Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain

Sameh Ahmad Khodair; Usama Elsaied Ghieda

doi:doi:10.11648/j.ijmi.20190704.12

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Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain

Sameh Ahmad Khodair, Usama Elsaied Ghieda

Published in International Journal of Medical Imaging (Volume 7, Issue 4)

Received: 11 December 2019 Accepted: 21 December 2019 Published: 4 January 2020

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Abstract

AIM OF THE WORK: To evaluate the value of sonoelastohraphy in rotator cuff tendinopathy. METHODS & MATERILS: Rotator cuff tendons of 40 patients with shoulder pain, patients with complete rotator cuff tear were excluded, 22 men, 18 women; mean age, 47.9 years and 40 healthy volunteers (22 men, 18 women; mean age, 39.8 years were examined by US, and SEL,&MRI. The MRI findings of tendinopathy were used as reference golden standard and were compared to US and SEL findings. By using US intratendinous focal areas of abnormal echogenicity were defined as pathologic. SE images were evaluated using color mapping grading system representing stiff tissue (blue) to more soft tissue (green, yellow, red). RESULTS: In healthy volunteers, SEL of rotator cuff tendons showed mainly blue color with areas of green coloring and normal findings on US scale & T2 MR images. No red or yellow coloring was detected, interpreted as sign for harder tissue characteristics. In patients with shoulder pain showed typical signs of rotator cuff tendinopathy in MRI, 34/40 showed signs of tendinopathy by US while 38/40 showed signs of tendinopathy using SEL. In details, US showed a sensitivity of 85% and specificity of 95% while SEL showed a sensitivity of 95%, specificity of 100%. ROC analysis showed a SEL cut off value of strain ration < 5.4 has a sensitivity of 97.5% & specificity of 100%. CONCLUSIONS: qualitative and quantitative SEL showed improved the sensitivity and specificity in the detection of rotator cuff tendinopathy to the conventional US.

Published in	International Journal of Medical Imaging (Volume 7, Issue 4)
DOI	10.11648/j.ijmi.20190704.12
Page(s)	91-97
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Ultrasonography, Elastography, MRI, Rotator Cuff, Shoulder Pain

References

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APA Style

Sameh Ahmad Khodair, Usama Elsaied Ghieda. (2020). Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. International Journal of Medical Imaging, 7(4), 91-97. https://doi.org/10.11648/j.ijmi.20190704.12

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ACS Style

Sameh Ahmad Khodair; Usama Elsaied Ghieda. Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. Int. J. Med. Imaging 2020, 7(4), 91-97. doi: 10.11648/j.ijmi.20190704.12

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AMA Style

Sameh Ahmad Khodair, Usama Elsaied Ghieda. Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. Int J Med Imaging. 2020;7(4):91-97. doi: 10.11648/j.ijmi.20190704.12

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@article{10.11648/j.ijmi.20190704.12,
  author = {Sameh Ahmad Khodair and Usama Elsaied Ghieda},
  title = {Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain},
  journal = {International Journal of Medical Imaging},
  volume = {7},
  number = {4},
  pages = {91-97},
  doi = {10.11648/j.ijmi.20190704.12},
  url = {https://doi.org/10.11648/j.ijmi.20190704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20190704.12},
  abstract = {AIM OF THE WORK: To evaluate the value of sonoelastohraphy in rotator cuff tendinopathy. METHODS & MATERILS: Rotator cuff tendons of 40 patients with shoulder pain, patients with complete rotator cuff tear were excluded, 22 men, 18 women; mean age, 47.9 years and 40 healthy volunteers (22 men, 18 women; mean age, 39.8 years were examined by US, and SEL,&MRI. The MRI findings of tendinopathy were used as reference golden standard and were compared to US and SEL findings. By using US intratendinous focal areas of abnormal echogenicity were defined as pathologic. SE images were evaluated using color mapping grading system representing stiff tissue (blue) to more soft tissue (green, yellow, red). RESULTS: In healthy volunteers, SEL of rotator cuff tendons showed mainly blue color with areas of green coloring and normal findings on US scale & T2 MR images. No red or yellow coloring was detected, interpreted as sign for harder tissue characteristics. In patients with shoulder pain showed typical signs of rotator cuff tendinopathy in MRI, 34/40 showed signs of tendinopathy by US while 38/40 showed signs of tendinopathy using SEL. In details, US showed a sensitivity of 85% and specificity of 95% while SEL showed a sensitivity of 95%, specificity of 100%. ROC analysis showed a SEL cut off value of strain ration CONCLUSIONS: qualitative and quantitative SEL showed improved the sensitivity and specificity in the detection of rotator cuff tendinopathy to the conventional US.},
 year = {2020}
}

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TY  - JOUR
T1  - Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain
AU  - Sameh Ahmad Khodair
AU  - Usama Elsaied Ghieda
Y1  - 2020/01/04
PY  - 2020
N1  - https://doi.org/10.11648/j.ijmi.20190704.12
DO  - 10.11648/j.ijmi.20190704.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 91
EP  - 97
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20190704.12
AB  - AIM OF THE WORK: To evaluate the value of sonoelastohraphy in rotator cuff tendinopathy. METHODS & MATERILS: Rotator cuff tendons of 40 patients with shoulder pain, patients with complete rotator cuff tear were excluded, 22 men, 18 women; mean age, 47.9 years and 40 healthy volunteers (22 men, 18 women; mean age, 39.8 years were examined by US, and SEL,&MRI. The MRI findings of tendinopathy were used as reference golden standard and were compared to US and SEL findings. By using US intratendinous focal areas of abnormal echogenicity were defined as pathologic. SE images were evaluated using color mapping grading system representing stiff tissue (blue) to more soft tissue (green, yellow, red). RESULTS: In healthy volunteers, SEL of rotator cuff tendons showed mainly blue color with areas of green coloring and normal findings on US scale & T2 MR images. No red or yellow coloring was detected, interpreted as sign for harder tissue characteristics. In patients with shoulder pain showed typical signs of rotator cuff tendinopathy in MRI, 34/40 showed signs of tendinopathy by US while 38/40 showed signs of tendinopathy using SEL. In details, US showed a sensitivity of 85% and specificity of 95% while SEL showed a sensitivity of 95%, specificity of 100%. ROC analysis showed a SEL cut off value of strain ration CONCLUSIONS: qualitative and quantitative SEL showed improved the sensitivity and specificity in the detection of rotator cuff tendinopathy to the conventional US.
VL  - 7
IS  - 4
ER  -

