Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist

Orman, Güneş; Yesiladali, Guray; Olcay, Ercan; Duymuş, Mahmut

doi:10.15197/sabad.1.12.07

Cited by 5 publications

(4 citation statements)

References 21 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MRI helps in the assessment of various ligaments, tendons, and nerves. It can also aid in the visualization of bones and soft tissue lesions including marrow, cartilage, and blood vessels [7], while USG provides a reliable diagnosis regarding cystic or solid nature of lesions and can help in diagnosis based on their imaging patterns [8]. In our study, USG and MRI agreed in 95% of cases with tendinopathy.…”

Section: Discussionsupporting

confidence: 53%

Role of ultrasound versus magnetic resonance imaging in evaluation of non-osseous disorders causing wrist pain

El-Deek

Dawood

Mohammed

2019

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

Background: Wrist pain is a challenge, and imaging plays an important role in the evaluation of wrist pain.Purpose: Assessment of the role of ultrasonography (USG) versus magnetic resonance imaging (MRI) in the diagnosis and evaluation of wrist pain Results: Out of 50 patients, 35 males (70%) and 15 females (30%) (age range 12-62 years; mean = 31.7 years) were included in the study. The sensitivity, specificity, and accuracy of MRI and USG for tendinopathy were 95%, 100%, and 97.5% and 95%, 100%, and 97.5% respectively. The sensitivity, specificity, and accuracy of MRI and USG for TFCC tear were 75%, 100%, and 87.5% and 0%, 50%, and 50% respectively. The sensitivity, specificity, and accuracy of MRI and USG for simple ganglion were 100%, 100%, and 100% and 75%, 100%, and 87.5% respectively. The sensitivity, specificity, and accuracy of MRI and USG for solid mass were 100%, 100%, and 100% and 100%, 100%, and 100% respectively. The sensitivity, specificity, and accuracy of MRI and USG for foreign body were 50%, 100%, and 75% and 100%, 100%, and 100% respectively. The sensitivity, specificity, and accuracy of MRI and USG for carpal tunnel syndrome (CTS) were 77.8%, 100%, and 88.9% and 88.9%, 100%, and 94.4% respectively. Overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of USG Vs MRI were 79.2%, 96.1%, 95.0%, 83.3%, and 88.0% and 89.8%, 98.0%, 97.8%, 90.9%, and 94.0% respectively. Conclusion: USG is near equal to MRI in the assessment of tendon abnormalities and better than MRI in the diagnosis of CTS and foreign body, but MRI is better than USG in the assessment of TFCC and in the assessment of swelling (simple ganglion) and characterization of masses.

show abstract

Section: Discussionsupporting

confidence: 53%

Role of ultrasound versus magnetic resonance imaging in evaluation of non-osseous disorders causing wrist pain

El-Deek

Dawood

Mohammed

2019

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

show abstract

“…This disagreed with the study of Orman et al, [10] that concluded that ultrasonography of hand and wrist in patients with soft-tissue masses is the first-choice technique as it can identify the presence of a space-occupying lesion and to characterize its nature. Other techniques rarely provide more information.…”

Section: Abbreviationsmentioning

confidence: 59%

The feasibility of high-resolution ultrasonography and MRI in diagnosing finger lesions

Hashem

Kalaawy

2021

J Ultrasound

View full text Add to dashboard Cite

Purpose To evaluate the diagnostic performance of both ultrasonography and MRI findings in finger lesions. Methods This study was carried out on seventy symptomatic patients (53 females and 17 males). Their ages ranged from 6 to 64 years. All patients were referred to the diagnostic radiology department from various outpatient clinics of general, orthopedic, cosmetic surgeries and rheumatology. All patients were subjected to history taking, clinical examination, laboratory investigations for rheumatoid arthritis patients and radiological investigations. Whenever we had a surgical and pathological final diagnosis, it was considered the gold standard of the results. When only ultrasound and MRI were correlated, MRI was considered the gold standard. ResultsIn our study, we found that ultrasonography is useful for evaluating a variety of lesions of the finger. Its widespread availability, relatively low cost, and high spatial resolution make it an excellent tool for investigating finger disorders. MR is the best imaging modality for lesion characterization. By systematically using clinical history, lesion location, findings on radiographs and MR imaging features, the radiologist can differentiate between determinate and indeterminate lesions. Conclusion We concluded that ultrasonography and MRI are complementary to reach a correct diagnosis in different etiologies of finger lesions.

