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Review paper
Received: 05.12.2023. >> Accepted: 20.12.2023. >> Published: 06.11.2023. Biochemistry
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https://doi.org/10.17392/1702-23

Early career accuracy of shoulder ultrasound in evaluating rotator cuff tendon tears

By
Naser Obeida Orcid logo ,
Naser Obeida
Contact Naser Obeida

Department of Diagnostic Radiology and Nuclear Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan

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Asma’a Al-Mnayyis ,
Asma’a Al-Mnayyis

College of Medicine, Yarmouk University,

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Suhaib Bani Essa ,
Suhaib Bani Essa

Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan

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Mohammad Alkhatatba ,
Mohammad Alkhatatba

Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan

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Heba Al Qudah ,
Heba Al Qudah

Jordan University of Science and Technology, Irbid, Jordan

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Majed M. Aljarrah ,
Majed M. Aljarrah

Jordan University of Science and Technology, Irbid, Jordan

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Yahya Alshgerat ,
Yahya Alshgerat

Jordan University of Science and Technology, Irbid, Jordan

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Ammar Al-Tawarh ,
Ammar Al-Tawarh

Jordan University of Science and Technology, Irbid, Jordan

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Raghad Al-titi ,
Raghad Al-titi

Jordan University of Science and Technology, Irbid, Jordan

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Taqwa Alzuqaili ,
Taqwa Alzuqaili

Jordan University of Science and Technology, Irbid, Jordan

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Waseem Samir
Waseem Samir

Jordan University of Science and Technology, Irbid, Jordan

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Abstract

Aim
To compare the accuracy of shoulder ultrasound (US) in diagnosing rotator cuff tendon tears between junior and experienced musculoskeletal (MSK) radiologists. Also, to compare the overall ultrasound accuracy referenced to MRI.
Methods
A retrospective data collection for patients with clinically suspected rotator cuff tears who underwent ultrasound from
June 2021 - June 2023 was conducted. Patients who also performed MRI for the same shoulder were only included in the study. US and MRI images were evaluated by two MSK radiologists with different experience levels. The diagnosis of rotator cuff tears was done on MRI through consensus. Ultrasound accuracy referenced to MRI was calculated for each radiologist. A second consensus was conducted for US images to calculate the overall US accuracy.
The percentage of agreement and Cohen’s kappa correlation coefficient were calculated before and after the US consensus.
Results
Forty-one patients were included in the study, 12 (29.3%) males and 29 (70.7%) females, with a mean age of 49.6 years. Sensitivity, specificity, positive (PPV) and negative predictive values (NPV), and accuracy of US interpreted by junior vs experienced MSK radiologists for supraspinatus full thickness tears (FTTs) were 100% vs 91%, 90% vs 93%, 79% vs 83%, 100% vs 97%, and 93% vs 93%, respectively. After the second consensus, sensitivity, specificity, PPV and NPV, and accuracy were 91%, 90%, 77%, 96%, and 90%, respectively.
Conclusion
The accuracy of shoulder ultrasound in diagnosing supraspinatus FTTs by junior MSK radiologists compares well to the
more experienced ones, but not for partial thickness tears (PTTs).

Keywords:

magnetic resonance imaging,
rotator cuff injuries,
retrospective studies,
shoulder,
ultrasound

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