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Author Information

Sameh Ahmad Khodair

Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Usama Elsaied Ghieda

Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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APA Style

Sameh Ahmad Khodair, Usama Elsaied Ghieda. (2020). Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. International Journal of Medical Imaging, 7(4), 91-97. https://doi.org/10.11648/j.ijmi.20190704.12

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ACS Style

Sameh Ahmad Khodair; Usama Elsaied Ghieda. Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. Int. J. Med. Imaging 2020, 7(4), 91-97. doi: 10.11648/j.ijmi.20190704.12

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AMA Style

Sameh Ahmad Khodair, Usama Elsaied Ghieda. Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain. Int J Med Imaging. 2020;7(4):91-97. doi: 10.11648/j.ijmi.20190704.12

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@article{10.11648/j.ijmi.20190704.12,
  author = {Sameh Ahmad Khodair and Usama Elsaied Ghieda},
  title = {Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain},
  journal = {International Journal of Medical Imaging},
  volume = {7},
  number = {4},
  pages = {91-97},
  doi = {10.11648/j.ijmi.20190704.12},
  url = {https://doi.org/10.11648/j.ijmi.20190704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20190704.12},
  abstract = {AIM OF THE WORK: To evaluate the value of sonoelastohraphy in rotator cuff tendinopathy. METHODS & MATERILS: Rotator cuff tendons of 40 patients with shoulder pain, patients with complete rotator cuff tear were excluded, 22 men, 18 women; mean age, 47.9 years and 40 healthy volunteers (22 men, 18 women; mean age, 39.8 years were examined by US, and SEL,&MRI. The MRI findings of tendinopathy were used as reference golden standard and were compared to US and SEL findings. By using US intratendinous focal areas of abnormal echogenicity were defined as pathologic. SE images were evaluated using color mapping grading system representing stiff tissue (blue) to more soft tissue (green, yellow, red). RESULTS: In healthy volunteers, SEL of rotator cuff tendons showed mainly blue color with areas of green coloring and normal findings on US scale & T2 MR images. No red or yellow coloring was detected, interpreted as sign for harder tissue characteristics. In patients with shoulder pain showed typical signs of rotator cuff tendinopathy in MRI, 34/40 showed signs of tendinopathy by US while 38/40 showed signs of tendinopathy using SEL. In details, US showed a sensitivity of 85% and specificity of 95% while SEL showed a sensitivity of 95%, specificity of 100%. ROC analysis showed a SEL cut off value of strain ration CONCLUSIONS: qualitative and quantitative SEL showed improved the sensitivity and specificity in the detection of rotator cuff tendinopathy to the conventional US.},
 year = {2020}
}

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TY  - JOUR
T1  - Rotator Cuff Tendinopathy; Comparison Between Conventional Sonography, Sonoelastography, and MRI in Healthy Volunteers and Patients with Shoulder Pain
AU  - Sameh Ahmad Khodair
AU  - Usama Elsaied Ghieda
Y1  - 2020/01/04
PY  - 2020
N1  - https://doi.org/10.11648/j.ijmi.20190704.12
DO  - 10.11648/j.ijmi.20190704.12
T2  - International Journal of Medical Imaging
JF  - International Journal of Medical Imaging
JO  - International Journal of Medical Imaging
SP  - 91
EP  - 97
PB  - Science Publishing Group
SN  - 2330-832X
UR  - https://doi.org/10.11648/j.ijmi.20190704.12
AB  - AIM OF THE WORK: To evaluate the value of sonoelastohraphy in rotator cuff tendinopathy. METHODS & MATERILS: Rotator cuff tendons of 40 patients with shoulder pain, patients with complete rotator cuff tear were excluded, 22 men, 18 women; mean age, 47.9 years and 40 healthy volunteers (22 men, 18 women; mean age, 39.8 years were examined by US, and SEL,&MRI. The MRI findings of tendinopathy were used as reference golden standard and were compared to US and SEL findings. By using US intratendinous focal areas of abnormal echogenicity were defined as pathologic. SE images were evaluated using color mapping grading system representing stiff tissue (blue) to more soft tissue (green, yellow, red). RESULTS: In healthy volunteers, SEL of rotator cuff tendons showed mainly blue color with areas of green coloring and normal findings on US scale & T2 MR images. No red or yellow coloring was detected, interpreted as sign for harder tissue characteristics. In patients with shoulder pain showed typical signs of rotator cuff tendinopathy in MRI, 34/40 showed signs of tendinopathy by US while 38/40 showed signs of tendinopathy using SEL. In details, US showed a sensitivity of 85% and specificity of 95% while SEL showed a sensitivity of 95%, specificity of 100%. ROC analysis showed a SEL cut off value of strain ration CONCLUSIONS: qualitative and quantitative SEL showed improved the sensitivity and specificity in the detection of rotator cuff tendinopathy to the conventional US.
VL  - 7
IS  - 4
ER  -

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