J Korean Radiol Soc.  1998 Apr;38(4):723-729. 10.3348/jkrs.1998.38.4.723.

Analysis of shoulder MR imaging using Receiver Operating Characteristic curve

• Hwang YJ
• Suh JS
• Cho JH

• KMID: 2201385
• DOI: http://doi.org/10.3348/jkrs.1998.38.4.723

Abstract

PURPOSE: To assess the utility of shoulder MRI by using ROC (receiver operating characteristic) curve in theevaluation of rotator cuff tear, anterior labral tear, superior labral tear and Hill-Sachs Lesion.
MATERIALS AND METHODS
We evaluated 38 arthroscopically confirmed patients who had undergone shoulder MRI. According to thesignal intensity of the rotator cuff, as seen on T2 and proton density imaging, a five-stage grading system wasdevised. Labral tears were graded according to the separation of the labium; this was based on gleaned,morphologic and signal intensity changes of the labrum : six grades of anterior labral tear and three grades ofsuperior labral tear. Hill-sachs lesion was also classified into four grades according to morphologic and signalchanges of the humeral head. These findings were reviewed by two musculoskeletal radiologists and ROC curves andareas under the curve (Az) was abtained.
RESULTS
The ratio of area under the curve of rotator cuff tear,anterior labral tear, superior labral tear and Hill-Sachs lesion were 82.4%, 88.%%, 62.4% and 91.3%, respectively.
CONCLUSION
The Accuracy of shoulder MRI using ROC curve was relatively high in rotator cuff tear, anteriorlabral tear and Hill-Sachs lesion, but low in superior labral tear.

Keyword

Shoulder, abnormalities; Shoulder, MRI; Receiver operating characteristic curve (ROC)

MeSH Terms

Humans
Humeral Head
Magnetic Resonance Imaging*
Protons
ROC Curve*
Rotator Cuff
Shoulder*
Protons