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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...

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Autores principales: Liu, Fanxiao, Cheng, Xiangyun, Dong, Jinlei, Zhou, Dongsheng, Sun, Qian, Bai, Xiaohui, Wang, Dawei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
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.
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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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