Diagnostic accuracy of MRI for detection of tears and instability of proximal long head of biceps tendon: an evaluation of 100 shoulders compared with arthroscopy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBAPTISTA, Eduardo
dc.contributor.authorMALAVOLTA, Eduardo A.
dc.contributor.authorGRACITELLI, Mauro E. C.
dc.contributor.authorALVARENGA, Daniel
dc.contributor.authorBORDALO-RODRIGUES, Marcelo
dc.contributor.authorFERREIRA NETO, Arnaldo A.
dc.contributor.authorBARROS, Nestor de
dc.date.accessioned2019-11-06T18:46:40Z
dc.date.available2019-11-06T18:46:40Z
dc.date.issued2019
dc.description.abstractObjective To evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) for detection of instability and tears of the proximal long head of biceps tendon (LHBT). To assess intraobserver and interobserver agreement. Materials and methods We performed a retrospective analysis of prospectively collected data of 100 consecutive shoulders who underwent non-contrast 1.5-T MRI prior to arthroscopic surgery due to rotator cuff injury. Images were independently analyzed by two musculoskeletal radiologists. LHBT was evaluated for presence of tearing (intact, longitudinal split, partial-thickness, or full-thickness) and position (normal, subluxated, and dislocated). Anterosuperior rotator cuff tears were also assessed. The reference standard was arthroscopic surgery. The ramp test was performed in order to evaluate LHBT stability. Diagnostic performance measures were determined and Kappa coefficients assessed agreement. Results Concerning the detection of overall tears, sensitivity ranged from 71 to 73% and specificity was 73%. The specificity for full-thickness tears ranged from 75 to 96%. Overall displacement showed sensitivity ranging from 51 to 58% and specificity ranging from 70 to 86%. The specificity of overall displacement combined with anterosuperior rotator cuff tears ranged from 73 to 91%. Interobserver Kappa values were between 0.59 and 0.69. Intraobserver Kappa values were between 0.74 and 0.82. Conclusions MRI has moderate accuracy and good agreement for detection of LHBT tears and instability. There is a tendency for increased specificity for full-thickness tears and for instability in the coexistence of anterosuperior rotator cuff tears.eng
dc.description.indexMEDLINEeng
dc.identifier.citationSKELETAL RADIOLOGY, v.48, n.11, p.1723-1733, 2019
dc.identifier.doi10.1007/s00256-019-03214-z
dc.identifier.eissn1432-2161
dc.identifier.issn0364-2348
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33978
dc.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofSkeletal Radiology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGEReng
dc.subjectMRIeng
dc.subjectLong head of biceps tendoneng
dc.subjectTendon tearseng
dc.subjectInstabilityeng
dc.subjectDiagnostic accuracyeng
dc.subject.otherrotator cuffeng
dc.subject.otherbrachii tendoneng
dc.subject.otherarthrographyeng
dc.subject.otherpathologyeng
dc.subject.otherlesionseng
dc.subject.othervisualizationeng
dc.subject.otheranatomyeng
dc.subject.otherabnormalitieseng
dc.subject.otherdisorderseng
dc.subject.otheragreementeng
dc.subject.wosOrthopedicseng
dc.subject.wosRadiology, Nuclear Medicine & Medical Imagingeng
dc.titleDiagnostic accuracy of MRI for detection of tears and instability of proximal long head of biceps tendon: an evaluation of 100 shoulders compared with arthroscopyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalALVARENGA, Daniel:Univ Sao Paulo, Sch Med, Dept Radiol & Oncol, 333 Dr Ovidio Pires de Campos St,Ground Floor, BR-05403010 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus17
hcfmusp.contributor.author-fmusphcEDUARDO BAPTISTA
hcfmusp.contributor.author-fmusphcEDUARDO ANGELI MALAVOLTA
hcfmusp.contributor.author-fmusphcMAURO EMILIO CONFORTO GRACITELLI
hcfmusp.contributor.author-fmusphcMARCELO BORDALO RODRIGUES
hcfmusp.contributor.author-fmusphcARNALDO AMADO FERREIRA NETO
hcfmusp.contributor.author-fmusphcNESTOR DE BARROS
hcfmusp.description.beginpage1723
hcfmusp.description.endpage1733
hcfmusp.description.issue11
hcfmusp.description.volume48
hcfmusp.origemWOS
hcfmusp.origem.pubmed30937471
hcfmusp.origem.scopus2-s2.0-85071325839
hcfmusp.origem.wosWOS:000488855900007
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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