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Quantitative Analysis of Supraspinatus Tendon Pathologies via T2/T2* Mapping Techniques with 1.5 T MRI     
Yazarlar
Doç. Dr. Bünyamin ECE
Kastamonu Üniversitesi, Türkiye
Hasan Yiğit
Sağlık Bilimleri Üniversitesi, Türkiye
Elif Ergün
Sağlık Bilimleri Üniversitesi, Türkiye
Enver Necip Köseoğlu
Erdal Karavaş
Bandırma Onyedi Eylül Üniversitesi, Türkiye
Sonay Aydın
Erzincan Binali Yıldırım Üniversitesi, Türkiye
Pınar Nercis Koşar
Özet
The aim of this study was to quantitatively assess supraspinatus tendon pathologies with T2/T2* mapping techniques, which are sensitive to biochemical changes. Conventional magnetic resonance imaging (MRI) and T2/T2* mapping techniques were applied to 41 patients with shoulder pathology, and there were also 20 asymptomatic cases included. The patients were divided into two groups: tendinosis and rupture. The supraspinatus tendon was divided into medial, middle, and lateral sub-regions, and the T2/T2* values were measured in both the coronal and sagittal planes for intergroup comparison. Intra-class and inter-class correlation coefficients (ICCs) were calculated to assess test reproducibility. Receiver operating characteristic (ROC) analysis was used to determine the cut-off value in each group. A total of 61 patients (27 males and 34 females)-including 20 asymptomatic individuals, 20 with tendinosis, and 21 with rupture-were evaluated using T2/T2* mapping techniques. In the rupture group, there were significant differences in the values of the lateral region ( < 0.001), as well as in the middle and medial regions ( < 0.05) of the supraspinatus tendon compared to the tendinosis and asymptomatic groups. These were determined using both T2* and T2 mapping in both the coronal and sagittal plane measurements. In the tendinosis group, there were significant differences in the values of the lateral region with T2* mapping ( < 0.001) in both the coronal and sagittal planes, and also with the T2 mapping in the coronal plane ( < 0.05) compared to the asymptomatic groups. The cut-off values for identifying supraspinatus pathology ranged from 85% to 90% for T2 measurements and above 90% for T2* measurements in both planes of the lateral section. The ICC values showed excellent reliability (ICC > 0.75) for all groups. In conclusion, T2 and T2* mapping techniques with 1.5 T MRI can be used to assess tendon rupture and tendinosis pathologies in the supraspinatus tendon. For an accurate evaluation, measurements from the lateral region in both the coronal and sagittal planes are more decisive.
Anahtar Kelimeler
magnetic resonance imaging,supraspinatus tendon,tendinosis,tendon rupture,T2 and T2* mapping,quantitative MRI
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı DIAGNOSTICS
Dergi ISSN 2075-4418
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 07-2023
Cilt No 13
Sayı 15
Sayfalar 2534 / 2551
Doi Numarası 10.3390/diagnostics13152534
Makale Linki http://dx.doi.org/10.3390/diagnostics13152534