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The effect of percutaneous ultrasound-guided subacromial bursography using microbubbles in the assessment of subacromial impingement syndrome: initial experience
- 作者:Xueqing Cheng ; Man Lu ; Xiao Yang ; Xuanyan Guo ; Fanding He ; Qin Chen…
- 关键词:Rotator cuff tears ; Subacromial impingement syndrome ; Contrast ; enhanced ultrasound ; Bursography ; Ultrasound
- 刊名:European Radiology
- 出版年:2015
- 出版时间:August 2015
- 年:2015
- 卷:25
- 期:8
- 页码:2412-2418
- 全文大小:4,021 KB
- 参考文献:1.Balke M et al (2013) Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop 84:178-83PubMed Central PubMed View Article
2.Nasca RJ, Salter EG, Weil CE (1998) Current concepts review. Subacromial impingement syndrome (79-A: 1854-868, Dec. 1997). J Bone Joint Surg Am 80:1852-853PubMed 3.Neer CN (1983) Impingement lesions. Clin Orthop Relat Res 173:70-7PubMed 4.Harrison AK, Flatow EL (2011) Subacromial impingement syndrome. J Am Acad Orthop Surg 19:701-08PubMed 5.Park HB et al (2005) Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am 87:1446-455PubMed View Article 6.Kurihara N et al (2012) Vascular patterns in nodules of intraductal papillary mucinous neoplasms depicted under contrast-enhanced ultrasonography are helpful for evaluating malignant potential. Eur J Radiol 81:66-0PubMed View Article 7.Wilson SR, Burns PN (2010) Microbubble-enhanced US in body imaging: what role? Radiology 257:24-9PubMed View Article 8.Exacoustos C et al (2009) Contrast-tuned imaging and second-generation contrast agent SonoVue: a new ultrasound approach to evaluation of tubal patency. J Minim Invasive Gynecol 16:437-44PubMed View Article 9.Luyao Z et al (2012) Percutaneous ultrasound-guided cholangiography using microbubbles to evaluate the dilated biliary tract: initial experience. Eur Radiol 22:371-78PubMed View Article 10.Kang CH et al (2009) Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skelet Radiol 38:1063-069View Article 11.Daenen B et al (2007) Ultrasound of the shoulder. JBR-BTR 90:325-37PubMed 12.Brandt TD et al (1989) Rotator cuff sonography: a reassessment. Radiology 173:323-27PubMed View Article 13.Rafii M et al (1990) Rotator cuff lesions: signal patterns at MR imaging. Radiology 177:817-23PubMed View Article 14.Yablon CM et al (2013) Ultrasonography of the shoulder with arthroscopic correlation. Clin Sports Med 32:391-08PubMed View Article 15.van Holsbeeck MT et al (1995) US depiction of partial-thickness tear of the rotator cuff. Radiology 197:443-46PubMed View Article 16.Teefey SA et al (2000) Ultrasonography of the rotator cuff. A comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases. J Bone Joint Surg Am 82:498-04PubMed 17.Gamradt SC et al (2010) Vascularity of the supraspinatus tendon three months after repair: Characterization using contrast-enhanced ultrasound. J Shoulder Elb Surg 19:73-0View Article 18.Funakoshi T et al (2010) In vivo visualization of vascular patterns of rotator cuff tears using contrast-enhanced ultrasound. Am J Sports Med 38:2464-471PubMed View Article 19.Cadet ER et al (2012) Contrast-enhanced ultrasound characterization of the vascularity of the repaired rotator cuff tendon: short-term and intermediate-term follow-up. J Shoulder Elb Surg 21:597-03View Article 20.Adler RS et al (2011) Contrast-enhanced sonographic characterization of the vascularity of the repaired rotator cuff: utility of maximum intensity projection imaging. J Ultrasound Med 30:1103-109PubMed 21.Hodler J et al (1988) Rotator cuff tears: correlation of sonographic and surgical findings. Radiology 169:791-94PubMed View Article
- 作者单位:Xueqing Cheng (1) (2)
Man Lu (1) Xiao Yang (3) Xuanyan Guo (1) Fanding He (1) Qin Chen (1) Peng Gu (4)
1. Department of Ultrasound, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, China 2. North Sichuan Medical College, Nanchong, China 3. Department of Orthopedics, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, China 4. Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- 刊物类别:Medicine
- 刊物主题:Medicine & Public Health
Imaging and Radiology Diagnostic Radiology Interventional Radiology Neuroradiology Ultrasound Internal Medicine
- 出版者:Springer Berlin / Heidelberg
- ISSN:1432-1084
文摘
Objective The purpose of this study was to determine the feasibility and the value of percutaneous ultrasound-guided subacromial bursography (PUSB) with contrast-enhanced ultrasound (CEUS) for assessment of rotator cuff tears. Methods Between January 2012 and September 2014, 2-D US and PUSB were prospectively performed in 135 patients with suspected rotator cuff tears from among 2,169 patients with clinically diagnosed subacromial impingement syndrome. Sixty-three patients who had undergone arthroscopy were included. The PUSB findings were compared with those from 2-D US using the McNemar test, with arthroscopy as a standard. Results Of a total of 19 full-thickness tears (FTTs), 2-D US correctly diagnosed 12 and PUSB correctly diagnosed 18 (P--.031). With regard to partial-thickness tears, 2-D US correctly diagnosed 31 and PUSB 35 of a total of 41 tears (P--.375).Accuracy in diagnosing FTTs was 81.0?% for 2-D US and 98.4?% for PUSB. 2-D US and PUSB yielded sensitivity of 63.2?% and 94.7?%, respectively, for full-thickness tears, with specificity of 88.6?% and 100.0?%, respectively. Conclusions PUSB is a safe and feasible procedure, with greater sensitivity and specificity than 2D US in diagnosing FTTs As such, PUSB improves the value of ultrasound for assessing rotator cuff pathology. Key Points -PUSB allows new application of CEUS and offers a new form of bursography. -PUSB appears to facilitate diagnosis of full -thickness rotator cuff tears. -PUSB outlines the rotator cuff tears more clearly than 2-D US.
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