Diagnosis of adhesive capsulitis: comparison of contrast-enhanced MRI with noncontrast-enhanced MM

被引:23
作者
Ahn, Kyung-Sik [1 ]
Kang, Chang Ho [1 ]
Kim, Yura [1 ]
Jeong, Woong-Kyo [2 ]
机构
[1] Korea Univ, Coll Med, Anam Hosp, Dept Radiol, Seoul 136705, South Korea
[2] Korea Univ, Coll Med, Anam Hosp, Dept Orthopaed Surg, Seoul 136705, South Korea
关键词
Adhesive capsulitis; Axillary capsule; Contrast-enhanced MRI; Rotator interval; FROZEN-SHOULDER; ARTHROGRAPHIC FINDINGS;
D O I
10.1016/j.clinimag.2015.08.006
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: To compare the diagnostic performance of contrast-enhanced (CE) magnetic resonance imaging (MRI) and non-CE MRI for adhesive capsulitis (AC). Methods: CE MRI of 50 AC and 53 non-AC patients were reviewed by two radiologists independently. Results: Axillary capsular thickening and T2 hyperintensity (sensitivity=92-94%; specificity=53-64%) and enhancement of the axillary capsule and rotator interval (sensitivity=92-98%; specificity=38-64%) were helpful in diagnosing AC. Interobserver reliability was highest with axillary joint capsule enhancement (K=0.92). Conclusion: Non-CE and CE MRI are helpful in confirming the clinical diagnosis of AC. CE-MRI may improve assessment of the rotator interval and diagnostic confidence in patients with AC (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:1061 / 1067
页数:7
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