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Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation

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Omoumi, Patrick [UCL] Rubini, Alexandra [UCL] Dubuc, Jean-Emile [UCL] Vande Berg, Bruno [UCL] Lecouvet, Frédéric [UCL]

Purpose: To compare the diagnostic performance of multi-detector CT arthrography (CTA) and 1.5-T MR arthrography (MRA) in detecting hyaline cartilage lesions of the shoulder, with arthroscopic correlation.Patients and methods: CTA and MRA prospectively obtained in 56 consecutive patients following the same arthrographic procedure were independently evaluated for glenohumeral cartilage lesions (modified Outerbridge grade ≥2 and grade 4) by two musculoskeletal radiologists. The cartilage surface was divided in 18 anatomical areas. Arthroscopy was taken as the reference standard. Diagnostic performance of CTA and MRA was compared using ROC analysis. Interobserver and intraobserver agreement was determined by κ statistics.Results: Sensitivity and specificity of CTA varied from 46.4 to 82.4 % and from 89.0 to 95.9 % respectively; sensitivity and specificity of MRA varied from 31.9 to 66.2 % and from 91.1 to 97.5 % respectively. Diagnostic performance of CTA was statistically significantly better than MRA for both readers (all p ≤ 0.04). Interobserver agreement for the evaluation of cartilage lesions was substantial with CTA (κ = 0.63) and moderate with MRA (κ = 0.54). Intraobserver agreement was almost perfect with both CTA (κ = 0.94–0.95) and MRA (κ = 0.83–0.87).Conclusion: The diagnostic performance of CTA and MRA for the detection of glenohumeral cartilage lesions is moderate, although statistically significantly better with CTA.Key points: • CTA has moderate diagnostic performance for detecting glenohumeral cartilage substance loss.• MRA has moderate diagnostic performance for detecting glenohumeral cartilage substance loss.• CTA is more accurate than MRA for detecting cartilage substance loss.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2015
Language Anglais
Journal information "European Radiology : journal of the European Congress of Radiology" - Vol. 25, no. 4, p. 961-969 (2015)
Peer reviewed yes
Publisher Springer International ((Germany) Berlin)
issn 0938-7994
e-issn 1432-1084
Publication status Publié
Affiliations UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
UCL - (SLuc) Service de radiologie
UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur
UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery
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Bibliographic reference Omoumi, Patrick ; Rubini, Alexandra ; Dubuc, Jean-Emile ; Vande Berg, Bruno ; Lecouvet, Frédéric. Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. In: European Radiology : journal of the European Congress of Radiology, Vol. 25, no. 4, p. 961-969 (2015)
Permanent URL http://hdl.handle.net/2078.1/164332