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Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis
BACKGROUND: Multiple published studies quantitatively analysing the diagnostic value of MRI, MR arthrography (MRA) and CT arthrography (CTA) for labral lesions of the shoulder have had inconsistent results. The aim of this meta-analysis was to systematically compare the diagnostic performance of MRI...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815459/ https://www.ncbi.nlm.nih.gov/pubmed/31656171 http://dx.doi.org/10.1186/s12891-019-2876-6 |
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author | Liu, Fanxiao Cheng, Xiangyun Dong, Jinlei Zhou, Dongsheng Sun, Qian Bai, Xiaohui Wang, Dawei |
author_facet | Liu, Fanxiao Cheng, Xiangyun Dong, Jinlei Zhou, Dongsheng Sun, Qian Bai, Xiaohui Wang, Dawei |
author_sort | Liu, Fanxiao |
collection | PubMed |
description | BACKGROUND: Multiple published studies quantitatively analysing the diagnostic value of MRI, MR arthrography (MRA) and CT arthrography (CTA) for labral lesions of the shoulder have had inconsistent results. The aim of this meta-analysis was to systematically compare the diagnostic performance of MRI, MRA, CTA and CT. METHODS: Two databases, PubMed and EMBASE, were used to retrieve studies targeting the accuracy of MRI, MRA, CTA and CT in detecting labral lesions of the shoulder. After carefully screening and excluding studies, the studies that met the inclusion criteria were used for a pooled analysis, including calculation of sensitivity and specificity with 95% confidence intervals (CIs) and the area under the hierarchical summary receiver operating characteristic (HSROC) curves. RESULTS: The retrieval process identified 2633 studies, out of which two reviewers screened out all but 14 studies, involving a total of 1216 patients who were deemed eligible for inclusion in the meta-analysis. The results assessing the diagnostic performance of MRI vs. MRA for detecting labral lesions showed a pooled sensitivity of 0.77 (95% CI 0.70–0.84) vs. 0.92 (95% CI 0.84–0.96), a specificity of 0.95 (95% CI 0.85–0.98) vs. 0.98 (95% CI 0.91–0.99), and an area under the HSROC curve of 3.78 (95% CI 2.73–4.83) vs. 6.01 (95% CI 4.30–7.73), respectively. CONCLUSION: MRA was suggested for use in patients with chronic shoulder symptoms or a pathologic abnormality. MRI is by far the first choice recommendation for the detection of acute labral lesions. CT should be a necessary supplemental imaging technique when there is highly suspected glenoid bone damage. |
format | Online Article Text |
id | pubmed-6815459 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68154592019-10-31 Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis Liu, Fanxiao Cheng, Xiangyun Dong, Jinlei Zhou, Dongsheng Sun, Qian Bai, Xiaohui Wang, Dawei BMC Musculoskelet Disord Research Article BACKGROUND: Multiple published studies quantitatively analysing the diagnostic value of MRI, MR arthrography (MRA) and CT arthrography (CTA) for labral lesions of the shoulder have had inconsistent results. The aim of this meta-analysis was to systematically compare the diagnostic performance of MRI, MRA, CTA and CT. METHODS: Two databases, PubMed and EMBASE, were used to retrieve studies targeting the accuracy of MRI, MRA, CTA and CT in detecting labral lesions of the shoulder. After carefully screening and excluding studies, the studies that met the inclusion criteria were used for a pooled analysis, including calculation of sensitivity and specificity with 95% confidence intervals (CIs) and the area under the hierarchical summary receiver operating characteristic (HSROC) curves. RESULTS: The retrieval process identified 2633 studies, out of which two reviewers screened out all but 14 studies, involving a total of 1216 patients who were deemed eligible for inclusion in the meta-analysis. The results assessing the diagnostic performance of MRI vs. MRA for detecting labral lesions showed a pooled sensitivity of 0.77 (95% CI 0.70–0.84) vs. 0.92 (95% CI 0.84–0.96), a specificity of 0.95 (95% CI 0.85–0.98) vs. 0.98 (95% CI 0.91–0.99), and an area under the HSROC curve of 3.78 (95% CI 2.73–4.83) vs. 6.01 (95% CI 4.30–7.73), respectively. CONCLUSION: MRA was suggested for use in patients with chronic shoulder symptoms or a pathologic abnormality. MRI is by far the first choice recommendation for the detection of acute labral lesions. CT should be a necessary supplemental imaging technique when there is highly suspected glenoid bone damage. BioMed Central 2019-10-27 /pmc/articles/PMC6815459/ /pubmed/31656171 http://dx.doi.org/10.1186/s12891-019-2876-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Liu, Fanxiao Cheng, Xiangyun Dong, Jinlei Zhou, Dongsheng Sun, Qian Bai, Xiaohui Wang, Dawei Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title | Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title_full | Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title_fullStr | Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title_full_unstemmed | Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title_short | Imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
title_sort | imaging modality for measuring the presence and extent of the labral lesions of the shoulder: a systematic review and meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815459/ https://www.ncbi.nlm.nih.gov/pubmed/31656171 http://dx.doi.org/10.1186/s12891-019-2876-6 |
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