Comparative Analysis of Musculoskeletal Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Rotator Cuff Tears
Objective This study aimed to compare musculoskeletal ultrasonography(US)with Magnetic Resonance Imaging(MRI)for the diagnosis of rotator cuff tears.Methods A total of 43 patients with suspected rotator cuff tears were analyzed from February 2021 to February 2022 at Dongguan People's Hospital.Results There were significant difference between US,MRI,and the combined US with MRI examinations in different degrees of tendon tears.The positive diagnostic accuracy of US,MRI and the combined US with MRI examinations for partial-thickness or full-thickness tears of supraspinatus tendon,lesions of the long head tendon of the biceps brachii,fluid accumulation or synovial hyperplasia in the glenoid humeral joint cavity,subacromial deltoid bursitis,and subacromial impingement syndrome was 62.79％,86.04％,65.12％,53.49％,90.7％and 67.44％,respectively,as compared with that of MRI(37.21％,72.09％,84.21％,94.74％,89.47％and 50％,respectively)and(60.46％,86.04％,81.4％,83.7％,100％and 72.1％,respectively).Drawing ROC curves,US,MRI,and combined examinations showed AUC of 0.613,0.687,and 0.596 for partial tear of the supraspinatus tendon,respectively;US,MRI,and combined examination showed AUC of 0.842,0.684,and 0.842 for full-thickness tear of the supraspinatus tendon,respectively.Conclusion For patients with suspected full-thickness tears of supraspinatus tendon,ultrasound may be the preferred imaging method.The combined examination could improve the diagnostic ability of subacromial deltoid bursitis and subacromial impingement syndrome to further guide surgical treatment.
万方数据
维普
