Efficacy of ultrasonography-guided shoulder MR arthrography using a posterior approach

dc.contributor.buuauthorGökalp, Gökhan
dc.contributor.buuauthorDuşak, Abdürrahim
dc.contributor.buuauthorYazıcı, Zeynep
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.tr_TR
dc.contributor.researcheridA-7826-2019tr_TR
dc.contributor.researcheridAAI-2336-2021tr_TR
dc.contributor.researcheridAAI-2303-2021tr_TR
dc.contributor.scopusid8312505100tr_TR
dc.contributor.scopusid6507393726tr_TR
dc.contributor.scopusid6701668723tr_TR
dc.date.accessioned2021-11-23T06:32:42Z
dc.date.available2021-11-23T06:32:42Z
dc.date.issued2010-06
dc.description.abstractShoulder MR arthrography has an important role in the assessment of rotator cuff lesions, labral tears, glenohumeral ligaments, rotator interval lesions, and postoperative shoulder status. Injection in direct MR arthrography can be performed with palpation, fluoroscopy, ultrasonography (US), or MRI. Recently, the posterior approach is the preferred method due to the presence of fewer stabilizers, absence of important articular structures and less extravasation, has been advocated. Our aim was to assess the efficacy of US-guided MR arthrography via a posterior approach on the glenohumeral joint. Thirty MR arthrographies were performed on 29 patients. Ultrasonography (Xario, Toshiba) examinations were conducted by a wide-band 5-12 Mhz linear array transducer set to muscle-skeleton. Diluted contrast medium (1 ml gadolinium chelate and 100 ml saline, approximately 15 ml) was delivered into the glenohumeral joint space from between the humeral head and posterior labrum with a 20-gauge spinal needle. MRI examination was conducted by a 1.5 T scanner. Fat-saturated T1-weighted spin echo was applied on coronal, axial, and sagittal planes within the first 30 min after contrast material injection. One (3.3%) arthrography was not successful due to technical reasons associated with obesity. Contrast extravasation around the infraspinatus and teres minor muscles was depicted in twelve examinations. One (3.3%) patient developed vasovagal collapse. Ultrasonography-guided posterior approach is an easy, reliable, fast, and comfortable method in experienced hands. It may be an alternative for fluoroscopy-guided shoulder MR arthrography.en_US
dc.identifier.citationGökalp, G. vd. (2010). "Efficacy of ultrasonography-guided shoulder MR arthrography using a posterior approach". Skeletal Radiology, 39(6), 575-579.en_US
dc.identifier.endpage579tr_TR
dc.identifier.issn0364-2348
dc.identifier.issn1432-2161
dc.identifier.issue6tr_TR
dc.identifier.pubmed19784644tr_TR
dc.identifier.scopus2-s2.0-77954982974tr_TR
dc.identifier.startpage575tr_TR
dc.identifier.urihttps://doi.org/10.1007/s00256-009-0793-8
dc.identifier.urihttps://link.springer.com/article/10.1007/s00256-009-0793-8
dc.identifier.urihttp://hdl.handle.net/11452/22766
dc.identifier.volume39tr_TR
dc.identifier.wos000276899200008
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.journalSkeletal Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectShoulder MR arthrographyen_US
dc.subjectUltrasonography-guideden_US
dc.subjectPosterioren_US
dc.subjectGlenohumeral jointen_US
dc.subjectInjectionen_US
dc.subjectGuidanceen_US
dc.subjectAnterioren_US
dc.subjectOrthopedicsen_US
dc.subjectRadiology, nuclear medicine & medical imagingen_US
dc.subject.emtreeGadolinium chelateen_US
dc.subject.emtreeContrast mediumen_US
dc.subject.emtreeDiagnostic agenten_US
dc.subject.emtreeGadoliniumen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArthrographyen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBleedingen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeClinical effectivenessen_US
dc.subject.emtreeContrast enhancementen_US
dc.subject.emtreeContrast medium extravasationen_US
dc.subject.emtreeEchographyen_US
dc.subject.emtreeElectron spin resonanceen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeIntermethod comparisonen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNuclear magnetic resonance arthrographyen_US
dc.subject.emtreePainen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeShoulderen_US
dc.subject.emtreeSkin sensitivityen_US
dc.subject.emtreeSkin swellingen_US
dc.subject.emtreeSyncopeen_US
dc.subject.emtreeTendinitisen_US
dc.subject.emtreeTendon ruptureen_US
dc.subject.emtreeUltrasound transduceren_US
dc.subject.emtreeEchographyen_US
dc.subject.emtreeEndoscopic echographyen_US
dc.subject.emtreeImage enhancementen_US
dc.subject.emtreeIntraarticular drug administrationen_US
dc.subject.emtreeMethodologyen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreePathologyen_US
dc.subject.emtreeReproducibilityen_US
dc.subject.emtreeSensitivity and specificityen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshContrast mediaen_US
dc.subject.meshFemaleen_US
dc.subject.meshGadoliniumen_US
dc.subject.meshHumansen_US
dc.subject.meshImage enhancementen_US
dc.subject.meshInjections, intra-articularen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshReproducibility of resultsen_US
dc.subject.meshSensitivity and specificityen_US
dc.subject.meshShoulder jointen_US
dc.subject.meshUltrasonography, interventionalen_US
dc.subject.scopusTriamcinolone Hexacetonide; Intraarticular Drug Administration; Arthrographyen_US
dc.subject.wosOrthopedicsen_US
dc.subject.wosRadiology, nuclear medicine & medical imagingen_US
dc.titleEfficacy of ultrasonography-guided shoulder MR arthrography using a posterior approachen_US
dc.typeArticle
dc.wos.quartileQ3 (Radiology, nuclear medicine & medical imaging)en_US

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