Nima Hafezi-Nejad1, John A Carrino2, John Eng3, Craig Blackmore4, Jaimie Shores5, Scott D Lifchez5, Sahar Jalali Farahani3, Shadpour Demehri3. 1. Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, MD 21287. Electronic address: nhafezi1@jhmi.edu. 2. Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York. 3. Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, MD 21287. 4. The Center for Healthcare Improvement Science and Department of Radiology, Virginia Mason Medical Center, Seattle, Washington. 5. Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, Maryland.
Abstract
RATIONALE AND OBJECTIVES: The study aimed to perform a systematic review and meta-analysis for evaluating the diagnostic accuracy of 1.5 Tesla and 3.0 Tesla magnetic resonance imaging (MRI), and magnetic resonance arthrography (MRA), in the detection of scapholunate interosseous ligament (SLIL) injury. MATERIALS AND METHODS: A literature search was performed (until July 2015) using the PubMed (MEDLINE), Embase, ISI Web of Science, Scopus, and conference proceedings. Original studies evaluating the diagnostic accuracy of MRI or MRA in the detection of SLIL injuries using arthroscopy or open surgery as the reference standard were included. RESULTS: Of the initial 930 published records and 103 conference proceedings, 24 studies (1902 MRI examinations) were included (median SLIL injury prevalence: 33% [interquartile range: 25-42]). Heterogeneity was detected for 1.5 T MRI (chi-square: 47.93, P < 0.001) but not for 3.0 T MRI (chi-square: 8.00, P value: 0.09) and MRA (chi-square: 14.54, P value: 0.34) studies. The sensitivities of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 45.7% (95% confidence interval: 40.1-51.4), 75.7% (66.8-83.2), and 82.1% (76.1-87.2), respectively. The specificities of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 80.5% (77.3-83.4), 97.1% (89.8-99.6), and 92.8% (90.2-94.9), respectively. The diagnostic odds ratios of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 5.56 (2.71-11.39), 23.23 (3.16-171.00), and 65.04 (32.89-128.62) (P value < 0.001), respectively. The results were consistent after addressing publication bias and sensitivity analyses. CONCLUSIONS: MRA is superior to 3.0 T MRI, and 3.0 T MRI is superior to 1.5 T MRI in terms of diagnostic performance. 3.0 T MRI has the highest specificity for the detection of SLIL injuries.
RATIONALE AND OBJECTIVES: The study aimed to perform a systematic review and meta-analysis for evaluating the diagnostic accuracy of 1.5 Tesla and 3.0 Tesla magnetic resonance imaging (MRI), and magnetic resonance arthrography (MRA), in the detection of scapholunate interosseous ligament (SLIL) injury. MATERIALS AND METHODS: A literature search was performed (until July 2015) using the PubMed (MEDLINE), Embase, ISI Web of Science, Scopus, and conference proceedings. Original studies evaluating the diagnostic accuracy of MRI or MRA in the detection of SLIL injuries using arthroscopy or open surgery as the reference standard were included. RESULTS: Of the initial 930 published records and 103 conference proceedings, 24 studies (1902 MRI examinations) were included (median SLIL injury prevalence: 33% [interquartile range: 25-42]). Heterogeneity was detected for 1.5 T MRI (chi-square: 47.93, P < 0.001) but not for 3.0 T MRI (chi-square: 8.00, P value: 0.09) and MRA (chi-square: 14.54, P value: 0.34) studies. The sensitivities of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 45.7% (95% confidence interval: 40.1-51.4), 75.7% (66.8-83.2), and 82.1% (76.1-87.2), respectively. The specificities of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 80.5% (77.3-83.4), 97.1% (89.8-99.6), and 92.8% (90.2-94.9), respectively. The diagnostic odds ratios of 1.5 T MRI, 3.0 T MRI, and MRA for detection of SLIL injury were 5.56 (2.71-11.39), 23.23 (3.16-171.00), and 65.04 (32.89-128.62) (P value < 0.001), respectively. The results were consistent after addressing publication bias and sensitivity analyses. CONCLUSIONS: MRA is superior to 3.0 T MRI, and 3.0 T MRI is superior to 1.5 T MRI in terms of diagnostic performance. 3.0 T MRI has the highest specificity for the detection of SLIL injuries.
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Authors: Tobias Johannes Dietrich; Andoni Paul Toms; Luis Cerezal; Patrick Omoumi; Robert Downey Boutin; Jan Fritz; Rainer Schmitt; Maryam Shahabpour; Fabio Becce; Anne Cotten; Alain Blum; Marco Zanetti; Eva Llopis; Maciej Bień; Radhesh Krishna Lalam; P Diana Afonso; Vasco V Mascarenhas; Reto Sutter; James Teh; Grzegorz Pracoń; Milko C de Jonge; Jean-Luc Drapé; Marc Mespreuve; Alberto Bazzocchi; Guillaume Bierry; Danoob Dalili; Marc Garcia-Elias; Andrea Atzei; Gregory Ian Bain; Christophe L Mathoulin; Francisco Del Piñal; Luc Van Overstraeten; Robert M Szabo; Emmanuel J Camus; Riccardo Luchetti; Adrian Julian Chojnowski; Jörg G Grünert; Piotr Czarnecki; Fernando Corella; Ladislav Nagy; Michiro Yamamoto; Igor O Golubev; Jörg van Schoonhoven; Florian Goehtz; Maciej Klich; Iwona Sudoł-Szopińska Journal: Eur Radiol Date: 2021-06-08 Impact factor: 5.315