A Comparative Analysis of the Diagnostic Value of Shoulder MRI Plain Scan and MR Shoulder Arthrography for Rotator Cuff Injury
Objective: To analyze the diagnostic value of MRI plain scan and MR shoulder arthrography on rotator cuff injury. Methods: Sixty patients with suspected rotator cuff injury admitted to Yunnan South Central Hospital in Yunnan Province from October 2022 to March 2023 were selected, and all patients were scanned with MR conventional serial scan and MR arthrography, and the arthroscopic findings were used as the gold standard to compare the diagnostic results of the two methods on rotator cuff injury, the diagnostic value, the diagnostic value of different tear types, and the diagnostic value in oblique sagittal position for different parts of the display rate. Results: Arthroscopic findings were positive in 45 cases and negative in 15 cases; MR arthrography scans were positive in 42 cases and negative in 18 cases; MR conventional serial scans were positive in 39 cases and negative in 21 cases ; MR arthrography sensitivity was 88.89%, specificity 86.67%, accuracy 70.00%, positive predictive value 95.24% and 72.22% negative predictive value, while MR conventional serial scan was 84.44%, 93.33% specificity, 65.00% accuracy, 97.44% positive predictive value and 66.67% negative predictive value, with no statistically significant difference between the two methods (all P > 0.05); arthroscopy diagnosed 5 outer layer tears, 32 inner layer tears and 8 tendon MR arthrography diagnosed 6 outer layer tears, 33 inner layer tears and 6 intra-tendon tears, with an accuracy rate of 88.89% (40/45); MR conventional serial scan diagnosed 6 outer layer tears, 33 inner layer tears and 6 intra-tendon tears, with an accuracy rate of 84.44% (38/45). The difference in accuracy between the two groups was not
Li TJ, Wei C, Tang LC, et al. Changes in quantitative MR T2 mapping parameters in patients with rotator cuff injury and the relationship with SSV and DASH[J]. Imaging Science and Photochemistry, 2022, 40(6): 1602-1606.
Zhong Y. Clinical observation on the diagnosis of rotator cuff injury by MR double oblique coronal scanning of the shoulder joint[J]. Imaging Research and Medical Applications, 2021, 5(23):21-22+25.
Zhou Q. Analysis of the value of routine magnetic resonance examination in the diagnosis of rotator cuff injury[J]. China Practical Medicine,2022,17(23):100-102.
Wu XY. Clinical application of magnetic resonance imaging in the diagnosis of rotator cuff injury[J]. China Practical Medicine,2021,16(24):93-95.
Xie QC., Liu CH. Imaging performance and application value of conventional MRI and MRI shoulder arthrography in the diagnosis of shoulder joint injury[J]. Medical Equipment,2023,36(02):88-90.
Yang WJ. Clinical value of using dual oblique coronal scans of the shoulder joint to diagnose rotator cuff injury[J]. Modern medical imaging, 2019, 28(6): 1266-1267, 1278.
Liu ZG, Guo Y, Zhong SD. Discussion on the role of clinical examination and MRI in the diagnosis of rotator cuff injury[J]. Modern Medical Imaging, 2021, 30(01): 122-124.
Yang J. Clinical application value of MRI examination in the differential diagnosis of rotator cuff injury and frozen shoulder [J]. Imaging Research and Medical Applications, 2020, 4(19): 247-248.
Sun SF. Diagnostic value of magnetic resonance plain scan and magnetic resonance arthrography of the shoulder joint in rotator cuff injury[J]. Modern medical imaging, 2019, 28(02): 282-283+295.
Xiao LH, Cai QW, Gao Y, et al. MR arthrography evaluation of shoulder joint injury and controlled study with arthroscopy[J]. Chinese Journal of CT and MRI, 2020, 18(03): 131-134.
Guo QH, Yang Y, Li J, et al. The role of MR shoulder arthrography in guiding the surgical treatment of rotator cuff injury[J]. Chinese Journal of CT and MRI, 2019, 17(12):129-132.
Mo YX. Comparative analysis of conventional magnetic resonance and magnetic resonance indirect arthrography in the diagnosis of rotator cuff injury[J]. Contemporary Medicine, 2019, 25(29):35-37.
Liao RX, Zhang YL, Qu CW, et al. Diagnostic value analysis of 3.0T MR shoulder arthrography for rotator cuff injury[J]. Journal of Medical Imaging, 2019, 29(01):120-123.
Meng ZW. A comparative study of conventional magnetic resonance and magnetic resonance indirect arthrography in the diagnosis of rotator cuff injury[J]. Modern Diagnosis and Therapy, 2019, 30(05): 761-762.
Wang Y. A comparative analysis of conventional magnetic resonance versus magnetic resonance indirect arthrography in the diagnosis of rotator cuff injury[J]. China Medical Guide, 2020, 18(08): 1-2.
Li X, Xu F, Li GP, et al. Study on the value of magnetic resonance imaging and arthrography in the diagnosis of shoulder joint injury[J]. Hebei Medicine, 2019, 25(01):160-162.
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