A Comparative Assessment Between High-resolution Ultrasonography and Field Magnetic Resonance Imaging in Supraspinatus Tear Cases and Its Arthroscopic Correlation

Sabharwal, Tushar; Khanduri, Sachin; Khan, Salman; Husain, Mushahid; Singh, Anchal; Khan, Ahmad Ali; Abbas, Syed Zain; Singh, Harshika

doi:10.7759/cureus.5627

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Out of 92 patients, 44 (47.8%) patients were males while 48 (52.2%) patients were females. Subharwal et al9 had 68.3% females and 32.7% males' patients in their study.…”

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confidence: 77%

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

Nadeem¹,

Yousaf²,

Yusuf³

et al. 2021

Annals KEMU

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Objective: To determine the diagnostic accuracy of high-resolution ultrasonography for the diagnosis of rotator cuff tears considering magnetic resonance imaging as gold standard. Methodology: This correlational study was done using non-probability consecutive sampling technique, at the Department of Orthopaedic Surgery and the Department of Radiology, Services Hospital Lahore from 15th July 2013 till 14th January 2016. All the patients, age between 40 to 70 years, who presented with shoulder pain for last three month, that was not settled with oral analgesic, and were positive for Hawkin’s -Kennedy test, Jobe’s test and drop arm were included in the study. Patients who had fracture of the clavicle, scapula or proximal end of humerus, and patients with prosthetic implants and pacemakers were excluded in the study. All clinical test positive patients underwent ultrasonography (USG) and magnetic resonance imaging (MRI). We calculated specificity, sensitivity, positive predictive value (PPV), negative predictive value (NPV), accuracy and likelihood ratio for ultrasonography. Results: Out of the total 92 patients, on MRI there were 68 (73.9%) complete and 24 (26.1%) partial Rotator Cuff Tears. USG diagnosed 62 out of 68 complete tears accurately. There were 21 true negative and 03 false positive complete tears. USG showed sensitivity of 91%, specificity of 87% (p-value

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“…Out of 92 patients, 44 (47.8%) patients were males while 48 (52.2%) patients were females. Subharwal et al9 had 68.3% females and 32.7% males' patients in their study.…”

mentioning

confidence: 77%

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

Nadeem¹,

Yousaf²,

Yusuf³

et al. 2021

Annals KEMU

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“…27 Five studies evaluated in this review included US and MRI diagnostic outcome data with arthroscopy as reference. 2,10,15,47,50 After meta-analysis, no significant differences were found in US and MRI diagnostic sensitivity, specificity, and accuracy for any sized-thickness, fullthickness, or partial-thickness supraspinatus tears (Figure 4). These results are consistent with those of recent systematic reviews and meta-analyses.…”

Section: Discussionmentioning

confidence: 98%

“…Moreover, the mean time from US examination to arthroscopic evaluation was >6 months in 3 studies 2 , 15 , 44 and was not reported in another 8 studies. 10 , 17 , 24 , 30 , 40 , 48 , 50 , 57 Variability in time from patient presentation to surgery could influence the correlation between US results and arthroscopy because of subsequent healing or further damage.…”

Section: Discussionmentioning

confidence: 99%

“…Five studies compared the diagnostic capability of US and MRI for supraspinatus tears using arthroscopy as the reference standard and were included for meta-analysis (Figure 4). 2,10,15,48,50 Median sensitivity and specificity for fullthickness tears was 0.94 and 0.94 for US and 0.94 and 0.89 for MRI, respectively. When diagnosing partial-thickness tears, median sensitivity and specificity were 0.89 and 0.89 for US and 0.85 and 0.87 for MRI, respectively.…”

Section: Study Characteristics and Bias Assessmentmentioning

confidence: 99%

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Diagnostic Accuracy of Ultrasonography for Rotator Cuff Tears: A Systematic Review and Meta-analysis

