Publication:
An assessment of slap type 5 lesions using proton density oblique sagittal imaging in magnetic resonance arthrography

dc.contributor.authorÖngen, Gökhan
dc.contributor.authorGökalp, Gökhan
dc.contributor.authorNas, Ömer Fatih
dc.contributor.buuauthorÖNGEN, GÖKHAN
dc.contributor.buuauthorGÖKALP, GÖKHAN
dc.contributor.buuauthorNAS, ÖMER FATİH
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentRadyoloji Ana Bilim Dalı
dc.contributor.orcid0000-0002-3682-2474
dc.contributor.researcheridFQR-8472-2022
dc.contributor.researcheridGMO-0473-2022
dc.contributor.researcheridAAG-8561-2021
dc.date.accessioned2024-06-26T08:28:51Z
dc.date.available2024-06-26T08:28:51Z
dc.date.issued2021-12-10
dc.description.abstractBackground Bankart lesions accompany superior labrum anteroposterior (SLAP) lesions; these are called SLAP type 5. Purpose To compare SLAP type 5 lesions using routine magnetic resonance arthrography (MRA) and thin-slice oblique sagittal proton density (PDW) sequences and correlation operation results. Material and Methods In total, 181 patients were admitted with shoulder instability. The study was completed with 44 patients. The presence or absence of isolated Bankart and SLAP type 5 lesions in routine MRA and PDW oblique sagittal images were evaluated separately. Absence of rupture scored 0 points, suspected ruptures scored 1 point, and apparent ruptures scored 2 points. The two scores were compared with the shoulder arthroscopy findings. Results According to the findings in the shoulder arthroscopy, 40 patients had Bankart lesions and 17 patients had accompanying SLAP type 5 lesions. To detect a Bankart lesion, there was no significant difference between routine MRA sequences and PDW oblique sagittal images (P = 0.061). Routine MRA sensitivity was 95%, specificity 25%, positive predictive value (PPV) 92%, negative predictive value (NPV) 33%, while for PDW oblique sagittal images, sensitivity was 75%, specificity 100%, PPV 100%, and NPV 28.5%. In 8/17 type 5 SLAP lesions, routine MRA detected sensitivity 47%, specificity 92.6%, PPV 80%, and NPV 73.5%; in 14/17 SLAP type 5 lesions, PDW oblique sagittal images detected sensitivity 82%, specificity 100%, PPV 100%, and NPV 90% (P = 0.015). Conclusion The PDW oblique sagittal images may play a significant role in assessing the anterior and superior extent of the tears.
dc.identifier.doi10.1177/02841851211064594
dc.identifier.eissn1600-0455
dc.identifier.endpage200
dc.identifier.issn0284-1851
dc.identifier.issue1
dc.identifier.startpage195
dc.identifier.urihttps://doi.org/10.1177/02841851211064594
dc.identifier.urihttps://journals.sagepub.com/doi/10.1177/02841851211064594
dc.identifier.urihttps://hdl.handle.net/11452/42419
dc.identifier.volume64
dc.identifier.wos000730139300001
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherSage Publications
dc.relation.journalActa Radiologica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnterior shoulder instability
dc.subjectSuperior labrum anterior
dc.subjectMr arthrography
dc.subjectGlenoid labrum
dc.subjectTears
dc.subjectDiagnosis
dc.subjectAnatomy
dc.subjectSuperior labrum anteroposterior type 5
dc.subjectMagnetic resonance arthrography
dc.subjectProton density
dc.subjectOblique sagittal
dc.subjectRadiology, nuclear medicine & medical imaging
dc.titleAn assessment of slap type 5 lesions using proton density oblique sagittal imaging in magnetic resonance arthrography
dc.typeArticle
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Radyoloji Ana Bilim Dalı
relation.isAuthorOfPublicationedae7686-a2e3-4d00-8b8b-76c9ab110f2d
relation.isAuthorOfPublication5202eef7-6338-46d2-a3aa-dfc334e8221d
relation.isAuthorOfPublication2aa7fdf5-f110-441f-b7ea-0d829a69f47b
relation.isAuthorOfPublication.latestForDiscoveryedae7686-a2e3-4d00-8b8b-76c9ab110f2d

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