nach oben

European Radiology

Erschienen in:

01.04.2015 | Musculoskeletal

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

verfasst von: Patrick Omoumi, Alexandra Rubini, Jean-Emile Dubuc, Bruno C. Vande Berg, Frédéric E. Lecouvet

Erschienen in: European Radiology | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To compare the diagnostic performance of multi-detector CT arthrography (CTA) and 1.5-T MR arthrography (MRA) in detecting hyaline cartilage lesions of the shoulder, with arthroscopic correlation.

Patients and methods

CTA and MRA prospectively obtained in 56 consecutive patients following the same arthrographic procedure were independently evaluated for glenohumeral cartilage lesions (modified Outerbridge grade ≥2 and grade 4) by two musculoskeletal radiologists. The cartilage surface was divided in 18 anatomical areas. Arthroscopy was taken as the reference standard. Diagnostic performance of CTA and MRA was compared using ROC analysis. Interobserver and intraobserver agreement was determined by κ statistics.

Results

Sensitivity and specificity of CTA varied from 46.4 to 82.4 % and from 89.0 to 95.9 % respectively; sensitivity and specificity of MRA varied from 31.9 to 66.2 % and from 91.1 to 97.5 % respectively. Diagnostic performance of CTA was statistically significantly better than MRA for both readers (all p ≤ 0.04). Interobserver agreement for the evaluation of cartilage lesions was substantial with CTA (κ = 0.63) and moderate with MRA (κ = 0.54). Intraobserver agreement was almost perfect with both CTA (κ = 0.94–0.95) and MRA (κ = 0.83–0.87).

Conclusion

The diagnostic performance of CTA and MRA for the detection of glenohumeral cartilage lesions is moderate, although statistically significantly better with CTA.

Key points

• CTA has moderate diagnostic performance for detecting glenohumeral cartilage substance loss.

• MRA has moderate diagnostic performance for detecting glenohumeral cartilage substance loss.

• CTA is more accurate than MRA for detecting cartilage substance loss.

Gross CE, Chalmers PN, Chahal J, Van Thiel G, Bach BR, Cole BJ et al (2012) Operative treatment of chondral defects in the glenohumeral joint. Arthroscopy 28:1889–1901CrossRefPubMed

Elser F, Braun S, Dewing CB, Millett PJ (2010) Glenohumeral joint preservation: current options for managing articular cartilage lesions in young, active patients. Arthroscopy 26:685–696CrossRefPubMed

Guntern DV, Pfirrmann CWA, Schmid MR, Zanetti M, Binkert CA, Schneeberger AG et al (2003) Articular cartilage lesions of the glenohumeral joint: diagnostic effectiveness of MR arthrography and prevalence in patients with subacromial impingement syndrome. Radiology 226:165–170CrossRefPubMed

Spencer BA, Dolinskas CA, Seymour PA, Thomas SJ, Abboud JA (2013) Glenohumeral articular cartilage lesions: prospective comparison of non-contrast magnetic resonance imaging and findings at arthroscopy. Arthroscopy 29:1466–1470CrossRefPubMed

Rubenstein JD, Li JG, Majumdar S, Henkelman RM (1997) Image resolution and signal-to-noise ratio requirements for MR imaging of degenerative cartilage. AJR Am J Roentgenol 169:1089–1096CrossRefPubMed

Gold GE, Reeder SB, Beaulieu CF (2004) Advanced MR imaging of the shoulder: dedicated cartilage techniques. Magn Reson Imaging Clin N Am 12:143–159, viiCrossRefPubMed

Yeh LR, Kwak S, Kim YS et al (1998) Evaluation of articular cartilage thickness of the humeral head and the glenoid fossa by MR arthrography: anatomic correlation in cadavers. Skeletal Radiol 27:500–504CrossRefPubMed

Dietrich TJ, Zanetti M, Saupe N, Pfirrmann CWA, Fucentese SF, Hodler J (2010) Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography. Skeletal Radiol 39:473–480CrossRefPubMed

Lecouvet FE, Simoni P, Koutaïssoff S, Vande Berg BC, Malghem J, Dubuc J-E (2008) Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol 68:120–136CrossRefPubMed

10.

