Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Skeletal Radiology
Erschienen in: Skeletal Radiology 2/2017

08.11.2016 | Review Article

A systematic review and meta-analysis of diagnostic test of MRA versus MRI for detection superior labrum anterior to posterior lesions type II–VII

verfasst von: Alisara Arirachakaran, Manusak Boonard, Kornkit Chaijenkij, Kwanchai Pituckanotai, Akom Prommahachai, Jatupon Kongtharvonskul

Erschienen in: Skeletal Radiology | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Abstract

Objective

To determine the diagnostic performance of magnetic resonance arthrography (MRA) and magnetic resonance imaging (MRI) in superior labrum anterior to posterior lesions (type II–VII) of the shoulder.

Material and methods

PubMed and Scopus search engines, an electronic search of articles was performed from inception to February 19, 2016. Diagnostic performance of index tests was compared by the summary area under receiver operator characteristic curve (AUROC).

Results and conclusions

In all, 117 of 493 studies were eligible and 32 studies (2,013 shoulders) and 11 studies (1,498 shoulders) were evaluated with MRA and MRI. The summary sensitivity, specificity, likelihood ratio (positive and negative) and AUROC were 0.87 (95 % confidence interval, CI: 0.82, 0.91), 0.92 (95 %CI: 0.85, 0.95), 10.28 (95 %CI: 5.84, 18.08), 0.14 (95 %CI: 0.10, 0.20) and 0.94 (95 %CI: 0.92, 0.96) respectively for MRA, and 0.76 (95 %CI: 0.61, 0.86), 0.87 (95 %CI: 0.71, 0.95), 5.89 (95 %CI: 2.5, 13.86), 0.28 (95 %CI: 0.17, 0.47) and 0.94 (95 %CI: 0.92, 0.96) respectively for MRI. The diagnostic performance of MRA was superior to MRI by both direct and indirect comparisons for the detection of SLAP lesions.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Lichtenberg S, Magosch P, Habermeyer P. Superior labrum-biceps anchor complex. Orthopade. 2003;32(7):616–26.CrossRefPubMed
2.
Tischer T, Putz R. Anatomy of the superior labrum complex of the shoulder. Orthopade. 2003;32(7):572–7.CrossRefPubMed
3.
Bencardino JT, Beltran J, Rosenberg ZS, Rokito A, Schmahmann S, Mota J, et al. Superior labrum anterior-posterior lesions: diagnosis with MR arthrography of the shoulder. Radiology. 2000;214(1):267–71.CrossRefPubMed
4.
Chang D, Mohana-Borges A, Borso M, Chung CB. SLAP lesions: anatomy, clinical presentation, MR imaging diagnosis and characterization. Eur J Radiol. 2008;68(1):72–87.CrossRefPubMed
5.
Kessler MA, Burkart A, Weiss M, Imhoff AB. SLAP lesions as a cause of posterior instability. Orthopade. 2003;32(7):642–6.CrossRefPubMed
6.
Iqbal HJ, Rani S, Mahmood A, Brownson P, Aniq H. Diagnostic value of MR arthrogram in SLAP lesions of the shoulder. J R Coll Surg Edinburgh Irel. 2010;8(6):303–9.CrossRef
7.
Andrews JR, Carson Jr WG, McLeod WD. Glenoid labrum tears related to the long head of the biceps. Am J Sports Med. 1985;13(5):337–41.CrossRefPubMed
8.
Gottschalk MB, Karas SG, Ghattas TN, Burdette R. Subpectoral biceps tenodesis for the treatment of type II and IV superior labral anterior and posterior lesions. Am J Sports Med. 2014; 42(9):2128–35
9.
Snyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Friedman MJ. SLAP lesions of the shoulder. Arthroscopy. 1990;6(4):274–9.CrossRefPubMed
10.
Maffet MW, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med. 1995;23(1):93–8.CrossRefPubMed
