You are on page 1of 2

Done By: Noor Amar

Group C

Reliability of MRI Assessment of Supraspinatus Tendinopathy Paper: Reliability of MRI assessment of supraspinatus tendinopathy Authors: Sein, M. Walton, J. Linklater, J. Harris, C. Dugal, T. Appleyard, R. Kirkbride, B. Kuah, D. Murrell, G. Journal: British Journal of Sport Medicine Publish Date: 2007

Significance of Study Despite MRI being a useful tool for assessment of rotator cuff injuries, it had not been proven as a reliable tool. This study was done to determine the reliability of MRI in assessing especially supraspinatus tendinopathy.

Why this study was chosen This study was chosen because supraspinatus tendinopathy is a common rotator cuff injury and assessing it accurately is important for its management. Therefore from this study, if we can conclude that MRI is a reliable tool for assessing supraspinatus tendinopathy then it should continue to be used as the main tool. But if the study concludes that MRI is not a reliable tool then switching to another tool that has proven to be reliable or improving MRI are the better options.

Methods Number of subjects. 52 elite swimmers, participated in study. The group consisted of 28 males and 24 females. Age. Aged between 13 and 25 years. Conditions. Swimmers were excluded if they had any previous surgery, fracture of the shoulder, or inability or unwillingness to participate in the MRI and clinical shoulder examinations. Process. Each swimmer’s evaluation included a shoulder pain and function examination and a swimming training profile before the MRI. The swimmers underwent an MRI of a single shoulder: either the dominant shoulder if asymptomatic or the most affected shoulder if symptomatic. Intraobserver Trial. After that one observer made three readings of the MRIs. This was the intraobserver trial. This observer was a very experienced musculoskeletal

Interobserver Reliability Trial.Done By: Noor Amar Group C radiologist who read all 52 images on three different occasions without access to the previous images. the second 2 years experience and the third less than that. Of the 52 shoulders examined. This level of agreement between the three radiologists is rated as fair to good.75 represent fair to good reliability. This indicates that the reliability of the assessment was much greater in more experienced radiologists and less in the junior radiologist. 27 of which were grade 1. ICC = 0. The next trial named the interobserver trial had three different observers who independently made readings on the same set of images as the trial above. 8 of them grade 2 and 1 was grade 3. 36 had MRI-assessed tendinosis. These three musculoskeletal radiologists were of different experiences: one with 9 years experience of reading MRIs. Conclusion The grading of MRI-determined supraspinatus tendinosis grading was reliable (which had an ICC = 0. Results Incidence of tendinosis. Intraobserver Reliability Trial. grade 2 moderate tendinosis.85) when assessed by a single well-trained observer. Then the grades given by the radiologists in each trial were plotted on a program and a value which was used to evaluate the reliability was obtained called the Intraclass Correlation Coefficient (ICC). . The ICC = 0. and grade 3 marked tendinosis.75 represent excellent reliability.55.4 .0. grade 1 mild tendinosis. This level of agreement between the three readings is rated as excellent.85.4 represents poor reliability. Interobserver Trial. ICC = 0. ICC = 0. The ICC = 0. Grade 0 was a normal tendon. The radiologists were asked to grade the supraspinatus tendinosis on a scale from 0-3. Each radiologist read the 52 images on one occasion.