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Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient
Background To prospectively evaluate ultrasound backscatter coefficients (BSCs) of the supraspinatus and infraspinatus muscles and compare with Goutallier classification on magnetic resonance imaging (MRI). Methods Fifty-six participants had shoulder MRI exams and ultrasound exams of the supraspinat...
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| Published in: | European radiology experimental 2024-10, Vol.8 (1), p.119-9, Article 119 |
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| creator | Toto-Brocchi, Marco Wu, Yuanshan Jerban, Saeed Han, Aiguo Andre, Michael Shah, Sameer B. Chang, Eric Y. |
| description | Background
To prospectively evaluate ultrasound backscatter coefficients (BSCs) of the supraspinatus and infraspinatus muscles and compare with Goutallier classification on magnetic resonance imaging (MRI).
Methods
Fifty-six participants had shoulder MRI exams and ultrasound exams of the supraspinatus and infraspinatus muscles. Goutallier MRI grades were determined and BSCs were measured. Group means were compared and the strength of relationships between the measures were determined. Using binarized Goutallier groups (0–2
versus
3–4), areas under the receiver operating characteristic curves (AUROCs) were calculated. The nearest integer cutoff value was determined using Youden’s index.
Results
BSC values were significantly different among most Goutallier grades for the supraspinatus and infraspinatus muscles (both
p
|
| doi_str_mv | 10.1186/s41747-024-00522-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_128aa27be6884ce39739a9dde81af06f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_128aa27be6884ce39739a9dde81af06f</doaj_id><sourcerecordid>3119357616</sourcerecordid><originalsourceid>FETCH-LOGICAL-c489t-df1a3463825bf4a9a80ac7c763fa1e984158456c48296ef4b469a3ae0d68f9d23</originalsourceid><addsrcrecordid>eNp9kk1rFTEUhoMotlz7B1xIwI2b0XxNJlmJFD8KBRF0Hc5kkttc5yY1yRT67829U2vrwlXCOc_75pzwIvSSkreUKvmuCDqIoSNMdIT0jHX9E3TKeqI7zRR5-uB-gs5K2RFCqNa6l-o5OuFacNkrfYrytwViDRVquHF4mWuGkpY4YSjFlbJ3seLksYdab3GIPhyIGlI8VOuVwzk1bcrYLt7j_VLs7ApeSohbPIL9WWxTutZOzvtgQ_N7gZ55mIs7uzs36Menj9_Pv3SXXz9fnH-47KxQunaTp8CF5Ir1oxegQRGwgx0k90CdVoL2SvSywUxL58UopAYOjkxSeT0xvkEXq--UYGeuc9hDvjUJgjkWUt4ayDW0gQ1lCoANo5NKCeu4HrgGPU1OUfBE-ub1fvW6Xsa9m2xbI8P8yPRxJ4Yrs003hlKhpWhDb9CbO4ecfi2uVLMPxbp5hujSUgynVFPNBqEa-vofdJeWHNtfHSneD5IeDNlK2ZxKyc7fT0OJOUTErBExLSLmGBHTN9Grh3vcS_4EogF8BUprxa3Lf9_-j-1vR-vJ3w</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3119357616</pqid></control><display><type>article</type><title>Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient</title><source>Publicly Available Content Database</source><source>Springer Nature - SpringerLink Journals - Fully Open Access </source><source>PubMed Central</source><creator>Toto-Brocchi, Marco ; Wu, Yuanshan ; Jerban, Saeed ; Han, Aiguo ; Andre, Michael ; Shah, Sameer B. ; Chang, Eric Y.</creator><creatorcontrib>Toto-Brocchi, Marco ; Wu, Yuanshan ; Jerban, Saeed ; Han, Aiguo ; Andre, Michael ; Shah, Sameer B. ; Chang, Eric Y.</creatorcontrib><description>Background
To prospectively evaluate ultrasound backscatter coefficients (BSCs) of the supraspinatus and infraspinatus muscles and compare with Goutallier classification on magnetic resonance imaging (MRI).
Methods
Fifty-six participants had shoulder MRI exams and ultrasound exams of the supraspinatus and infraspinatus muscles. Goutallier MRI grades were determined and BSCs were measured. Group means were compared and the strength of relationships between the measures were determined. Using binarized Goutallier groups (0–2
versus
3–4), areas under the receiver operating characteristic curves (AUROCs) were calculated. The nearest integer cutoff value was determined using Youden’s index.
