دورية أكاديمية
أعرض في EDS

Evaluation of the Glenoid Track Tomographic Method in Magnetic Resonance Imaging/Arthro-MRI.

التفاصيل البيبلوغرافية
العنوان: Evaluation of the Glenoid Track Tomographic Method in Magnetic Resonance Imaging/Arthro-MRI.
المؤلفون: Godinho AC; Hospital Ortopédico, Belo Horizonte, MG, Brasil., Godinho PC; Hospital Ortopédico, Belo Horizonte, MG, Brasil., França FO; Ortopédico BH, Belo Horizonte, MG Brasil., Ribeiro EJS; Axial Medicina Diagnóstica, Belo Horizonte, MG, Brasil., de Toledo DC; Ortopédico BH, Belo Horizonte, MG Brasil., Franco GH; Ortopédico BH, Belo Horizonte, MG Brasil.
المصدر: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2020 Oct 29; Vol. 56 (6), pp. 733-740. Date of Electronic Publication: 2020 Oct 29 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Thieme Country of Publication: Germany NLM ID: 0123326 Publication Model: eCollection Cited Medium: Print ISSN: 0102-3616 (Print) Linking ISSN: 01023616 NLM ISO Abbreviation: Rev Bras Ortop (Sao Paulo) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2019- : [Stuttgart] : Thieme
Original Publication: São Paulo : Sociedade Brasileira de Ortopedia e Traumatologia
مستخلص: Objective  To evaluate and compare the glenoid track method in 3D-reconstructed computed tomography (3D-CT) scans with magnetic resonance imaging (MRI) and/or arthro-MRI. Methods  Forty-four shoulders with clinical and radiographic diagnosis of traumatic anterior instability were assessed using 3D-CT, MRI, and/or arthro-MRI scans. Glenoid track (GT), Hill-Sachs interval (HSI), and glenoid bone loss (GBL) were determined by a radiologist using 3D-CT images, and classified as on-track/off-track. Three surgeons, blinded to the radiologist's evaluation, performed the same determinations using MRI/arthro-MRI. Descriptive analysis, variance analysis, results disagreement analysis, and receiver operating characteristic (ROC) curves were performed. Results  Results from the 4 examiners were fully consistent in 61.4% of the cases. Magnetic resonance imaging/arthro-MRI diagnosed off-track injuries with 35 to 65% sensitivity and on-track injuries, with 91.67 to 95.83% specificity. Accuracy ranged from 68.1 to 79.5%. The greatest data divergence occurred for off-track injuries diagnosed by MRI/arthro-MRI. The greatest data variability referred to HSI calculation. Higher HSI and GBL values were associated with greater disagreement among examiners. Hill-Sachs interval values were lower at MRI/arthro-MRI when compared to 3D-CT. Agreement between CT and MRI/arthro-MRI for the GT method was only moderate (kappa value, 0.325-0.579). Conclusion  Magnetic resonance imaging/arthro-MRI showed low accuracy and moderate agreement for the GT method; as such, it should be used with caution by surgeons.
Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses.
(Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
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فهرسة مساهمة: Keywords: anterior shoulder instability; glenoid cavity; shoulder dislocation
تواريخ الأحداث: Date Created: 20211213 Latest Revision: 20211215
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8651453
DOI: 10.1055/s-0040-1716766
PMID: 34900101
قاعدة البيانات: MEDLINE
الوصف
تدمد:0102-3616
DOI:10.1055/s-0040-1716766