11.
Morgan CD, Burkhart SS, Palmeri M, Gillespie M. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy. 1998;14(6):553–65.CrossRefPubMed
12.
Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder: a systematic review. Man Ther. 2009;14(2):119–30.CrossRefPubMed
13.
Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. Arthroscopy. 2003;19(5):517–23.CrossRefPubMed
14.
Genovese E, Spanò E, Castagna A, Leonardi A, Angeretti MG, Callegari L, et al. MR-arthrography in superior instability of the shoulder: correlation with arthroscopy. Radiol Med. 2013;118(6):1022–33.CrossRefPubMed
15.
Kwak SM, Brown RR, Resnick D, Trudell D, Applegate GR, Haghighi P. Anatomy, anatomic variations, and pathology of the 11- to 3-o’clock position of the glenoid labrum: findings on MR arthrography and anatomic sections. Am J Roentgenol. 1998;171(1):235–8.CrossRef
16.
Magee TH, Williams D. Sensitivity and specificity in detection of labral tears with 3.0-T MRI of the shoulder. Am J Roentgenol. 2006;187(6):1448–52.CrossRef
17.
Pandya NK, Colton A, Webner D, Sennett B, Huffman GR. Physical examination and magnetic resonance imaging in the diagnosis of superior labrum anterior-posterior lesions of the shoulder: a sensitivity analysis. Arthroscopy. 2008;24(3):311–7.CrossRefPubMed
18.
Pavic R, Margetic P, Bensic M, Brnadic RL. Diagnostic value of US, MR and MR arthrography in shoulder instability. Injury. 2013;44(Suppl3):S26–32.CrossRefPubMed
19.
Phillips JC, Cook C, Beaty S, Kissenberth MJ, Siffri P, Hawkins RJ. Validity of noncontrast magnetic resonance imaging in diagnosing superior labrum anterior-posterior tears. J Shoulder Elbow Surg. 2013;22(1):3–8.CrossRefPubMed
20.
Sheridan K, Kreulen C, Kim S, Mak W, Lewis K, Marder R. Accuracy of magnetic resonance imaging to diagnose superior labrum anterior-posterior tears. Knee Surg Sports Traumatol Arthrosc. 2015;23(9):2645–50.
21.
Tuite MJ, Cirillo RL, De Smet AA, Orwin JF. Superior labrum anterior-posterior (SLAP) tears: evaluation of three MR signs on T2-weighted images. Radiology. 2000;215(3):841–5.CrossRefPubMed
22.
Tuite MJ, Rutkowski A, Enright T, Kaplan L, Fine JP, Orwin J. Width of high signal and extension posterior to biceps tendon as signs of superior labrum anterior to posterior tears on MRI and MR arthrography. Am J Roentgenol. 2005;185(6):1422–8.CrossRef
23.
Van Der Veen HC, Collins JPM, Rijk PC. Value of magnetic resonance arthrography in post-traumatic anterior shoulder instability prior to arthroscopy: a prospective evaluation of MRA versus arthroscopy. Arch Orthop Trauma Surg. 2012;132(3):371–5.CrossRefPubMed
24.
Modi CS, Karthikeyan S, Marks A, Saithna A, Smith CD, Rai SB, et al. Accuracy of abduction-external rotation MRA versus standard MRA in the diagnosis of intra-articular shoulder pathology. Orthopedics. 2013;36(3):e337–42.CrossRefPubMed
25.
Khedr SA, Kassem HM, Azab MA. Comparative study of direct MR arthrography and CT arthrography with arthroscopic correlation in preoperative evaluation of anterior shoulder instability. Egypt J Radiol Nucl Med. 2013;44(4):817–27.CrossRef
26.
Beltran J, Rosenberg ZS, Chandnani VP, Cuomo F, Beltran S, Rokito A. Glenohumeral instability: evaluation with MR arthrography. Radiographics. 1997;17(3):657–73.CrossRefPubMed
27.
