Comparison of the application value of X-ray and MRI in the diagnosis of subacromial impingement syndrome
10.3760/cma.j.cn115455-20211108-01311
- VernacularTitle:X线与MRI在肩峰下撞击综合征诊断中的应用价值比较
- Author:
Zhiping WANG
1
;
Yan ZHANG
;
Zheng ZENG
Author Information
1. 首都医科大学附属北京天坛医院放射科，北京 100070
- Keywords:
Magnetic resonance imaging;
Subacromial impingement syndrome;
X-ray imaging;
Diagnostic value
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(5):448-452
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare and analyze the value of X-ray examination and MRI in the diagnosis of subacromial impingement syndrome.Methods:Sixty patients with shoulder pain and weakness in Beijing Tiantan Hospital, Capital Medical University from January 2019 to May 2021 were selected. All patients underwent X-ray and MRI. Taking clinical diagnosis as the gold standard, the diagnostic efficacy of X-ray and MRI in subacromial impact syndrome was compared and analyzed.Results:The consistency between MRI and gold standard was good ( Kappa = 0.769, P<0.01), and the consistency between X-ray and gold standard was general ( Kappa = 0.464, P<0.01); there was no significant difference between X-ray examination and MRI examination of acromion morphological classification, subacromial space classification ( P>0.05); The sensitivity of MRI was higher than that of X-ray, and the difference was statistically significant ( χ2 = 4.00, P<0.05). There was no difference between MRI and X-ray, and the difference was not statistically significant ( χ2 = 0.25, P>0.05). Conclusions:X-ray and MRI are complementary to each other in the diagnosis of subacromial impingement syndrome. X-ray examination should be carried out first, and MRI should be carried out when necessary.
