Diagnostic Test Accuracy Review

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Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered

  1. Mário Lenza1,*,
  2. Rachelle Buchbinder2,
  3. Yemisi Takwoingi3,
  4. Renea V Johnston2,
  5. Nigel CA Hanchard4,
  6. Flávio Faloppa5

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 24 SEP 2013

Assessed as up-to-date: 22 AUG 2011

DOI: 10.1002/14651858.CD009020.pub2


How to Cite

Lenza M, Buchbinder R, Takwoingi Y, Johnston RV, Hanchard NCA, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD009020. DOI: 10.1002/14651858.CD009020.pub2.

Author Information

  1. 1

    Hospital Israelita Albert Einstein, Orthopaedic and Trauma Department, São Paulo, Sao Paulo, Brazil

  2. 2

    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Monash Department of Clinical Epidemiology, Cabrini Hospital, Malvern, Victoria, Australia

  3. 3

    University of Birmingham, Public Health, Epidemiology and Biostatistics, Birmingham, UK

  4. 4

    Teesside University, Health and Social Care Institute, Middlesbrough, Tees Valley, UK

  5. 5

    Universidade Federal de São Paulo, Department of Orthopaedics and Traumatology, São Paulo, São Paulo, Brazil

*Mário Lenza, Orthopaedic and Trauma Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, São Paulo, Sao Paulo, CEP 05651-901, Brazil. mariolenza@yahoo.com.br. mario.lenza@einstein.br.

Publication History

  1. Publication Status: New
  2. Published Online: 24 SEP 2013

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[Figure 1]
Figure 1. Study flow diagram
[Figure 2]
Figure 2. Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies
[Figure 3]
Figure 3. Methodological quality summary: review authors' judgements about each methodological quality item for each included study
[Figure 4]
Figure 4. Accuracy of MRA, MRI and US for detecting any rotator cuff tears (forest plot)
[Figure 5]
Figure 5. Study estimates of sensitivity and specificity with 95% confidence intervals plotted in ROC space for MRA for the detection of any rotator cuff tears
[Figure 6]
Figure 6. Study estimates of sensitivity and specificity, and summary points with 95% confidence regions plotted in ROC space for MRI and US for the detection of any rotator cuff tears
[Figure 7]
Figure 7. Accuracy of MRA, MRI and US for detecting full thickness rotator cuff tears (forest plot)
[Figure 8]
Figure 8. Study estimates of sensitivity and specificity, and summary points with 95% confidence regions plotted in ROC space for MRA, MRI and US for the detection of full thickness rotator cuff tears
[Figure 9]
Figure 9. Accuracy of MRI, US and MRA for detecting partial thickness rotator cuff tears (forest plot)
[Figure 10]
Figure 10. Study estimates of sensitivity and specificity with 95% confidence intervals plotted in ROC space for MRA for the detection of partial thickness rotator cuff tears
[Figure 11]
Figure 11. Study estimates of sensitivity and specificity, and summary points with 95% confidence regions plotted in ROC space for MRI and US for the detection of partial thickness rotator cuff tears
[Figure 12]
Figure 12. Paired comparison of MRI and US for detection of any rotator cuff tears. Connectling lines link study estimates of sensitivity and specificity for both tests in each study
[Figure 13]
Figure 13. Paired comparison of MRI and US for detection of full thickness rotator cuff tears. Connectling lines link study estimates of sensitivity and specificity for both tests in each study
[Figure 14]
Figure 14. Paired comparison of MRI and US for detection of partial thickness rotator cuff tears. Connectling lines link study estimates of sensitivity and specificity for both tests in each study
[Test 1]
Test 1. MRA for detection of any rotator cuff tears.
[Test 2]
Test 2. MRA for detection of full thickness tears.
[Test 3]
Test 3. MRA for detection of partial thickness tears.
[Test 4]
Test 4. MRI for detection of any rotator cuff tears.
[Test 5]
Test 5. MRI for detection of full thickness tears.
[Test 6]
Test 6. MRI for detection of partial thickness tears.
[Test 7]
Test 7. US for detection of partial thickness tears.
[Test 8]
Test 8. US for detection of full thickness tears.
[Test 9]
Test 9. US for detection of any rotator cuff tears.
[Test 11]
Test 11. MRA for detection of any subscapularis tendon tears.