Document Detail

Comparison between exclusively long-axis and multiple-axis sonographic protocols for screening of rotator cuff lesions in symptomatic shoulders.
MedLine Citation:
PMID:  21098844     Owner:  NLM     Status:  In-Process    
OBJECTIVE: The purpose of this study was to determine whether exclusively long-axis sonography differs from a multiple-axis scanning protocol as a screening tool for rotator cuff lesions in symptomatic shoulders when compared with magnetic resonance imaging (MRI).
METHODS: A total of 509 consecutive patients (mean age, 52.8 years) referred for MRI were also routinely evaluated by sonography. We initially performed exclusively long-axis sonography and graded the rotator cuff as normal or abnormal. Patients subsequently underwent a full sonographic protocol using multiple-axis views. Magnetic resonance imaging findings were compared with sonographic findings for both techniques.
RESULTS: The overall accuracy of sonography was greater than 90%. We found divergent results from different sonographic techniques in 34 patients. Of these, 8 were multiple-axis false-negative; 14 were exclusively long-axis false-negative; 6 were exclusively long-axis false-positive; and 6 were multiple-axis false-positive. All cases with divergent false-negative findings on multiple-axis sonography showed tendinosis on MRI. Causes for false-negative findings on exclusively long-axis sonography included tendinosis and partial-thickness tears of the supraspinatus. No statistically significant difference was seen between both sonographic techniques compared with MRI in terms of accuracy, sensitivity, specificity, positive predictive value, and negative predictive value (P > .05).
CONCLUSIONS: Sonography is reliable for detecting rotator cuff abnormalities. Exclusively long-axis sonography seems appropriate as a screening tool for rotator cuff lesions in symptomatic shoulders.
Carlos Frederico Arend; Tiago Rodrigues da Silva
Related Documents :
15378264 - Multivariate analysis of biochemical markers in synovial fluid from the shoulder joint ...
9381334 - Three dimensional reconstruction of the fibrous frame of the rotator cuff.
22099484 - Strategies for reducing radiation exposure in multi-detector row ct.
23192214 - Imaging findings of "anesthesia mumps" (acute postoperative sialadenitis) after general...
1717864 - Endodermal epithelial cyst in the prepontine cistern extending into the fourth ventricl...
22156174 - Ultra-low dose ct attenuation correction for pet/ct.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  29     ISSN:  1550-9613     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1725-32     Citation Subset:  IM    
Radimagem Diagnostico por Imagem, Porto Alegre-RS, Brazil.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Sonographic findings for the common extensor tendon of the elbow in the general population.
Next Document:  Association between second-trimester cervical length and spontaneous preterm birth in twin pregnanci...