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Sensitivity and Specificity in Detection of Labral Tears with 3.0-T MRI of the Shoulder

Thomas H. Magee1 and David Williams1

1 Both authors: Department of Radiology, Neuroskeletal Imaging, 255 N Sykes Creek Pkwy., Merritt Island, FL 32953.


Figure 1
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Fig. 1 47-year-old man with shoulder pain. Coronal fast spin-echo intermediate-weighted (TR/TE, 3,850/55) MR image shows findings consistent with superior labral anteroposterior (SLAP) tear (arrow). Patient had surgically proven SLAP tear.

 

Figure 2
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Fig. 2 38-year-old man with shoulder instability. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings consistent with anterior labral tear (arrow). Patient had surgically proven anterior labral tear.

 

Figure 3
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Fig. 3 35-year-old man with shoulder pain and instability. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings consistent with posterior labral tear (arrow). Patient had surgically proven posterior labral tear.

 

Figure 4
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Fig. 4 28-year-old man with shoulder instability. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings consistent with anterior labral tear (arrow). Patient had surgically proven anterior labral tear.

 

Figure 5
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Fig. 5 37-year-old woman with shoulder pain. Coronal fast spin-echo intermediate-weighted (TR/TE, 3,850/55) MR image shows findings consistent with superior labral anteroposterior (SLAP) tear (arrow). Patient had surgically proven SLAP tear.

 

Figure 6
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Fig. 6A 19-year-old man with shoulder pain and instability. Patient had surgically proven anterior labral tear. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings that could not be definitively described as anterior labral tear (arrow) by either MR reviewer.

 

Figure 7
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Fig. 6B 19-year-old man with shoulder pain and instability. Patient had surgically proven anterior labral tear. Axial fat-saturated T1-weighted MR arthrogram (550/10) shows findings consistent with displaced anterior labral tear (arrow). This was confirmed at arthroscopy. MR arthrography images were not included in consensus retrospective MR review. Displaced labral tear could be definitively seen only at MR arthrography in this case.

 

Figure 8
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Fig. 7 24-year-old man with shoulder pain and instability. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings that could not be definitively described as anterior labral tear (arrow) by either MR reviewer. Patient had surgically proven anterior labral tear.

 

Figure 9
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Fig. 8A 42-year-old woman with shoulder pain. Patient had surgically proven superior labral anteroposterior (SLAP) tear. Axial fast spin-echo intermediate-weighted (TR/TE, 3,250/55) MR image shows findings that could not be definitively described as anterior labral tear (arrow) by either MR reviewer. Even in retrospect after arthroscopy results were known, this had appearance of sublabral foramen to both MR reviewers.

 

Figure 10
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Fig. 8B 42-year-old woman with shoulder pain. Patient had surgically proven superior labral anteroposterior (SLAP) tear. Coronal fast spin-echo intermediate-weighted (3,850/55) MR image shows findings both MR reviewers considered to be appearance of sublabral foramen (arrow).

 

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