Omoumi P, Teixeira P, Delgado G, Chung CB (2009) Imaging of lower limb cartilage. Top Magn Reson Imaging 20:189–201CrossRefPubMed

11.

Omoumi P, Bafort A-C, Dubuc J-E, Malghem J, Vande Berg BC, Lecouvet FE (2012) Evaluation of rotator cuff tendon tears: comparison of multidetector CT arthrography and 1.5-T MR arthrography. Radiology 264:812–822CrossRefPubMed

12.

Rhee RB, Chan KK, Lieu JG, Kim BS, Steinbach LS (2012) MR and CT arthrography of the shoulder. Semin Musculoskelet Radiol 16:3–14CrossRefPubMed

13.

Hodler J, Kursunoglu-Brahme S, Snyder SJ et al (1992) Rotator cuff disease: assessment with MR arthrography versus standard MR imaging in 36 patients with arthroscopic confirmation. Radiology 182:431–436CrossRefPubMed

14.

Zanetti M, Weishaupt D, Gerber C, Hodler J (1998) Tendinopathy and rupture of the tendon of the long head of the biceps brachii muscle: evaluation with MR arthrography. AJR Am J Roentgenol 170:1557–1561CrossRefPubMed

15.

Bencardino JT, Beltran J, Rosenberg ZS et al (2000) Superior labrum anterior-posterior lesions: diagnosis with MR arthrography of the shoulder. Radiology 214:267–271CrossRefPubMed

16.

Jee WH, McCauley TR, Katz LD, Matheny JM, Ruwe PA, Daigneault JP (2001) Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis. Radiology 218:127–132CrossRefPubMed

17.

Acid S, Le Corroller T, Aswad R, Pauly V, Champsaur P (2012) Preoperative imaging of anterior shoulder instability: diagnostic effectiveness of MDCT arthrography and comparison with MR arthrography and arthroscopy. Am J Roentgenol 198:661–667CrossRef

18.

Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg (Br) 43-B:752–757

19.

Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17:505–513CrossRefPubMed

20.

Hanley JA, McNeil BJ (1982) The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143:29–36CrossRefPubMed

21.

DeLong ER, DeLong DM, Clarke-Pearson DL (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44:837–845CrossRefPubMed

22.

van Erkel AR, Pattynama PM (1998) Receiver operating characteristic (ROC) analysis: basic principles and applications in radiology. Eur J Radiol 27:88–94CrossRefPubMed

23.

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRefPubMed

24.

Rand T, Brossmann J, Pedowitz R, Ahn JM, Haghigi P, Resnick D (2000) Analysis of patellar cartilage: comparison of conventional MR imaging and MR and CT arthrography in cadavers. Acta Radiol 41:492–497PubMed

25.

Li J, Zheng Z-Z, Li X, Yu J-K (2009) Three dimensional assessment of knee cartilage in cadavers with high resolution MR-arthrography and MSCT-arthrography. Acad Radiol 16:1049–1055CrossRefPubMed

26.

Gagliardi JA, Chung EM, Chandnani VP et al (1994) Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol 163:629–636CrossRefPubMed

27.

Hayes ML, Collins MS, Morgan JA, Wenger DE, Dahm DL (2010) Efficacy of diagnostic magnetic resonance imaging for articular cartilage lesions of the glenohumeral joint in patients with instability. Skeletal Radiol 39:1199–1204CrossRefPubMed

28.

Lecouvet FE, Dorzée B, Dubuc JE, Vande Berg BC, Jamart J, Malghem J (2007) Cartilage lesions of the glenohumeral joint: diagnostic effectiveness of multidetector spiral CT arthrography and comparison with arthroscopy. Eur Radiol 17:1763–1771CrossRefPubMed

29.

Yeh L, Kwak S, Kim YS, Pedowitz R, Trudell D, Muhle C et al (1998) Anterior labroligamentous structures of the glenohumeral joint: correlation of MR arthrography and anatomic dissection in cadavers. AJR Am J Roentgenol 171:1229–1236CrossRefPubMed

30.

