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High-resolution magnetic resonance imaging of rotator cuff tears using a microscopy coil: noninvasive detection without intraarticular contrast material

  • Shin HitachiEmail author
  • Kei Takase
  • Minoru Tanaka
  • Yuichi Tojo
  • Shiro Tabata
  • Kazuhiro Majima
  • Shuichi Higano
  • Shoki Takahashi
Original Article

Abstract

Purpose

The aim of this study was to evaluate the feasibility of high-resolution magnetic resonance imaging (MRI) using a microscopy coil for the diagnosis of rotator cuff tears by comparing the method to conventional MRI and MRI arthrography.

Materials and methods

A total of 68 shoulders were prospectively studied using a 1.5-T MRI unit. Conventional MRI scans were obtained with a surface coil and high-resolution MRI scans with a microscopy coil. MRI arthrography was performed in 28 shoulders using a surface coil. MRI evaluation of tears of rotator cuff tendons was compared with arthroscopic findings and surgical results.

Results

The surgery revealed 40 full-thickness tears, 13 partial-thickness tears, and 15 intact cuffs. In all, 35 (88%) full-thickness tears were correctly diagnosed on conventional MRI and 40 (100%) on high-resolution MRI. MR arthrography delineated 11 of 12 (92%) full-thickness tears. Altogether, 5 (38%) of the partial-thickness tears were detected on conventional MRI, and 12 (92%) were clearly demonstrated on high-resolution MRI. MRI arthrography depicted three (60%) of five partial-thickness tears. High-resolution MRI showed higher sensitivity than conventional MRI (P < 0.05) and had values equivalent to those of MRI arthrography for diagnosing partial-thickness tears.

Conclusion

High-resolution MRI with a microscopy coil is a feasible, noninvasive technique for diagnosing rotator cuff tears.

