Diagnosis of adhesive capsulitis: Comparison of contrast-enhanced MRI with noncontrast-enhanced MRI

Kyung Sik Ahn; Chang Ho Kang; Yura Kim; Woong Kyo Jeong

doi:10.1016/j.clinimag.2015.08.006

Diagnosis of adhesive capsulitis: Comparison of contrast-enhanced MRI with noncontrast-enhanced MRI

Kyung Sik Ahn, Chang Ho Kang, Yura Kim, Woong Kyo Jeong

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Objective: To compare the diagnostic performance of contrast-enhanced (CE) magnetic resonance imaging (MRI) and non-CE MRI for adhesive capsulitis (AC). Methods: CE MRI of 50 AC and 53 non-AC patients were reviewed by two radiologists independently. Results: Axillary capsular thickening and T2 hyperintensity (sensitivity=92-94%; specificity=53-64%) and enhancement of the axillary capsule and rotator interval (sensitivity=92-98%; specificity=38-64%) were helpful in diagnosing AC. Interobserver reliability was highest with axillary joint capsule enhancement (κ=0.92). Conclusion: Non-CE and CE MRI are helpful in confirming the clinical diagnosis of AC. CE-MRI may improve assessment of the rotator interval and diagnostic confidence in patients with AC.

Original language	English
Pages (from-to)	1061-1067
Number of pages	7
Journal	Clinical Imaging
Volume	39
Issue number	6
DOIs	https://doi.org/10.1016/j.clinimag.2015.08.006
Publication status	Published - 2015 Nov

Keywords

Adhesive capsulitis
Axillary capsule
Contrast-enhanced MRI
Rotator interval

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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title = "Diagnosis of adhesive capsulitis: Comparison of contrast-enhanced MRI with noncontrast-enhanced MRI",

abstract = "Objective: To compare the diagnostic performance of contrast-enhanced (CE) magnetic resonance imaging (MRI) and non-CE MRI for adhesive capsulitis (AC). Methods: CE MRI of 50 AC and 53 non-AC patients were reviewed by two radiologists independently. Results: Axillary capsular thickening and T2 hyperintensity (sensitivity=92-94%; specificity=53-64%) and enhancement of the axillary capsule and rotator interval (sensitivity=92-98%; specificity=38-64%) were helpful in diagnosing AC. Interobserver reliability was highest with axillary joint capsule enhancement (κ=0.92). Conclusion: Non-CE and CE MRI are helpful in confirming the clinical diagnosis of AC. CE-MRI may improve assessment of the rotator interval and diagnostic confidence in patients with AC.",

keywords = "Adhesive capsulitis, Axillary capsule, Contrast-enhanced MRI, Rotator interval",

author = "Ahn, {Kyung Sik} and Kang, {Chang Ho} and Yura Kim and Jeong, {Woong Kyo}",

year = "2015",

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volume = "39",

pages = "1061--1067",

journal = "Clinical Imaging",

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TY - JOUR

T1 - Diagnosis of adhesive capsulitis

T2 - Comparison of contrast-enhanced MRI with noncontrast-enhanced MRI

AU - Ahn, Kyung Sik

AU - Kang, Chang Ho

AU - Kim, Yura

AU - Jeong, Woong Kyo

PY - 2015/11

Y1 - 2015/11

N2 - Objective: To compare the diagnostic performance of contrast-enhanced (CE) magnetic resonance imaging (MRI) and non-CE MRI for adhesive capsulitis (AC). Methods: CE MRI of 50 AC and 53 non-AC patients were reviewed by two radiologists independently. Results: Axillary capsular thickening and T2 hyperintensity (sensitivity=92-94%; specificity=53-64%) and enhancement of the axillary capsule and rotator interval (sensitivity=92-98%; specificity=38-64%) were helpful in diagnosing AC. Interobserver reliability was highest with axillary joint capsule enhancement (κ=0.92). Conclusion: Non-CE and CE MRI are helpful in confirming the clinical diagnosis of AC. CE-MRI may improve assessment of the rotator interval and diagnostic confidence in patients with AC.

AB - Objective: To compare the diagnostic performance of contrast-enhanced (CE) magnetic resonance imaging (MRI) and non-CE MRI for adhesive capsulitis (AC). Methods: CE MRI of 50 AC and 53 non-AC patients were reviewed by two radiologists independently. Results: Axillary capsular thickening and T2 hyperintensity (sensitivity=92-94%; specificity=53-64%) and enhancement of the axillary capsule and rotator interval (sensitivity=92-98%; specificity=38-64%) were helpful in diagnosing AC. Interobserver reliability was highest with axillary joint capsule enhancement (κ=0.92). Conclusion: Non-CE and CE MRI are helpful in confirming the clinical diagnosis of AC. CE-MRI may improve assessment of the rotator interval and diagnostic confidence in patients with AC.

KW - Adhesive capsulitis

KW - Axillary capsule

KW - Contrast-enhanced MRI

KW - Rotator interval

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