| Peer-Reviewed

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

Received: 11 December 2019     Accepted: 21 December 2019     Published: 4 January 2020
Views:       Downloads:
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
[1] Itoh A, Ueno E, Tohno E, et al. Breast disease: clinical application of US elastography for diagnosis. Radiology 2006; 239: 341-50.
[2] Miyanaga N, Akaza H, Yamakawa M, et al. Tissue elasticity imaging for diagnosis of prostate cancer: a preliminary report. Int J Urol 2006; 13: 1514-8.
[3] Thomas A, Kümmel S, Gemeinhardt O, Fischer T. Real-time sonoelastography of the cervix: tissue elasticity of the normal and abnormal cervix. Acad Radiol 2007; 14: 193-200.
[4] Friedrich-Rust M, Ong MF, Herrmann E, et al. Real-time elastography for noninvasive assessment of liver fibrosis in chronic viral hepatitis. AJR Am J Roentgenol 2007; 188: 758-64.
[5] Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M et al. Cervical lymph node metastases: diagnosis at sonoelastography–initial experience. Radiology 2007; 243: 258–267.
[6] Palle L, Reddy MB, Reddy KJ, et al. Technical note: Real-time sonoelastography evaluation of Achilles tendon. Indian J Radiol Imaging 2011; 21: 267-9.
[7] Almekinders LC. Tendinitis and other chronic tendinopathies. J Am Acad Orthop Surg 1998; 6: 157–164.
[8] Fredberg U, Stengaard-Pedersen K. Chronic tendinopathy tissue pathology, pain mechanisms, and etiology with a special focus on inflammation. Scand J Med Sci Sports 2008; 18: 3–15.
[9] Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995; 77: 10–15.
[10] Miniaci A, Mascia AT, Salonen DC, Becker EJ. Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers. Am J Sports Med 2002; 30: 66–73.
[11] Worland RL, Lee D, Orozco CG, SozaRex F, Keenan J. Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. J South Orthop Assoc. 2003; 12: 23–26.
[12] Connor PM, Banks DM, Tyson AB, Coumas JS, D’Alessandro DF. Magnetic resonance imaging of the asymptomatic shoulder of overhead athletes: a 5-year follow-up study. Am J Sports Med. 2003; 31: 724–727.
[13] Robinson P. Sonography of common tendon injuries. AJR Am J Roentgenol 2009; 193: 607-618.
[14] Klauser AS, Faschingbauer R, Jaschke WR. Is sonoelastography of value in assessing tendons? Semin Musculoskelet Radiol 2010; 14: 323-333.
[15] Ophir J, Céspedes I, Ponnekanti H, Yazdi Y, Li X. Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 1991; 13 (2): 111–134.
[16] Yerli H, Yilmaz T, Kaskati T, Gulay H. Qualitative and semiquantitative evaluations of solid breast lesions by sonoelastography. J Ultrasound Med 2011; 30 (2): 179–186.
[17] Gaitini D. Shoulder Ultrasonography: Performance and common findings. J clin imaging sci. 2012; 2: 30 - 38.
[18] J. Scott McMonagle and Emily N. Vinson. MRI of the shoulder: Rotator cuff. Mar 30, 2012: http://www.appliedradiology.com/articles/mri-of-the-shoulder-rotator-cuff.
[19] Aström M, Rausing A. Chronic Achilles tendinopathy: a survey of surgical and histopathologic findings. Clin Orthop Relat Res 1995 (316): 151–164.
[20] Kainberger F, Mittermaier F, Seidl G, Parth E, Weinstabl R. Imaging of tendons: adaptation, degeneration, rupture. Eur J Radiol 1997; 25 (3): 209–222.
[21] Kannus P, Józsa L. Histopathological changes preceding spontaneous rupture of a tendon: a controlled study of 891 patients. J Bone Joint Surg Am 1991; 73 (10): 1507–1525.
[22] Andres BM, Murrell GA. Molecular and clinical developments in tendinopathy: editorial comment. Clin Orthop Relat Res. 2008; 466: 1519–1520.