Key words

Shoulder Rotator cuff tear MRI Microscopy coil 

References

  1. 1.
    Warner JJ, Goitz RJ, Irrgang JJ, Groff YJ. Arthroscopic-assisted rotator cuff repair: patient selection and treatment outcome. J Shoulder Elbow Surg 1997;6:463–472.PubMedCrossRefGoogle Scholar
  2. 2.
    Kneeland JB, Middleton WD, Carrera GF, Zeuge RC, Jesmanowicz A, Froncisz W, et al. MR imaging of the shoulder: diagnosis of rotator cuff tears. AJR Am J Roentgenol 1987;149:333–337.PubMedGoogle Scholar
  3. 3.
    Evancho AM, Stiles RG, Fajman WA, Flower SP, Macha T, Brunner MC, et al. MR imaging diagnosis of rotator cuff tears. AJR Am J Roentgenol 1988;151:751–754.PubMedGoogle Scholar
  4. 4.
    Zlatkin MB, Iannotti JP, Roberts MC, Esterhai JL, Dalinka MK, Kressel HY, et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology 1989;172:223–229.PubMedGoogle Scholar
  5. 5.
    Flannigan B, Kursunoglu-Brahme S, Snyder S, Karzel R, Del Pizzo W, Resnick D. MR arthrography of the shoulder: comparison with conventional MR imaging. AJR Am J Roentgenol 1990;155:829–832.PubMedGoogle Scholar
  6. 6.
    Hodler J, Kursunoglu-Brahme S, Snyder SJ, Cervilla V, Karzel RP, Schweitzer ME, et al. Rotator cuff disease: assessment with MR arthrography versus standard MR imaging in 36 patients with arthroscopic confirmation. Radiology 1992;182:431–436.PubMedGoogle Scholar
  7. 7.
    Ferrari FS, Governi S, Burresi F, Vigni F, Stefani P. Supraspinatus tendon tears: comparison of US and MR arthrography with surgical correlation. Eur Radiol 2002;12:1211–1217.PubMedCrossRefGoogle Scholar
  8. 8.
    Meister K, Thesing J, Montgomery WJ, Indelicato PA, Walczak S, Fontenot W. MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skeletal Radiol 2004;33:136–141.PubMedCrossRefGoogle Scholar
  9. 9.
    Stetson WB, Phillips T, Deutsch A. The use of magnetic resonance arthrography to detect partial-thickness rotator cuff tears. J Bone Joint Surg Am 2005;87(suppl 2):81–88.PubMedCrossRefGoogle Scholar
  10. 10.
    Palmer WE, Brown JH, Rosenthal DI. Rotator cuff: evaluation with fat-suppressed MR arthrography. Radiology 1993;188:683–687.PubMedGoogle Scholar
  11. 11.
    Mirowitz SA. Normal rotator cuff: MR imaging with conventional and fat-suppression techniques. Radiology 1991;180:735–740.PubMedGoogle Scholar
  12. 12.
    Reinus WR, Shady KL, Mirowitz SA, Totty WG. MR diagnosis of rotator cuff tears of the shoulder: value of using T2-weighted fat-saturated images. AJR Am J Roentgenol 1995;164:1451–1455.PubMedGoogle Scholar
  13. 13.
    Quinn SF, Sheley RC, Demlow TA, Szumowski J. Rotator cuff tendon tears: evaluation with fat-suppressed MR imaging with arthroscopic correlation in 100 patients. Radiology 1995;195:497–500.PubMedGoogle Scholar
  14. 14.
    Singson RD, Hoang T, Dan S, Friedman M. MR evaluation of rotator cuff pathology using T2-weighted fast spin-echo technique with and without fat suppression. AJR Am J Roentgenol 1996;166:1061–1065.PubMedGoogle Scholar
  15. 15.
    Magee T, Shapiro M, Williams D, Ramnath RR, Simon J. Usefulness of the simultaneous acquisition of spatial harmonics technique during MRI of the shoulder. AJR Am J Roentgenol 2003;181:961–964.PubMedGoogle Scholar
  16. 16.
    Kijowski R, Farber JM, Medina J, Morrison W, Ying J, Buckwalter K. Comparison of fat-suppressed T2-weighted fast spin-echo sequence and modified STIR sequence in the evaluation of the rotator cuff tendon. AJR Am J Roentgenol 2005;185:371–378.PubMedCrossRefGoogle Scholar
  17. 17.
    Tirman PF, Bost FW, Steinbach LS, Mall JC, Peterfy CG, Sampson TG, et al. MR arthrographic depiction of tears of the rotator cuff: benefit of abduction and external rotation of the arm. Radiology 1994;192:851–856.PubMedGoogle Scholar
  18. 18.
    Lee SY, Lee JK. Horizontal component of partial-thickness tears of rotator cuff: imaging characteristics and comparison of ABER view with oblique coronal view at MR arthrography initial results. Radiology 2002;224:470–476.PubMedCrossRefGoogle Scholar
  19. 19.
    Yoshioka H, Ueno T, Tanaka T, Shindo M, Itai Y. Highresolution MR imaging of triangular fibrocartilage complex (TFCC): comparison of microscopy coils and a conventional small surface coil. Skeletal Radiol 2003;32:575–581.PubMedCrossRefGoogle Scholar
  20. 20.
    Yoshioka H, Ueno T, Tanaka T, Kujiraoka Y, Shindo M, Takahashi N, et al. High-resolution MR imaging of the elbow using a microscopy surface coil and a clinical 1.5 T MR machine: preliminary results. Skeletal Radiol 2004;33:265–271.PubMedCrossRefGoogle Scholar
  21. 21.
    Niitsu M, Ikeda K. Magnetic resonance microscopic images with 50-mm field-of-view of the medial aspect of the knee. Acta Radiol 2004;45:760–768.PubMedCrossRefGoogle Scholar
  22. 22.
    Tuite MJ, Asinger D, Orwin JF. Angled oblique sagittal MR imaging of rotator cuff tears: comparison with standard oblique sagittal images. Skeletal Radiol 2001;30:262–269.PubMedCrossRefGoogle Scholar
  23. 23.
    Nelson MC, Leather GP, Nirschl RP, Pettrone FA, Freedman MT. Evaluation of the painful shoulder: a prospective comparison of magnetic resonance imaging, computerized tomographic arthrography, ultrasonography, and operative findings. J Bone Joint Surg Am 1991;73:707–716.PubMedGoogle Scholar
  24. 24.
    Tuite MJ, Yandow DR, DeSmet AA, Orwin JF, Quintana FA. Diagnosis of partial and complete rotator cuff tears using combined gradient echo and spin echo imaging. Skeletal Radiol 1994;23:541–545.PubMedCrossRefGoogle Scholar
  25. 25.
    Traughber PD, Goodwin TE. Shoulder MRI: arthroscopic correlation with emphasis on partial tears. J Comput Assist Tomogr 1992;16:129–133.PubMedGoogle Scholar
  26. 26.
    Rafii M, Firooznia H, Sherman O, Minkoff J, Weinreb J, Golimbu C, et al. Rotator cuff lesions: signal patterns at MR imaging. Radiology 1990;177:817–823.PubMedGoogle Scholar
  27. 27.
    Fotiadou AN, Vlychou M, Papadopoulos P, Karataglis DS, Palladas P, Fezoulidis IV. Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery. Eur J Radiol 2008;68:174–179.PubMedCrossRefGoogle Scholar
  28. 28.
    Tuite MJ, Shinners TJ, Hollister MC, Orwin JF. Fat-suppressed fast spin-echo mid-TE (TE[effective] = 34) MR images: comparison with fast spin-echo T2-weighted images for the diagnosis of tears and anatomic variants of the glenoid labrum. Skeletal Radiol 1999;28:685–690.PubMedCrossRefGoogle Scholar
  29. 29.
    Timins ME, Erickson SJ, Estkowski LD, Carrera GF, Komorowski RA. Increased signal in the normal supraspinatus tendon on MR imaging: diagnostic pitfall caused by the magic-angle effect. AJR Am J Roentgenol 1995;165:109–114.PubMedGoogle Scholar
  30. 30.
    Schneider TL, Schmidt-Wiethoff R, Drescher W, Fink B, Schmidt J, Appell HJ. The significance of sub acromial arthrography to verify partial bursal-side rotator cuff ruptures. Arch Orthop Trauma Surg 2003;123:481–484.PubMedCrossRefGoogle Scholar
  31. 31.
    Magee T, Williams D. 3.0-T MRI of the supraspinatus tendon. AJR Am J Roentgenol 2006;187:881–886.PubMedCrossRefGoogle Scholar
  32. 32.
    Lambert A, Loffroy R, Guiu B, Mejean N, Lerais JM, Cercueil JP, et al. Rotator cuff tears value of 3.0T MRI. J Radiol 2009;90:583–588.PubMedCrossRefGoogle Scholar

Copyright information

© Japan Radiological Society 2011

Authors and Affiliations

  • Shin Hitachi
    • 1
    Email author
  • Kei Takase
    • 1
  • Minoru Tanaka
    • 2
  • Yuichi Tojo
    • 2
  • Shiro Tabata
    • 2
  • Kazuhiro Majima
    • 3
  • Shuichi Higano
    • 1
  • Shoki Takahashi
    • 1
  1. 1.Department of Diagnostic RadiologyTohoku University Graduate School of MedicineSendaiJapan
  2. 2.Department of Orthopedic SurgeryTakeda General HospitalAizuwakamatsuJapan
  3. 3.Department of RadiologyTakeda General HospitalAizuwakamatsuJapan

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