Farooqi

Lee

Novikov

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: With recent improvements in transducer strength, image resolution, and operator training, ultrasound (US) provides an excellent alternative imaging modality for the diagnosis of rotator cuff tears. Purpose: To evaluate the diagnostic accuracy of US for partial- and full-thickness rotator cuff tears and biceps tendon tears, compare diagnostic values with those of magnetic resonance imaging (MRI) using arthroscopy as the reference standard, assess longitudinal improvements in accuracy, and compare diagnostic values from operators with different training backgrounds. Study Design: Systematic review; Level of evidence, 3. Methods: The PubMed and Cochrane Library databases were systematically searched for full-text journal articles published between January 1, 2010, and April 1, 2020. The inclusion criteria were studies that evaluated the diagnostic accuracy of US for rotator cuff tears or biceps tendon tears utilizing arthroscopy as the reference standard. The exclusion criteria were studies with <10 patients, studies including massive tears without reporting diagnostic data for specific tendons, and studies lacking diagnostic outcome data. Extracted outcomes included diagnostic accuracy, sensitivity, specificity, negative predictive value, and positive predictive value. The mean difference and 95% confidence interval were calculated for both US and MRI diagnostic values, and meta-analysis was conducted using the Mantel-Haenszel random-effects model. Results: In total, 23 eligible studies involving 2054 shoulders were included. US demonstrated a higher median diagnostic accuracy for supraspinatus tendon tears (0.83) and biceps tendon tears (0.93) as compared with subscapularis tendon tears (0.76). US was found to have a higher median accuracy (0.93) for full-thickness supraspinatus tears than partial-thickness tears (0.81). US had superior median sensitivity for partial-thickness supraspinatus tears when performed by radiologists as opposed to surgeons (0.86 vs 0.57). Meta-analysis of the 5 studies comparing US and MRI demonstrated no statistically significant difference in diagnostic sensitivity, specificity, or accuracy for any thickness supraspinatus tears (P = .31-.55), full-thickness tears (P = .63-.97), or partial-thickness tears ( P = .13-.81). Conclusion: For experienced operators, US is a highly sensitive and specific diagnostic modality for the diagnosis of supraspinatus tears and demonstrates statistically equivalent capability to MRI in the diagnosis of both full- and partial-thickness rotator cuff tears.

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MSK Ultrasound - An IJSPT Perspective

Page

Manske

Voight

et al. 2023

International Journal of Sports Physical Therapy

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MSK ultrasound is a valuable imaging technique which has become increasingly popular in recent years. This efficient technique proves beneficial in a variety of ways. MSK ultrasound effectively streamlines the process by enabling practitioners to securely and accurately image and assess structures all in one simple step. By allowing healthcare providers to access critical information quickly and conveniently, MSK ultrasound can help identify conditions early when interventions are most effective. Moreover, it may be able to shorten diagnostic times and reduce costs through more cost-effective use of resources such as imaging and laboratory testing. Furthermore, MSK ultrasound can provide additional insights into musculoskeletal anatomy and help improve patient care and outcomes. In addition, utilizing this method reduces exposure to radiation and provides enhanced patient comfort with its quick scan duration. MSK ultrasound has a high potential to provide quick and accurate diagnosis of MSK disturbances when used correctly. As clinicians become more comfortable and familiar with this technology, we will continue to see its use expand for various MSK assessments. In this commentary we’ll explore how ultrasound can be used in physical therapy, specifically for musculoskeletal assessment. We’ll also look at some of the potential benefits and limitations of using ultrasound in PT practice.

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A Comparative Assessment Between High-resolution Ultrasonography and Field Magnetic Resonance Imaging in Supraspinatus Tear Cases and Its Arthroscopic Correlation

Cited by 3 publications

References 12 publications

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

Diagnostic Accuracy of Ultrasonography for Rotator Cuff Tears: A Systematic Review and Meta-analysis

MSK Ultrasound - An IJSPT Perspective

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