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DOI:10.2214/AJR.06.5002-1
AJR 2006; 186:266
© American Roentgen Ray Society

Reply

Thomas Magee

Neuroskeletal Imaging Merritt Island, FL 32953

My colleagues and I thank Dr. Traughber and his colleagues for their comments on our article [1]. We wish to clarify some points.

All patients in our study had fat saturation performed on unenhanced proton density- and T2-weighted images as well as on postarthrographic T1-weighted MR images. This is not "state-of-the-art imaging" as described by Traughber et al. but rather minimal state-of-the-community imaging.

The conclusions stated in the article differ from what Traughber et al. believe them to be. Our conclusions were [1]:

[Our] results suggest high-performance athletes may be a subgroup of patients for whom MR arthrography yields considerably more diagnostic information than conventional MRI....Shoulder MR arthrography is more sensitive than conventional shoulder MRI for lesion detection in the general population also. However, whether this modest added benefit warrants the performance of arthrography on all patients remains to be determined.


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  1. Magee T, Williams D, Mani N. Shoulder MR arthrography: which patient group benefits most? AJR 2004;183 : 969-974[Abstract/Free Full Text]

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