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La radiologia medica

, Volume 123, Issue 8, pp 620–630 | Cite as

Diagnostic performance of shoulder magnetic resonance arthrography for labral tears having surgery as reference: comparison of high-resolution isotropic 3D sequence (THRIVE) with standard protocol

  • Sun Hwa Lee
  • Seong Jong Yun
  • Youngno Yoon
MAGNETIC RESONANCE IMAGING
  • 221 Downloads

Abstract

Purpose

To compare the diagnostic performance of T1 high-resolution isotropic volume excitation (THRIVE) sequence with that of a standard protocol for direct shoulder magnetic resonance arthrography (MRA) for the diagnosis of superior labral anterior-to-posterior (SLAP) and Bankart lesions, using arthroscopy findings as a reference standard.

Materials and methods

We retrospectively studied 84 patients who underwent direct shoulder 3T MRA using THRIVE and two-dimensional three-plane proton-density fat-suppressed (2D-PD-FS) sequences. One reviewer evaluated the contrast-to-noise ratio (CNR) as a quantitative image quality. Other two reviewers independently evaluated the subjective image noise, image sharpness, and radiologic diagnosis as qualitative image quality. Arthroscopic surgical findings were considered the reference standard. Wilcoxon rank sum, Chi-square/Fisher’s exact, and DeLong’s tests, as well as intraclass correlation coefficients (ICCs) were used to evaluate differences between THRIVE and 2D-PD-FS images.

Results

THRIVE images had significantly higher CNR (p < 0.001), and subjective ratings of image noise (p = 0.009) and sharpness (p = 0.039) than 2D-PD-FS images (p < 0.001). THRIVE images had similar (p ≥ 0.18) diagnostic performance (sensitivity, 93.0–97.2%; specificity, 95.8–100%; accuracy, 95.2–97.6%) for the diagnosis of SLAP and Bankart lesions with excellent agreement (ICC = 0.898–0.942) when compared to 2D-PD-FS images (sensitivity, 86.1–91.7%; specificity, 93.8–95.8%; accuracy, 90.5–92.9%; agreement, ICC = 0.782–0.858). The scan time was reduced by 69% for THRIVE sequence compared to 2D-PD-FS sequence (2 min 40 s vs. 8 min 40 s).

Conclusion

The THRIVE sequence may be helpful in the diagnosis of SLAP and Bankart lesions, and may be routinely used during direct shoulder 3T MRA.

Keywords

T1 high-resolution isotropic volume excitation Direct shoulder MR arthrography SLAP lesion Bankart lesion Comparative study 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. In addition, as this was a retrospective study we state that for this type of study formal consent is not required.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Italian Society of Medical Radiology 2018

Authors and Affiliations

  1. 1.Department of Emergency Medicine, Sanggye Paik HospitalInje University College of MedicineSeoulRepublic of Korea
  2. 2.Department of RadiologyKyung Hee University Hospital at Gangdong, Kyung Hee University School of MedicineSeoulRepublic of Korea
  3. 3.Department of Radiology, Gangnam Severance Hospital, College of MedicineYonsei UniversitySeoulRepublic of Korea

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