Optimizing methods to quantify intramuscular fat in rotator cuff tears with normalization View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-10-17

AUTHORS

Paul S. Micevych, Ankur Garg, Lucas T. Buchler, Guido Marra, Matthew D. Saltzman, Todd B. Parrish, Amee L. Seitz

ABSTRACT

ObjectiveTo determine which normalization method may best account for confounding individual factors, such as age or BMI, when quantifying fat infiltration on MRI in patients with rotator cuff tears, the effects of normalization using three different muscles (teres major; triceps brachii; teres minor) were compared.MethodsThirty-seven consecutive patients diagnosed with rotator cuff pathology were included. MRI fat–water sequences were used to quantify rotator cuff intramuscular fat (%fat). Three reference muscles (teres major, triceps, teres minor) were used to derive normalized %fat. Relationships between intramuscular %fat and tear size, age, and BMI in each rotator cuff muscle, before and after normalization, were compared with Fisher transformations (α = 0.05).ResultsNormalization with teres major ameliorated confounding relationships of age and BMI on rotator cuff %fat. In contrast, normalization with triceps maintained the confounding relationships between %fat and age in supraspinatus (p = 0.03) and infraspinatus/teres minor (p = 0.028). Normalization with teres minor maintained the confounding relationship between %fat and BMI in subscapularis (p = 0.039). Normalization with teres major best-maintained relationships between tear size and infraspinatus/teres minor %fat (p = 0.021). In contrast, normalization with triceps or teres minor eliminated all significant relationships with tear size.ConclusionsResults of this pilot study suggest normalization to teres major using MRI-based %fat quantification methods can effectively control for individual factors, such as BMI or age, and may have utility in evaluating and monitoring rotator cuff fat infiltration attributed specifically to a tendon tear. More... »

PAGES

1111-1118

References to SciGraph publications

  • 2011-05-24. The teres minor muscle in rotator cuff tendon tears in SKELETAL RADIOLOGY
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    http://scigraph.springernature.com/pub.10.1007/s00256-018-3090-6

    DOI

    http://dx.doi.org/10.1007/s00256-018-3090-6

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    https://app.dimensions.ai/details/publication/pub.1107669157

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30328483


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