通讯作者: 杨迎青, 10807732@qq.com

DOI：10.12201/bmr.202411.00050

The Application Value of Musculoskeletal Ultrasound Combined with Contrast-Enhanced Ultrasound in the Diagnosis of Rotator Cuff Tears

• 摘要：目的 探讨肌骨超声结合超声造影在肩袖损伤诊断中的应用价值。 方法 收集2022年1月至2023年10月我院收治的23例肩袖损伤患者，所有患者均行肩关节高频超声检查，肩关节MRI检查，肩关节镜检查前一天行肩关节CEUS检查，以肩关节镜检查结果为金标准，分别统计常规超声、肩关节超声造影及MRI在对冈上肌撕裂伤分型中的诊断数据，评估各影像学检查方法对肩袖撕裂伤的诊断效能。结果 高频超声对全层撕裂诊断准确性65.22%，AUC面积0.655，CEUS对全层撕裂诊断准确性91.3%，AUC面积0.913，MRI对全层撕裂诊断准确性86.96%，AUC面积0.818；高频超声对部分撕裂诊断准确性69.57%，AUC面积0.65，CEUS对部分撕裂诊断准确性86.96%，AUC面积0.871，MRI对部分撕裂诊断准确性86.96%，AUC面积0.842；高频超声对无撕裂诊断准确性69.57%，AUC面积0.542，CEUS对无撕裂诊断准确性95.65%，AUC面积0.833，MRI对无撕裂诊断准确性91.3%，AUC面积0.808。结论 对于全层撕裂伤、部分撕裂伤及无撕裂CEUS诊断效能最高，AUC面积最大，其次是MRI，最后才是高频超声；CEUS和MRI对肩袖撕裂诊断组间差异不明显，在全层撕裂和无撕裂诊断中三组检查组间差异具有统计学意义，而在部分撕裂伤中组间差异无统计学意义。

  关键词： 肩袖撕裂; 肌骨超声; 超声造影

   

  Abstract: Objective To investigate the application value of musculoskeletal ultrasound combined with contrast-enhanced ultrasound (CEUS) in the diagnosis of rotator cuff injury. Methods A total of 23 patients with rotator cuff injury admitted to our hospital from January 2022 to October 2023 were enrolled in this study. All patients underwent high-frequency ultrasound examination of the shoulder joint, MRI examination of the shoulder joint, and CEUS examination of the shoulder joint one day before arthroscopy. The results of the high-frequency ultrasound, shoulder joint ultrasound contrast-enhanced imaging, and MRI in the classification of supraspinatus tear were compared, and the diagnostic efficacy of each imaging method was evaluated. Results The accuracy of the high-frequency ultrasound in diagnosing complete tear was 65.22%, the area under the ROC curve (AUC) was 0.655, the accuracy of CEUS in diagnosing complete tear was 91.3%, the AUC was 0.913, the accuracy of MRI in diagnosing complete tear was 86.96%, the AUC was 0.818; the accuracy of the high-frequency ultrasound in diagnosing partial tear was 69.57%, the AUC was 0.65, the accuracy of CEUS in diagnosing partial tear was 86.96%, the AUC was 0.871, the accuracy of MRI in diagnosing partial tear was 86.96%, the AUC was 0.842; the accuracy of the high-frequency ultrasound in diagnosing no tear was 69.57%, the AUC was 0.542, the accuracy of CEUS in diagnosing no tear was 95.65%, the AUC was 0.833, the accuracy of MRI in diagnosing no tear was 91.3%, the AUC was 0.808. Conclusion CEUS has the highest diagnostic efficacy and the largest AUC area for complete tear, partial tear, and no tear, followed by MRI, and finally, high-frequency ultrasound. There is no significant difference in the diagnostic efficacy between CEUS and MRI in the classification of rotator cuff tear, but there is a statistically significant difference among the three groups in the classification.

  Key words: rotator cuff tear; Musculoskeletal ultrasound; Contrast-enhanced ultrasound

  提交时间：2024-11-22

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• 序号	提交日期	编号	操作
  1	2024-09-17	bmr.202411.00050V1	下载

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