Gusmer PB, Potter HG, Schatz JA, Wickiewicz TL, Altchek DW, O’Brien SJ, et al. Labral injuries: accuracy of detection with unenhanced MR imaging of the shoulder. Radiology. 1996;200(2):519–24.CrossRefPubMed
28.
Jee WH, McCauley TR, Katz LD, Matheny JM, Ruwe PA, Daigneault JP. Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology. 2001;218(1):127–32.CrossRefPubMed
29.
Legan JM, Burkhard TK, Goff 2nd WB, Balsara ZN, Martinez AJ, Burks DD, et al. Tears of the glenoid labrum: MR imaging of 88 arthroscopically confirmed cases. Radiology. 1991;179(1):241–6.CrossRefPubMed
30.
Mohana-Borges AV, Chung CB, Resnick D. Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography. Am J Roentgenol. 2003;181(6):1449–62.CrossRef
31.
Palmer WE, Brown JH, Rosenthal DI. Labral-ligamentous complex of the shoulder: evaluation with MR arthrography. Radiology. 1994;190(3):645–51.CrossRefPubMed
32.
Smith AM, McCauley TR, Jokl P. SLAP lesions of the glenoid labrum diagnosed with MR imaging. Skelet Radiol. 1993;22(7):507–10.CrossRef
33.
Smith DK, Chopp TM, Aufdemorte TB, Witkowski EG, Jones RC. Sublabral recess of the superior glenoid labrum: study of cadavers with conventional nonenhanced MR imaging, MR arthrography, anatomic dissection, and limited histologic examination. Radiology. 1996;201(1):251–6.CrossRefPubMed
34.
Yoneda M, Izawa K, Hirooka A, Hayashida K, Wakitani S. Indicators of superior glenoid labral detachment on magnetic resonance imaging and computed tomography arthrography. J Shoulder Elbow Surg. 1998;7(1):2–12.CrossRefPubMed
35.
Magee T. 3-T MRI of the shoulder: is MR arthrography necessary? Am J Roentgenol. 2009;192(1):86–92.CrossRef
36.
Newcombe RG. Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med. 1998;17(8):857–72.CrossRefPubMed
37.
Stadlbauer V, Fickert P, Lackner C, Schmerlaib J, Krisper P, Trauner M, et al. Hepatotoxicity of NONI juice: report of two cases. World J Gastroenterol. 2005;11(30):4758–60.CrossRefPubMedPubMedCentral
38.
Vangsness Jr CT, Jorgenson SS, Watson T, Johnson DL. The origin of the long head of the biceps from the scapula and glenoid labrum: an anatomical study of 100 shoulders. J Bone Joint Surg. 1994;76(6):951–4.
39.
Waldt S, Burkart A, Lange P, Imhoff AB, Rummeny EJ, Woertler K. Diagnostic performance of MR arthrography in the assessment of superior labral anteroposterior lesions of the shoulder. Am J Roentgenol. 2004;182(5):1271–8.CrossRef
40.
Smith TO, Drew BT, Toms AP. A meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury. Arch Orthop Trauma Surg. 2012;132(7):905–19.CrossRefPubMed
41.
Guermazi A, Jomaah N, Hayashi D, Jarraya M, Silva Jr JR, Niu J, et al. MR arthrography of the shoulder: optimizing pulse sequence protocols for the evaluation of cartilage and labrum. Eur J Radiol. 2014;83(8):1421–8.CrossRefPubMed
42.
Banerjee M, Müller-Hübenthal J, Grimme S, Balke M, Bouillon B, Lefering R, et al. Moderate value of non-contrast magnetic resonance imaging after non-dislocating shoulder trauma. Knee Surg Sports Traumatol Arthrosc. 2014.
43.
Fallahi F, Green N, Gadde S, Jeavons L, Armstrong P, Jonker L. Indirect magnetic resonance arthrography of the shoulder: a reliable diagnostic tool for investigation of suspected labral pathology. Skelet Radiol. 2013;42(9):1225–33.CrossRef
44.
Connolly KP, Schwartzberg RS, Reuss B, Crumbie Jr D, Homan BM. Sensitivity and specificity of noncontrast magnetic resonance imaging reports in the diagnosis of type-II superior labral anterior-posterior lesions in the community setting. J Bone Joint Surg Series A. 2013;95(4):308–13.CrossRef
