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KMID : 1103720070560060569
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Journal of the Korean Society of Radiology
2007 Volume.56 No. 6 p.569 ~ p.573
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Evaluation of the SLAP Lesion Using a Low-field(0.2T)Magnetic Resonance System
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Cho Yong-Soo
Back Chang-Hee
Lee Kyung-Rae
Shin Yoon-Hak
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Abstract
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Purpose: To evaluate the diagnostic capabilities of the low-field (0.2T) magnetic resonance (MR) system in the detection of the superior labrum anterior to posterior (SLAP) lesion.
Materials and Methods: One hundred fifty patients underwent magnetic resonance imaging of the shoulder over a 7-month period. Forty-six patients underwent arthroscopic surgery, and the surgical results were correlated with the findings of the MR imaging. Arthroscopic procedures were performed within a mean of 8 days after MR imaging. MR imaging of the shoulder was conducted as follows: shoulder coil; T1-weighted spin echo, coronal-oblique images; T2-weighted gradient echo, coronal-oblique and axial images; and T2-weighted spin echo, coronal-oblique and sagittal-oblique images. Prospectively, one radiologist interpreted the MR images.
Results: The results of surgery were as follows: SLAP II in 26 shoulders, SLAP III in 1 shoulder, SLAP IV in 1 shoulder, normal labrum in 6 shoulders. For SLAP lesions with a higher grade than type 2, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the low-field MRI were 85.7%, 55.5%, 75%, 71%, and 74%, respectively.
Conclusion: There was relatively good agreement for the comparison of the MR results obtained using a low-field MR system with the surgical findings for identifying SLAP lesions.
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KEYWORD
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Shouler, MR, )Magnetic Resonance, low-field-strength imaging, Arthroscopy
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