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超声与磁共振成像在检测肩袖撕裂中的诊断比较:一项在维杰亚普拉人群中开展的研究

Diagnostic Comparison of Ultrasound and Magnetic Resonance Imaging in Detecting Rotator Cuff Tears: A Study Conducted in the Population of Vijayapura.

作者信息

Ganesh Jayanth, Patil Satish D, Muchchandi Rajashekar, Naik Sandeep

机构信息

Department of Radiology, Shri B. M. Patil Medical College, Hospital and Research Center, Bijapur Lingayat Education Association (Deemed to be University), Vijayapura, IND.

Department of Orthopedics, Shri B. M. Patil Medical College, Hospital and Research Center, Bijapur Lingayat Education Association (Deemed to be University), Vijayapura, IND.

出版信息

Cureus. 2024 Aug 31;16(8):e68302. doi: 10.7759/cureus.68302. eCollection 2024 Aug.

Abstract

BACKGROUND

Injuries to the shoulder and restricted range of motion often lead to decreased work productivity, increased use of medical resources, and impaired quality of life. The most frequent cause of shoulder discomfort and dysfunction is a disease related to the rotator cuff, such as bursitis, degenerative tears, and calcific tendinosis. This study evaluates ultrasonography's diagnostic efficacy in relation to magnetic resonance imaging (MRI).

METHODOLOGY

Prospective research was conducted at a hospital to compare MRI and ultrasonography for shoulder cases involving rotator cuff injuries. There were 53 patients in the sample. Those who presented with pain and dysfunction in the shoulder were given both an MRI and an ultrasound (USG). Comparing the results of the MRI and USG allowed for the calculation of the diagnostic tests' accuracy, sensitivity, specificity, and positive and negative predictive values.

RESULTS

The results of the study demonstrated a substantial agreement (p value <0.05) between the identification of rotator cuff tears by MRI and USG shoulder imaging. With a total accuracy of 88.6%, the sensitivity and specificity of identifying rotator cuff tears were 91.2% and 81.8%, respectively.

CONCLUSION

With similar sensitivity and specificity, MRI and USG are useful diagnostic techniques for rotator cuff injuries. USG is a great screening alternative due to its cost-effectiveness, noninvasiveness, and easy accessibility. However, when it comes to identifying the anatomical regions that need surgical repair, MRI is superior.

摘要

背景

肩部损伤和活动范围受限常导致工作效率下降、医疗资源使用增加以及生活质量受损。肩部不适和功能障碍最常见的原因是与肩袖相关的疾病,如滑囊炎、退行性撕裂和钙化性肌腱炎。本研究评估超声检查相对于磁共振成像(MRI)的诊断效能。

方法

在一家医院进行前瞻性研究,比较MRI和超声检查在涉及肩袖损伤的肩部病例中的应用。样本中有53名患者。对出现肩部疼痛和功能障碍的患者进行了MRI和超声检查(USG)。比较MRI和USG的结果,计算诊断测试的准确性、敏感性、特异性以及阳性和阴性预测值。

结果

研究结果表明,MRI和USG肩部成像在识别肩袖撕裂方面有高度一致性(p值<0.05)。识别肩袖撕裂的总准确率为88.6%,敏感性和特异性分别为91.2%和81.8%。

结论

MRI和USG具有相似的敏感性和特异性,是诊断肩袖损伤的有用技术。由于其成本效益、非侵入性和易于获得,USG是一种很好的筛查选择。然而,在识别需要手术修复的解剖区域方面,MRI更具优势。

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