Abstract:
PURPOSE:To determine the reliability and accuracy of magnetic resonance (MR) arthrography for the diagnosis of superior labral anterior posterior (SLAP) tears. MATERIALS AND METHODS:The MR arthrograms in 80 patients who underwent arthroscopy and MR arthrography during a 54-month period were retrospectively reviewed. MR arthrograms were independently scored by three observers for the presence and type of SLAP lesion. Type I SLAP lesions were regarded as negative as they most often are not clinically relevant. Interobserver agreement for detection of SLAP lesions was calculated by using kappa coefficients. The differences in areas under the receiver operating characteristic (ROC) curves were assessed with a univariate z score test. RESULTS:At arthroscopy, there were 25 SLAP tears: type II (n = 22), type III (n = 2), and type IV (n = 1). Sensitivity, specificity, and accuracy of each reader were 92%, 84%, and 86%; 92%, 82%, and 85%; and 84%, 69%, and 74%, respectively. Interobserver agreement for SLAP tears was substantial (kappa = 0.77) to moderate (kappa = 0.52, kappa = 0.44). The areas under the ROC curves for each reader were 0.94, 0.93, and 0.83, which were not significantly different. CONCLUSION:MR arthrography of the shoulder is reliable and accurate for detection of SLAP tears.
journal_name
Radiologyjournal_title
Radiologyauthors
Jee WH,McCauley TR,Katz LD,Matheny JM,Ruwe PA,Daigneault JPdoi
10.1148/radiology.218.1.r01ja44127subject
Has Abstractpub_date
2001-01-01 00:00:00pages
127-32issue
1eissn
0033-8419issn
1527-1315journal_volume
218pub_type
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