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Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

BackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most us... Full description

Journal Title: British Journal of Sports Medicine 2015-10, Vol.49 (20), p.1316-1328
Main Author: Roy, Jean-Sébastien
Other Authors: Braën, Caroline , Leblond, Jean , Desmeules, François , Dionne, Clermont E , MacDermid, Joy C , Bureau, Nathalie J , Frémont, Pierre
Format: Electronic Article Electronic Article
Language: English
Subjects:
MRI
NMR
Publisher: England: British Medical Association
ID: ISSN: 0306-3674
Link: https://www.ncbi.nlm.nih.gov/pubmed/25677796
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4621376
title: Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis
format: Article
creator:
  • Roy, Jean-Sébastien
  • Braën, Caroline
  • Leblond, Jean
  • Desmeules, François
  • Dionne, Clermont E
  • MacDermid, Joy C
  • Bureau, Nathalie J
  • Frémont, Pierre
subjects:
  • 1506
  • Accuracy
  • analysis
  • Arthrography
  • Arthrography - methods
  • Bias
  • Clinical trials
  • Diagnosis
  • Diagnostic Imaging - methods
  • Diagnostic tests
  • Estimates
  • Humans
  • Joint Diseases - diagnosis
  • Magnetic resonance imaging
  • Magnetic Resonance Imaging - methods
  • Medical imaging
  • Meta
  • Meta-analysis
  • Methods
  • MRI
  • NMR
  • Nuclear magnetic resonance
  • Pain
  • Rehabilitation
  • Review
  • Rotator Cuff
  • Rupture - diagnosis
  • Sensitivity and Specificity
  • Shoulder
  • Shoulder injuries
  • Shoulder Joint - injuries
  • Sports injuries
  • Studies
  • Surgery
  • Systematic review
  • Tendinopathy - diagnosis
  • Tendon Injuries - diagnosis
  • Tendons
  • Ultrasonic imaging
  • Ultrasound
  • Ultrasound imaging
  • Usage
ispartof: British Journal of Sports Medicine, 2015-10, Vol.49 (20), p.1316-1328
description: BackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.MethodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.ResultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.ConclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.
language: eng
source:
identifier: ISSN: 0306-3674
fulltext: no_fulltext
issn:
  • 0306-3674
  • 1473-0480
url: Link


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titleDiagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis
creatorRoy, Jean-Sébastien ; Braën, Caroline ; Leblond, Jean ; Desmeules, François ; Dionne, Clermont E ; MacDermid, Joy C ; Bureau, Nathalie J ; Frémont, Pierre
creatorcontribRoy, Jean-Sébastien ; Braën, Caroline ; Leblond, Jean ; Desmeules, François ; Dionne, Clermont E ; MacDermid, Joy C ; Bureau, Nathalie J ; Frémont, Pierre
descriptionBackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.MethodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.ResultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.ConclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.
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subject1506 ; Accuracy ; analysis ; Arthrography ; Arthrography - methods ; Bias ; Clinical trials ; Diagnosis ; Diagnostic Imaging - methods ; Diagnostic tests ; Estimates ; Humans ; Joint Diseases - diagnosis ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medical imaging ; Meta ; Meta-analysis ; Methods ; MRI ; NMR ; Nuclear magnetic resonance ; Pain ; Rehabilitation ; Review ; Rotator Cuff ; Rupture - diagnosis ; Sensitivity and Specificity ; Shoulder ; Shoulder injuries ; Shoulder Joint - injuries ; Sports injuries ; Studies ; Surgery ; Systematic review ; Tendinopathy - diagnosis ; Tendon Injuries - diagnosis ; Tendons ; Ultrasonic imaging ; Ultrasound ; Ultrasound imaging ; Usage
ispartofBritish Journal of Sports Medicine, 2015-10, Vol.49 (20), p.1316-1328
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0Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions
1Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
2Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions
3Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2015
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4Dionne, Clermont E
5MacDermid, Joy C
6Bureau, Nathalie J
7Frémont, Pierre
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addtitleBr J Sports Med
descriptionBackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.MethodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.ResultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.ConclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.
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6Clinical trials
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21Nuclear magnetic resonance
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29Shoulder injuries
30Shoulder Joint - injuries
31Sports injuries
32Studies
33Surgery
34Systematic review
35Tendinopathy - diagnosis
36Tendon Injuries - diagnosis
37Tendons
38Ultrasonic imaging
39Ultrasound
40Ultrasound imaging
41Usage
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titleDiagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis
authorRoy, Jean-Sébastien ; Braën, Caroline ; Leblond, Jean ; Desmeules, François ; Dionne, Clermont E ; MacDermid, Joy C ; Bureau, Nathalie J ; Frémont, Pierre
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8Diagnostic Imaging - methods
9Diagnostic tests
10Estimates
11Humans
12Joint Diseases - diagnosis
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20NMR
21Nuclear magnetic resonance
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abstractBackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.MethodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.ResultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.ConclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.
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