show abstract

“…USG and MRI share a complementary role in imaging and diagnosing wrist pathologies. MRI can be accurate and sensitive in studying both soft tissue and osseous causes of wrist pain [5] , while USG is more accurate in differentiating cystic from solid natured lesions, as well as studying tendinous structures, owing to its dynamic capability [6] .…”

Section: Discussionmentioning

confidence: 99%

“…The patient was examined in the upright sitting position, his hand and wrist resting on a cushion, first pronated, then supinated, screening the different extensor compartments and major internal structures of the wrist joint Figs. (1)(2)(3)(4)(5)(6). Two different radiologists performed the ultrasound and MRI studies, each with an experience in musculoskeletal imaging more than 10 years, and both were blinded to the results of each modality to reduce bias.…”

Section: Patient Positionmentioning

confidence: 99%

Ulnar-Sided Traumatic Wrist Pain. High Resolution Ultrasound Effectiveness versus MRI Assessment and Accuracy

El-Leithy¹

2021

The Medical Journal of Cairo University

View full text Add to dashboard Cite

Background: This work was conducted to assess the effectiveness of high resolution Ultrasonography (USG) compared with Magnetic Resonance Imaging (MRI) in investigating causes of ulnar sided wrist pain in traumatic patients, as this entity represents a diagnostic dilemma, owing to the anatomical complexity and small sized structures, as well as diversity of causes. Imaging plays an important role in guiding the diagnosis and minimizing unwanted surgical interventions. Aim of Study:To evaluate the diagnostic performance of both ultrasonography and MRI in ulnar sided wrist pain, highlightening both the strengths and weaknesses of these two imaging modalities.Patients and Methods: This study included fifty patients presenting with ulnar sided wrist pain. MRI and Ultrasonography were done in all patients.Results: Out of 50 patients, 30 males (60%) and 20 females (40%), age ranging 23-65 years, were included in this study. A comparative analysis was done using MRI versus USG findings. The sensitivity, specificity, and accuracy of USG for Scapho-lunate ligament injury were 45.5%, 100%, 88% respectively, as MRI was positive in 11 cases, while USG only diagnosed 5 cases. The sensitivity, specificity, and accuracy for Triangular Fibrocartilage (TFCC) tear, were 64.71%, 90.91% and 82% respectively, as MRI was positive in 17 cases, while USG diagnosed 14 cases. For Extensor Carpi Ulnaris (ECU) injury, were 100%, 89.1% and 92% respectively, as MRI was positive in 13 cases, while USG diagnosed 17 cases. For extensor carpi ulnaris tendon subluxation, were 100%, 100% and 100% respectively, as both modalities were successful in diagnosing the same three cases, for ganglion cysts, were 100%, 100% and 100% respectively. For trabecular bone edema, MRI was positive in 24 cases, and for distal radioulnar joint instability MRI was positive in 9 cases, which were not diagnosed by USG, with lack of agreement between both modalities. Conclusion:Both magnetic resonance imaging and musculoskeletal ultrasound are essential and complement each other in the evaluation of causes of ulnar sided wrist pain in trauma patients. Musculoskeletal ultrasound is highly recommended for the examination of tendon injuries, while MRI is

show abstract

Comparison of Ultrasonography and Magnetic Resonance Imaging for Diagnosis of Soft Tissue Masses of the Hand and Wrist

Abstract: ABSTRACT

Cited by 5 publications

References 21 publications

Role of ultrasound versus magnetic resonance imaging in evaluation of non-osseous disorders causing wrist pain

Role of ultrasound versus magnetic resonance imaging in evaluation of non-osseous disorders causing wrist pain

The feasibility of high-resolution ultrasonography and MRI in diagnosing finger lesions

Ulnar-Sided Traumatic Wrist Pain. High Resolution Ultrasound Effectiveness versus MRI Assessment and Accuracy

Contact Info

Product

Resources

About