Vande Berg BC, Lecouvet FE, Maldague B, Malghem J (2004) MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis. Eur Radiol 14:208–214CrossRefPubMed

31.

Hodler J, Loredo RA, Longo C, Trudell D, Yu JS, Resnick D (1995) Assessment of articular cartilage thickness of the humeral head: MR-anatomic correlation in cadavers. AJR Am J Roentgenol 165:615–620CrossRefPubMed

32.

Andreisek G, Duc SR, Froehlich JM, Hodler J, Weishaupt D (2007) MR arthrography of the shoulder, hip, and wrist: evaluation of contrast dynamics and image quality with increasing injection-to-imaging time. AJR Am J Roentgenol 188:1081–1088CrossRefPubMed

33.

Omoumi P, Verdun FR, Salah YB et al (2014) Low-dose multidetector computed tomography of the cervical spine: optimization of iterative reconstruction strength levels. Acta Radiol 55:335–344CrossRefPubMed

34.

Becce F, Ben Salah Y, Verdun FR, Vande Berg BC, Lecouvet FE, Meuli R et al (2013) Computed tomography of the cervical spine: comparison of image quality between a standard-dose and a low-dose protocol using filtered back-projection and iterative reconstruction. Skeletal Radiol 42:937–945CrossRefPubMed

35.

Gervaise A, Teixeira P, Villani N, Lecocq S, Louis M, Blum A (2013) CT dose optimisation and reduction in osteoarticular disease. Diagn Interv Imaging 94:371–388CrossRefPubMed

36.

Jung JY, Yoon YC, Choi SH, Kwon JW, Yoo J, Choe BK (2009) Three-dimensional isotropic shoulder MR arthrography: comparison with two-dimensional MR arthrography for the diagnosis of labral lesions at 3.0 T. Radiology 250498

37.

Kijowski R, Blankenbaker DG, Davis KW, Shinki K, Kaplan LD, De Smet AA (2009) Comparison of 1.5- and 3.0-T MR imaging for evaluating the articular cartilage of the knee joint. Radiology 250:839–848CrossRefPubMed

38.

Notohamiprodjo M, Horng A, Pietschmann MF et al (2009) MRI of the knee at 3T: first clinical results with an isotropic PDfs-weighted 3D-TSE-sequence. Invest Radiol 44:585–597CrossRefPubMed

39.

Becce F, Richarme D, Omoumi P, Djahangiri A, Farron A, Meuli R et al (2012) Direct MR arthrography of the shoulder under axial traction: feasibility study to evaluate the superior labrum-biceps tendon complex and articular cartilage. J Magn Reson Imaging 37:1228–1233CrossRefPubMed

Titel: Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation
verfasst von: Patrick Omoumi
Alexandra Rubini
Jean-Emile Dubuc
Bruno C. Vande Berg
Frédéric E. Lecouvet
Publikationsdatum: 01.04.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 4/2015
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3469-2

Neu im Fachgebiet Radiologie

08.04.2024 | Andrologie | Nachrichten

Update Radiologie

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

Newsletter bestellen

Springer Medizin

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

Abstract

Purpose

Patients and methods

Results

Conclusion

Key points

Neu im Fachgebiet Radiologie

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Die Ganz-Genom-Sequenzierung startet

Update Radiologie

Springer Medizin

Abstract

Purpose

Patients and methods

Results

Conclusion

Key points

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2015

Strain ratio measurement of femoral cartilage by real-time elastosonography: preliminary results

Percutaneous consolidation of loosened spine arthrodesis under CT and fluoroscopy guidance by radiologists: a new useful technique

Imaging differentiation of phytobezoar and small-bowel faeces: CT characteristics with quantitative analysis in patients with small- bowel obstruction

Determining the organ of origin of large pelvic masses in females using multidetector CT angiography and three-dimensional volume rendering CT angiography

A 16-channel MR coil for simultaneous PET/MR imaging in breast cancer

Impact of iterative reconstruction on the diagnosis of acute pulmonary embolism (PE) on reduced-dose chest CT angiograms

Neu im Fachgebiet Radiologie

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Die Ganz-Genom-Sequenzierung startet

Update Radiologie