45.
Amin MF, Youssef AO. The diagnostic value of magnetic resonance arthrography of the shoulder in detection and grading of SLAP lesions: comparison with arthroscopic findings. Eur J Radiol. 2012;81(9):2343–7.CrossRefPubMed
46.
Acid S, Corroller TL, Aswad R, Pauly V, Champsaur P. Preoperative imaging of anterior shoulder instability: diagnostic effectiveness of MDCT arthrography and comparison with MR arthrography and arthroscopy. Am J Roentgenol. 2012;198(3):661–7.CrossRef
47.
Wade R, Corbett M, Eastwood A. Quality assessment of comparative diagnostic accuracy studies: our experience using a modified version of the QUADAS-2 tool. Res Synth Methods. 2013;4(3):280–6.PubMed
48.
Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155(8):529–36.CrossRefPubMed
49.
Deeks JJ, Macaskill P, Irwig L. The performance of tests of publication bias and other sample size effects in systematic reviews of diagnostic test accuracy was assessed. J Clin Epidemiol. 2005;58(9):882–93.CrossRefPubMed
50.
Rutter CM, Gatsonis CA. A hierarchical regression approach to meta-analysis of diagnostic test accuracy evaluations. Stat Med. 2001;20(19):2865–84.CrossRefPubMed
51.
Reitsma JB, Glas AS, Rutjes AW, Scholten RJ, Bossuyt PM, Zwinderman AH. Bivariate analysis of sensitivity and specificity produces informative summary measures in diagnostic reviews. J Clin Epidemiol. 2005;58(10):982–90.CrossRefPubMed
52.
Palmer TM PJ, Sutton AJ, Moreno SG. Contour-enhanced funnel plots in meta-analysis. STATA J. 8(2):242–54.
53.
Peters JL, Sutton AJ, Jones DR, Abrams KR, Rushton L. Contour-enhanced meta-analysis funnel plots help distinguish publication bias from other causes of asymmetry. J Clin Epidemiol. 2008;61(10):991–6.CrossRefPubMed
54.
55.
StataCorp. Stata 14 base reference manual. College Station, TX: Stata; 2015.
56.
Powell SE, Nord KD, Ryu RKN. The diagnosis, classification, and treatment of SLAP lesions. Oper Tech Sports Med. 2004;12(2):99–110.CrossRef
Metadaten
Titel
A systematic review and meta-analysis of diagnostic test of MRA versus MRI for detection superior labrum anterior to posterior lesions type II–VII
verfasst von
Alisara Arirachakaran
Manusak Boonard
Kornkit Chaijenkij
Kwanchai Pituckanotai
Akom Prommahachai
Jatupon Kongtharvonskul
Publikationsdatum
08.11.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 2/2017
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-016-2525-1

Weitere Artikel der Ausgabe 2/2017

Skeletal Radiology 2/2017 Zur Ausgabe

Review Article

Anterior cruciate ligament reconstruction tunnel size: causes of tunnel enlargement and implications for single versus two-stage revision reconstruction

Scientific Article

A cadaver study validating CT assessment of acetabular component orientation: the Perth CT hip protocol

Test Yourself: Question

Newborn with rhizomelia and difficulty breathing

Scientific Article

Calcific tendinopathy of the shoulder with intraosseous extension: outcomes of ultrasound-guided percutaneous irrigation

Case Report

Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees

Test Yourself: Answer

Test yourself: Inability to squat

Neu im Fachgebiet Radiologie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise