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The usefulness of virtual MR arthroscopy as an adjunct to conventional MR arthrography in detecting anterior labral lesions of the shoulder

Authors
 Ho-Taek Song  ;  Yong-Min Huh  ;  Sungjun Kim  ;  Sung-Jae Kim  ;  Jin-Suck Suh 
Citation
 AMERICAN JOURNAL OF ROENTGENOLOGY, Vol.192(4) : 149-155, 2009 
Journal Title
 AMERICAN JOURNAL OF ROENTGENOLOGY 
ISSN
 0361-803X 
Issue Date
2009
MeSH
Adolescent ; Adult ; Arthroscopy/methods* ; Cartilage, Articular/injuries* ; Female ; Humans ; Image Interpretation, Computer-Assisted ; Ligaments, Articular/injuries* ; Magnetic Resonance Imaging/methods* ; Male ; ROC Curve ; Sensitivity and Specificity ; Shoulder Joint/injuries* ; User-Computer Interface
Keywords
ALPSA lesion ; Bankart lesion ; Perthes lesion ; recurrent shoulder dislocation ; shoulder instability ; shoulder labral lesion ; virtual MR arthroscopy
Abstract
OBJECTIVE: The objective of this study was to investigate the usefulness of virtual MR arthroscopy as an adjunct to conventional MR arthrography in detecting various anteroinferior glenoid labral lesions. MATERIALS AND METHODS: The study group was composed of 28 patients (22 men and six women; mean age, 25 years) who underwent direct MR arthrography of the shoulder as well as arthroscopy due to recurrent shoulder dislocations. MR arthrography examinations were reviewed retrospectively with radiologists blinded to the arthroscopic diagnoses. Virtual MR arthroscopy was produced from fat-suppressed 3D gradient-recalled echo MR arthrography using volume-rendering software. The sensitivity, specificity, and accuracy for diagnosis were calculated. The diagnostic performances were validated by receiver operating characteristic curve analysis. RESULTS: The structure of the glenoid labrum was well visualized in a 3D perspective, and characterization of the injured anterior glenoid labrum was aided by adjunct use of virtual MR arthroscopy. The accuracy for detecting classic Bankart, anterior labroligamentous periosteal sleeve avulsion, and Perthes lesions improved to 85.7%, 85.7%, and 92.9%, respectively, with adjunct virtual MR arthroscopy with MR arthrography versus 78.6%, 82.1%, and 89.3%, respectively, with MR arthrography alone. A statistically significant improvement of the diagnostic capability of MR arthrography with adjunct virtual MR arthroscopy was proven for the detection of a classic Bankart lesion (p < 0.05). CONCLUSION: Having a 3D perspective to validate chronic recurrent glenoid labral injuries of the shoulder facilitated understanding of the anatomic relationships and helped diagnosis. Adjunct virtual MR arthroscopy is potentially useful for detecting and characterizing chronic recurrent glenoid labral lesions to improve diagnosis.
Full Text
http://www.ajronline.org/doi/abs/10.2214/AJR.07.2312
DOI
10.2214/AJR.07.2312
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Jae(김성재)
Kim, Sungjun(김성준) ORCID logo https://orcid.org/0000-0002-7876-7901
Suh, Jin Suck(서진석) ORCID logo https://orcid.org/0000-0001-9455-9240
Song, Ho Taek(송호택) ORCID logo https://orcid.org/0000-0002-6655-2575
Huh, Yong Min(허용민) ORCID logo https://orcid.org/0000-0002-9831-4475
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103873
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