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A systematic review and meta-analysis of diagnostic test of MRA versus MRI for detection superior labrum anterior to posterior lesions type II–VII

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Abstract

Objective

To determine the diagnostic performance of magnetic resonance arthrography (MRA) and magnetic resonance imaging (MRI) in superior labrum anterior to posterior lesions (type II–VII) of the shoulder.

Material and methods

PubMed and Scopus search engines, an electronic search of articles was performed from inception to February 19, 2016. Diagnostic performance of index tests was compared by the summary area under receiver operator characteristic curve (AUROC).

Results and conclusions

In all, 117 of 493 studies were eligible and 32 studies (2,013 shoulders) and 11 studies (1,498 shoulders) were evaluated with MRA and MRI. The summary sensitivity, specificity, likelihood ratio (positive and negative) and AUROC were 0.87 (95 % confidence interval, CI: 0.82, 0.91), 0.92 (95 %CI: 0.85, 0.95), 10.28 (95 %CI: 5.84, 18.08), 0.14 (95 %CI: 0.10, 0.20) and 0.94 (95 %CI: 0.92, 0.96) respectively for MRA, and 0.76 (95 %CI: 0.61, 0.86), 0.87 (95 %CI: 0.71, 0.95), 5.89 (95 %CI: 2.5, 13.86), 0.28 (95 %CI: 0.17, 0.47) and 0.94 (95 %CI: 0.92, 0.96) respectively for MRI. The diagnostic performance of MRA was superior to MRI by both direct and indirect comparisons for the detection of SLAP lesions.

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Acknowledgements

All authors declare that they have no conflicts of interests. This study had no funding support. The Institutional Review Board approval was not required because this study is a meta-analysis. Written informed consent was not required for this study because this study is a meta-analysis.

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Authors and Affiliations

  1. Orthopedics Department, Police General Hospital, Bangkok, Thailand

    Alisara Arirachakaran & Kwanchai Pituckanotai

  2. Department of Orthopaedics, Faculty of Medicine, Khon Kean University, Khonkaen, Thailand

    Manusak Boonard

  3. Orthopedics Department, College of Sports Science and Technology, Mahidol University, Bangkok, Thailand

    Kornkit Chaijenkij

  4. Orthopedic Department, Udon Thani Hospital, Udonthani, Thailand

    Akom Prommahachai

  5. Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand

    Jatupon Kongtharvonskul

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  1. Alisara Arirachakaran
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Correspondence to Jatupon Kongtharvonskul.

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Arirachakaran, A., Boonard, M., Chaijenkij, K. et al. A systematic review and meta-analysis of diagnostic test of MRA versus MRI for detection superior labrum anterior to posterior lesions type II–VII. Skeletal Radiol 46, 149–160 (2017). https://doi.org/10.1007/s00256-016-2525-1

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