Department of Radiology, UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.
Eur J Radiol. 2012 May;81(5):934-9. doi: 10.1016/j.ejrad.2011.01.121. Epub 2011 Mar 1.
We studied the assessment of proximal biceps tendon lesions including degeneration, tendon luxation, and partial and complete tendon tears with 3T MR arthrography and CT arthrography. Thirty-six patients who underwent both studies, as well as arthroscopy were included in the study. The images were randomized and blinded and independently reviewed by two musculoskeletal radiologists. The pooled sensitivity for lesion detection for CT arthrography was 31% and the specificity 95%. The pooled sensitivity for MR arthrography was 27% and the specificity 94%. There were no statistically significant differences between CT and MR. The interobserver agreement calculated with the kappa statistic was poor for CT and for MR. Both CT arthrography and MR arthrography perform poorly in the detection of biceps tendon pathology of the shoulder.
我们研究了使用 3T MR 关节造影和 CT 关节造影评估肱二头肌长头腱病变，包括变性、腱脱位、部分和完全腱撕裂。36 名同时接受这两项研究以及关节镜检查的患者纳入了研究。图像是随机和盲法的，由两名肌肉骨骼放射科医生独立进行回顾。CT 关节造影对病变检测的汇总敏感性为 31%，特异性为 95%。MR 关节造影的汇总敏感性为 27%，特异性为 94%。CT 和 MR 之间没有统计学上的显著差异。用 Kappa 统计计算的 CT 和 MR 的观察者间一致性均较差。CT 关节造影和 MR 关节造影在检测肩部二头肌长头腱病变方面表现不佳。
