TY - JOUR
T1 - Scapholunate Interosseous Ligament Tears
T2 - Diagnostic Performance of 1.5 T, 3 T MRI, and MR Arthrography—A Systematic Review and Meta-analysis
AU - Hafezi-Nejad, Nima
AU - Carrino, John A.
AU - Eng, John
AU - Blackmore, Craig
AU - Shores, Jaimie
AU - Lifchez, Scott D.
AU - Farahani, Sahar Jalali
AU - Demehri, Shadpour
N1 - Publisher Copyright:
© 2016 The Association of University Radiologists
PY - 2016/9/1
Y1 - 2016/9/1
N2 - 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.
AB - 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.
KW - MRI
KW - diagnostic accuracy
KW - interosseous ligament
KW - scapholunate
KW - sensitivity
KW - specificity
KW - wrist
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U2 - 10.1016/j.acra.2016.04.006
DO - 10.1016/j.acra.2016.04.006
M3 - Article
C2 - 27426979
AN - SCOPUS:84978864890
SN - 1076-6332
VL - 23
SP - 1091
EP - 1103
JO - Academic radiology
JF - Academic radiology
IS - 9
ER -