cuff tears have been enrolled and evaluated with both ultrasonography and MRI methods. Results: The overall sensitivity (95% confidence interval[CI]) of US was 87.64% (78.55-93.37), the specificity (95%CI) was 89.02% (61.24-95.45). The overall sensitivity (95% confidence interval) of MRI was 91.31% (75.47-94.4) and the specificity (95%CI) of MRI was 83.02% (61.23-91.45). There was no statistical significance between sensitivity of two methods (p-value: 0.092). Conclusions: Totally, according to our findings and comparison with other similar studies, it could be concluded that ultrasonography has a good diagnostic modality in patients suspicious to rotator cuff tearing compared with MRI as a more diagnostic imaging test. Accordingly, its use is recommended in patients suspicious to have rotator cuff tearing},
 year = {2015}
}

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TY  - JOUR
T1  - Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries
AU  - Sied Kazem Razavi Ratki
AU  - Masoud Nakhaie-Nejad
AU  - Nasim Namiranian
AU  - Hamid reza Shafai Arani
AU  - Mona Ghasemian
AU  - Reza Nafisi-Moghadam
Y1  - 2015/07/28
PY  - 2015
N1  - https://doi.org/10.11648/j.ijcems.20150103.11
DO  - 10.11648/j.ijcems.20150103.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 35
EP  - 37
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20150103.11
AB  - Background and Objectives: Rotator cuff injuries are problems commonly encountered in athletic and non-athletic patients. Its definite diagnosis is also important. Accordingly, this study was performed to determine the diagnostic accuracy of ultra-sonography (US) compared with magnetic resonance imaging (MRI) in cases with suspicion of rotator cuff injuries. Methods and materials: In this prospective comparative study, 130 patients who had undergone shoulder arthroscopy and open rotator cuff repairing and confirm rotator cuff tears have been enrolled and evaluated with both ultrasonography and MRI methods. Results: The overall sensitivity (95% confidence interval[CI]) of US was 87.64% (78.55-93.37), the specificity (95%CI) was 89.02% (61.24-95.45). The overall sensitivity (95% confidence interval) of MRI was 91.31% (75.47-94.4) and the specificity (95%CI) of MRI was 83.02% (61.23-91.45). There was no statistical significance between sensitivity of two methods (p-value: 0.092). Conclusions: Totally, according to our findings and comparison with other similar studies, it could be concluded that ultrasonography has a good diagnostic modality in patients suspicious to rotator cuff tearing compared with MRI as a more diagnostic imaging test. Accordingly, its use is recommended in patients suspicious to have rotator cuff tearing
VL  - 1
IS  - 3
ER  -

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Author Information

Sied Kazem Razavi Ratki

Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Masoud Nakhaie-Nejad

Faculty of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Nasim Namiranian

Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Hamid reza Shafai Arani

Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mona Ghasemian

Faculty of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Reza Nafisi-Moghadam

Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

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APA Style

Sied Kazem Razavi Ratki, Masoud Nakhaie-Nejad, Nasim Namiranian, Hamid reza Shafai Arani, Mona Ghasemian, et al. (2015). Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. International Journal of Clinical and Experimental Medical Sciences, 1(3), 35-37. https://doi.org/10.11648/j.ijcems.20150103.11

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ACS Style

Sied Kazem Razavi Ratki; Masoud Nakhaie-Nejad; Nasim Namiranian; Hamid reza Shafai Arani; Mona Ghasemian, et al. Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. Int. J. Clin. Exp. Med. Sci. 2015, 1(3), 35-37. doi: 10.11648/j.ijcems.20150103.11

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AMA Style

Sied Kazem Razavi Ratki, Masoud Nakhaie-Nejad, Nasim Namiranian, Hamid reza Shafai Arani, Mona Ghasemian, et al. Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries. Int J Clin Exp Med Sci. 2015;1(3):35-37. doi: 10.11648/j.ijcems.20150103.11

Copy | Download

@article{10.11648/j.ijcems.20150103.11,
  author = {Sied Kazem Razavi Ratki and Masoud Nakhaie-Nejad and Nasim Namiranian and Hamid reza Shafai Arani and Mona Ghasemian and Reza Nafisi-Moghadam},
  title = {Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {1},
  number = {3},
  pages = {35-37},
  doi = {10.11648/j.ijcems.20150103.11},
  url = {https://doi.org/10.11648/j.ijcems.20150103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20150103.11},
  abstract = {Background and Objectives: Rotator cuff injuries are problems commonly encountered in athletic and non-athletic patients. Its definite diagnosis is also important. Accordingly, this study was performed to determine the diagnostic accuracy of ultra-sonography (US) compared with magnetic resonance imaging (MRI) in cases with suspicion of rotator cuff injuries. Methods and materials: In this prospective comparative study, 130 patients who had undergone shoulder arthroscopy and open rotator cuff repairing and confirm rotator cuff tears have been enrolled and evaluated with both ultrasonography and MRI methods. Results: The overall sensitivity (95% confidence interval[CI]) of US was 87.64% (78.55-93.37), the specificity (95%CI) was 89.02% (61.24-95.45). The overall sensitivity (95% confidence interval) of MRI was 91.31% (75.47-94.4) and the specificity (95%CI) of MRI was 83.02% (61.23-91.45). There was no statistical significance between sensitivity of two methods (p-value: 0.092). Conclusions: Totally, according to our findings and comparison with other similar studies, it could be concluded that ultrasonography has a good diagnostic modality in patients suspicious to rotator cuff tearing compared with MRI as a more diagnostic imaging test. Accordingly, its use is recommended in patients suspicious to have rotator cuff tearing},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Comparison of Sonography and MRI in Diagnosis of Rotator Cuff Injuries
AU  - Sied Kazem Razavi Ratki
AU  - Masoud Nakhaie-Nejad
AU  - Nasim Namiranian
AU  - Hamid reza Shafai Arani
AU  - Mona Ghasemian
AU  - Reza Nafisi-Moghadam
Y1  - 2015/07/28
PY  - 2015
N1  - https://doi.org/10.11648/j.ijcems.20150103.11
DO  - 10.11648/j.ijcems.20150103.11
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 35
EP  - 37
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20150103.11
AB  - Background and Objectives: Rotator cuff injuries are problems commonly encountered in athletic and non-athletic patients. Its definite diagnosis is also important. Accordingly, this study was performed to determine the diagnostic accuracy of ultra-sonography (US) compared with magnetic resonance imaging (MRI) in cases with suspicion of rotator cuff injuries. Methods and materials: In this prospective comparative study, 130 patients who had undergone shoulder arthroscopy and open rotator cuff repairing and confirm rotator cuff tears have been enrolled and evaluated with both ultrasonography and MRI methods. Results: The overall sensitivity (95% confidence interval[CI]) of US was 87.64% (78.55-93.37), the specificity (95%CI) was 89.02% (61.24-95.45). The overall sensitivity (95% confidence interval) of MRI was 91.31% (75.47-94.4) and the specificity (95%CI) of MRI was 83.02% (61.23-91.45). There was no statistical significance between sensitivity of two methods (p-value: 0.092). Conclusions: Totally, according to our findings and comparison with other similar studies, it could be concluded that ultrasonography has a good diagnostic modality in patients suspicious to rotator cuff tearing compared with MRI as a more diagnostic imaging test. Accordingly, its use is recommended in patients suspicious to have rotator cuff tearing
VL  - 1
IS  - 3
ER  -

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