Anteroinferior tears of the glenoid labrum: fat-suppressed fast spin-echo T2 versus gradient-recalled echo MR images.

Abstract:

OBJECTIVE:To compare fat-suppressed fast spin-echo (FSE) T2-weighted images with gradient-recalled echo (GRE) T2*-weighted images in the evaluation of anteroinferior labral tears. DESIGN:MR images were retrospectively reviewed by two radiologists masked to the history and arthroscopic findings. They separately interpreted the anteroinferior labrum as torn or intact, first on one pulse sequence and then, 4 weeks later, on the other sequence. The MR interpretations were correlated with the arthroscopic findings. PATIENTS:Nine patients with anteroinferior labral tears, and nine similarly-aged patients with normal, labra were studied. RESULTS AND CONCLUSIONS:Observer 1 had a sensitivity of 0.56 on the GRE images and 0.67 on the FSE images (P > 0.5), with a specificity of 1.0 for both sequences. Observer 2 had a sensitivity of 0.78 and a specificity of 0.89 for both sequences. In this small study there is no significant difference between GRE and fat-suppressed FSE images in their ability to diagnose anteroinferior labral tears. When evaluating the labrum with conventional MRI, axial fat-suppressed FSE T2-weighted images can be used in place of GRE images without a loss of accuracy.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Tuite MJ,De Smet AA,Norris MA,Orwin JF

doi

10.1007/s002560050238

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

293-7

issue

5

eissn

0364-2348

issn

1432-2161

journal_volume

26

pub_type

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