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Comparison of conventional MR arthrography and 3D volumetric MR arthrography in detection of cartilage defects accompanying glenoid labrum pathologies

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Abstract

Objectives

In this study, we aimed to compare conventional and T1-weighted volumetric magnetic resonance arthrography (MRA) in the diagnosis and grading of glenoid cartilage defects that accompany labral pathologies.

Materials and methods

A total of 79 patients who were prediagnosed with labrum pathologies based on shoulder magnetic resonance imaging (MRI) had MRA and CTA between December 2021 and May 2022. CTA was regarded as reference standard. CTA images were examined by a radiologist experienced in musculoskeletal radiology, and MRA images were examined by two radiologists independently to determine presence, grade, and localization of any glenoid cartilage defect, if present. Sensitivity, specificity, and accuracy were calculated separately for conventional and T1-weighted volumetric MRA. In addition, at the last stage, two observers examined all MRAs together, and the presence of a cartilage defect was decided by consensus, and the overall sensitivity, specificity, and accuracy were calculated.

Results

Cartilage defect was detected on CTAs of 48 (60.75%) cases of among 79 patients with labrum pathology. The sensitivity, specificity, and accuracy of conventional MRA for two examiners were 17–19%, 100–100%, and 49–51%, respectively, while those values were 67–65%, 92–97%, and 84–77%, respectively, for T1-weighted volumetric MRA. Inter-examiner agreement was excellent for diagnosis of cartilage defects on all MRAs. The overall sensitivity, specificity, and accuracy for detection of glenoid cartilage lesions by MRA were 69%, 97%, and 80%, respectively.

Conclusion

T1-weighted volumetric MRA seems to demonstrate cartilage defects accompanied with labrum pathologies accurately with high sensitivity, specificity, and excellent inter-examiner agreement.

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Abbreviations

κ:

Unweighted kappa

CTA:

Computed tomography arthrography

DESS:

Double echo steady state

GHJ:

Glenohumeral joint

MRA:

Magnetic resonance arthrography

US:

Ultrasonography

VIBE:

Volumetric interpolated breath-hold examination

3D:

Three-dimensional

TE:

Echo time

TR:

Repetition time

TSE:

Turbo spin echo

PD:

Proton density

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Author information

Authors and Affiliations

  1. Department of Radiology, Aksaray Research and Training Hospital, Aksaray, Turkey

    Ayse Gokce

  2. Department of Radiology, Faculty of Medicine, Duzce University, Duzce, Turkey

    Derya Guclu, Elif Nisa Unlu & Hayri Ogul

  3. Department of Orthopedics and Traumatology, Faculty of Medicine, Duzce University, Duzce, Turkey

    Ibrahim Kazoglu & Mehmet Arican

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  1. Ayse Gokce
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  6. Hayri Ogul
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Correspondence to Ayse Gokce.

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Ethics approval

The study protocol was approved by the Duzce University Faculty of Medicine, the Health Research Ethics Committee. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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The scientific guarantor of this publication is Prof. Dr. Hayri Ogul.

Statistics and biometry

No complex statistical methods were necessary for this paper.

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• Prospective.

• Cross-sectional study.

• Performed at one institution.

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Gokce, A., Guclu, D., Unlu, E.N. et al. Comparison of conventional MR arthrography and 3D volumetric MR arthrography in detection of cartilage defects accompanying glenoid labrum pathologies. Skeletal Radiol 53, 1081–1090 (2024). https://doi.org/10.1007/s00256-023-04536-9

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