[23] Seitz AL, McClure PW, Finucane S, Boardman ND 3rd, Michener LA (2011) Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011; 26: 1–12.
[24] Sein ML, Walton J, Linklater J, Harris C, Dugal T, Appleyard R, Kirkbride B, Kuah D, and Murrell G AC. Reliability of MRI assessment of supraspinatus tendinopathy. Br J Sports Med 2007; 41: e9.
[25] Klauser AS, Tagliafico A, Allen GM, et al. Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology. Eur Radiol 2012; 22 (5): 1140– 1148.
[26] McNally EG. The development and clinical applications of musculoskeletal ultrasound. Skeletal Radiol 2011; 40 (9): 1223–1231.
[27] Klauser AS, Miyamoto H, Tamegger M, et al. Achilles tendon assessed with sonoelastography: histologic agreement. Radiology 2013; 267 (3): 837–842.
[28] Seo JB, Yoo JS and Ryu JW. Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography. J ultrasound 2015; 18: 143–149.
[29] Zhi H, Xiao XY, Yang HY, Ou B, Wen YL, Luo BM. Ultrasonic elastography in breast cancer diagnosis: strain ratio vs. 5-point scale. Acad Radiol 2010; 17 (10): 1227–33.
[30] Thomas A, Degenhardt F, Farrokh A, Wojcinski S, Slowinski T, Fischer T. Significant differentiation of focal breast lesions: calculation of strain ratio in breast sonoelastography. Acad Radiol 2010; 17 (5): 558–63.
[31] Zhao Q, Li F, Sheng W, Duan S, Zhang H, Ruan L, et al.. Diagnostic value of strain ratio measurement in breast neoplasm. Chin J Gen Surg 2011; 9: 5–17.
[32] Landoni V, Francione V, Marzi S, Pasciuti K, Ferrante F, Saracca E, et al.. Quantitative analysis of elastography images in the detection of breast cancer. Eur J Radiol 2012; 81 (7): 1527–31.
[33] Lyshchik A, Higashi T, Asato R, et al.. Cervical lymph node metastases: diagnosis at sonoelastography: initial experience. Radiology 2007; 243: 258–67.
[34] Arda K, Ciledag N, Gumusdag PD. Differential diagnosis of malignant cervical lymph nodes with real-time ultrasonographic elastography and Doppler ultrasonography. Magyar Radiologia 2010; 84 (3): 159–63.
[35] Mousa AE, Aboelatta M, and Zalata K. Combined sonoelastographic scoring and strain ratio in evaluation of breast masses. The Egyptian Journal of Radiology and Nuclear Medicine 2012; 43: 647–656.
[36] Cho N, Moon WK, Kim HY, Chang JM, Park SH, Lyou CY. Sonoelastographic strain index for differentiation of benign and malignant non-palpable breast masses. J Ultrasound Med 2010; 29 (1): 1–7.
[37] Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, and Jaschke WR. Sonoelastography: Musculoskeletal Applications. Radiology 2014: 272 (3): 622-633
[38] De Zordo T, Fink C, Feuchtner GM, Smekal V, Reindl M, Klauser AS. Real-time sonoelastography findings in healthy Achilles tendons. AJR Am J Roentgenol 2009; 193 (2): W134–8.
[39] De Zordo T, Chhem R, Smekal V, et al. Real-time sonoelastography: findings in patients with symptomatic Achilles tendons and comparison to healthy volunteers. Ultraschall Med; November 27, 2009 [Epub ahead of print]
[40] Abdel Razek N & Ezzat L. Real-time sono-elastography in assessment of rotator cuff tendon tears: comparison of findings between elastography and MRI in healthy volunteers and patients with shoulder pain. Radiological Society of North America 94th Scientific Assembly and Annual Meeting November 30th – December 5th, 2008, Chicago, USA.
Cite This Article
  • 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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • 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  - 

    Copy | Download

Author Information
  • Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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

  • Sections