Comparison of Fat-Suppressed T2-Weighted Fast Spin-Echo Sequence and Modified STIR Sequence in the Evaluation of the Rotator Cuff Tendon
Richard Kijowski1,2,
Joshua M. Farber1,
Jorge Medina1,
William Morrison3,
Jun Ying1 and
Kenneth Buckwalter1
1 Department of Radiology, Indiana University Medical Center, Indianapolis, IN
46202-5253.
2 Present address: Department of Radiology, University of Wisconsin Hospital,
Clinical Science Center, E3/311, 600 Highland Ave., Madison, WI
53792-3252.
3 Department of Radiology, Thomas Jefferson University Hospital, Philadelphia,
PA 19107.
View larger version (121K):
[in a new window]
|
Fig. 1A —52-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery (A) and coronal oblique fat-suppressed
T2-weighted fast spin-echo (B) MR images of shoulder at same location
both show fluid signal intensity within supraspinatus tendon (arrow)
that appears to extend through bursal surface of tendon. All three reviewers
interpreted these findings as a full-thickness tear of supraspinatus
tendon.
|
|
View larger version (105K):
[in a new window]
|
Fig. 1B —52-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery (A) and coronal oblique fat-suppressed
T2-weighted fast spin-echo (B) MR images of shoulder at same location
both show fluid signal intensity within supraspinatus tendon (arrow)
that appears to extend through bursal surface of tendon. All three reviewers
interpreted these findings as a full-thickness tear of supraspinatus
tendon.
|
|
View larger version (137K):
[in a new window]
|
Fig. 2A —72-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery MR images of shoulder show abnormal signal
intensity within supraspinatus tendon (arrow, A), primarily
within articular surface of tendon. Although this abnormal signal is not as
intense as fluid, there is clear disruption of fibers of supraspinatus tendon.
On more anterior image (B), there appears to be disruption of bursal
surface of tendon (arrow, B). All three reviewers interpreted
these findings as a full-thickness tear of supraspinatus tendon.
|
|
View larger version (142K):
[in a new window]
|
Fig. 2B —72-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery MR images of shoulder show abnormal signal
intensity within supraspinatus tendon (arrow, A), primarily
within articular surface of tendon. Although this abnormal signal is not as
intense as fluid, there is clear disruption of fibers of supraspinatus tendon.
On more anterior image (B), there appears to be disruption of bursal
surface of tendon (arrow, B). All three reviewers interpreted
these findings as a full-thickness tear of supraspinatus tendon.
|
|
View larger version (168K):
[in a new window]
|
Fig. 2C —72-year-old man with right shoulder pain. Coronal oblique
fat-suppressed T2-weighted fast spin-echo MR images of shoulder in same
location as A show fluid signal intensity within articular surface of
tendon (arrow, C). More anterior image (D) does not
clearly show disruption of bursal surface of tendon (arrow,
D). All three reviewers interpreted these findings as a high-grade
partial-thickness articular surface tear of supraspinatus tendon.
|
|
View larger version (162K):
[in a new window]
|
Fig. 2D —72-year-old man with right shoulder pain. Coronal oblique
fat-suppressed T2-weighted fast spin-echo MR images of shoulder in same
location as A show fluid signal intensity within articular surface of
tendon (arrow, C). More anterior image (D) does not
clearly show disruption of bursal surface of tendon (arrow,
D). All three reviewers interpreted these findings as a high-grade
partial-thickness articular surface tear of supraspinatus tendon.
|
|
View larger version (165K):
[in a new window]
|
Fig. 3A —76-year-old woman with right shoulder pain. Coronal oblique
modified inversion recovery MR image of shoulder shows near fluid signal
intensity within anterior supraspinatus tendon (arrow) that appears
to extend through bursal surface of tendon. All three reviewers interpreted
these findings as a full-thickness tear of supraspinatus tendon.
|
|
View larger version (148K):
[in a new window]
|
Fig. 3B —76-year-old woman with right shoulder pain. Coronal oblique
fat-suppressed T2-weighted fast spin-echo MR image of shoulder at same
location as A shows fluid signal intensity within anterior
supraspinatus tendon (arrow) that does not appear to extend through
bursal surface of tendon. Note that motion artifact is present. All three
reviewers interpreted these findings as high-grade partial-thickness articular
surface tear of supraspinatus tendon.
|
|
View larger version (105K):
[in a new window]
|
Fig. 4A —62-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery (A) and coronal oblique fat-suppressed
T2-weighted fast spin-echo (B) MR images of shoulder obtained at same
location both show fluid signal intensity within articular surface of
supraspinatus tendon (arrow). Signal abnormality does not appear to
extend through bursal surface of tendon. All three reviewers interpreted these
findings as partial-thickness articular surface tear of supraspinatus
tendon.
|
|
View larger version (99K):
[in a new window]
|
Fig. 4B —62-year-old man with right shoulder pain. Coronal oblique
modified inversion recovery (A) and coronal oblique fat-suppressed
T2-weighted fast spin-echo (B) MR images of shoulder obtained at same
location both show fluid signal intensity within articular surface of
supraspinatus tendon (arrow). Signal abnormality does not appear to
extend through bursal surface of tendon. All three reviewers interpreted these
findings as partial-thickness articular surface tear of supraspinatus
tendon.
|
|
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Copyright © 2005 by the American Roentgen Ray Society.