Results
BSC values were significantly different among most Goutallier grades for the supraspinatus and infraspinatus muscles (both
p
< 0.001). Strong correlations were found between the BSC values and Goutallier grades for the supraspinatus (τ
b
= 0.72,
p
< 0.001) and infraspinatus (τ
b
= 0.79,
p
< 0.001) muscles. BSC showed excellent performance for classification of the binarized groups (0–2
versus
3–4) for both supraspinatus (AUROC = 0.98,
p
< 0.0001) and infraspinatus (AUROC = 0.98,
p
< 0.0001) muscles. Using a cutoff BSC value of −17 dB, sensitivity, specificity, and accuracy for severe fatty infiltration were 87.0%, 90.0%, and 87.5% for the supraspinatus muscle, and 93.6%, 87.5%, and 92.7% for the infraspinatus muscle.
Conclusion
BSC can be applied to the rotator cuff muscles for assessment of fatty infiltration. For both the supraspinatus and infraspinatus muscles, BSC values significantly increased with higher Goutallier grades and showed strong performance in distinguishing low
versus
high Goutallier grades.
Relevance statement
Fatty infiltration of the rotator cuff muscles can be quantified using BSC values, which are higher with increasing Goutallier grades.
Key Points
Ultrasound BSC measurements are reliable for the quantification of muscle fatty infiltration.
BCS values increased with higher Goutallier MRI grades.
BCS values demonstrated high performance for distinguishing muscle fatty infiltration groups.
Graphical Abstract</description><identifier>ISSN: 2509-9280</identifier><identifier>EISSN: 2509-9280</identifier><identifier>DOI: 10.1186/s41747-024-00522-5</identifier><identifier>PMID: 39436589</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adipose Tissue - diagnostic imaging ; Adult ; Aged ; Diagnostic Radiology ; Female ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscular atrophy ; Neuroradiology ; Original ; Original Article ; Prospective Studies ; Radiology ; Rotator cuff ; Rotator Cuff - diagnostic imaging ; Shoulder ; Ultrasonic imaging ; Ultrasonography ; Ultrasonography - methods ; Ultrasound</subject><ispartof>European radiology experimental, 2024-10, Vol.8 (1), p.119-9, Article 119</ispartof><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2024</rights><rights>2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.</rights><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c489t-df1a3463825bf4a9a80ac7c763fa1e984158456c48296ef4b469a3ae0d68f9d23</cites><orcidid>0000-0003-3633-5630</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496476/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3119357616?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39436589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toto-Brocchi, Marco</creatorcontrib><creatorcontrib>Wu, Yuanshan</creatorcontrib><creatorcontrib>Jerban, Saeed</creatorcontrib><creatorcontrib>Han, Aiguo</creatorcontrib><creatorcontrib>Andre, Michael</creatorcontrib><creatorcontrib>Shah, Sameer B.</creatorcontrib><creatorcontrib>Chang, Eric Y.</creatorcontrib><title>Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient</title><title>European radiology experimental</title><addtitle>Eur Radiol Exp</addtitle><addtitle>Eur Radiol Exp</addtitle><description>Background
To prospectively evaluate ultrasound backscatter coefficients (BSCs) of the supraspinatus and infraspinatus muscles and compare with Goutallier classification on magnetic resonance imaging (MRI).
Methods
Fifty-six participants had shoulder MRI exams and ultrasound exams of the supraspinatus and infraspinatus muscles. Goutallier MRI grades were determined and BSCs were measured. Group means were compared and the strength of relationships between the measures were determined. Using binarized Goutallier groups (0–2
versus
3–4), areas under the receiver operating characteristic curves (AUROCs) were calculated. The nearest integer cutoff value was determined using Youden’s index.
Results
BSC values were significantly different among most Goutallier grades for the supraspinatus and infraspinatus muscles (both
p
< 0.001). Strong correlations were found between the BSC values and Goutallier grades for the supraspinatus (τ
b
= 0.72,
p
< 0.001) and infraspinatus (τ
b
= 0.79,
p
< 0.001) muscles. BSC showed excellent performance for classification of the binarized groups (0–2
versus
3–4) for both supraspinatus (AUROC = 0.98,
p
< 0.0001) and infraspinatus (AUROC = 0.98,
p
< 0.0001) muscles. Using a cutoff BSC value of −17 dB, sensitivity, specificity, and accuracy for severe fatty infiltration were 87.0%, 90.0%, and 87.5% for the supraspinatus muscle, and 93.6%, 87.5%, and 92.7% for the infraspinatus muscle.
Conclusion
BSC can be applied to the rotator cuff muscles for assessment of fatty infiltration. For both the supraspinatus and infraspinatus muscles, BSC values significantly increased with higher Goutallier grades and showed strong performance in distinguishing low
versus
high Goutallier grades.
Relevance statement
Fatty infiltration of the rotator cuff muscles can be quantified using BSC values, which are higher with increasing Goutallier grades.
Key Points
Ultrasound BSC measurements are reliable for the quantification of muscle fatty infiltration.
BCS values increased with higher Goutallier MRI grades.
BCS values demonstrated high performance for distinguishing muscle fatty infiltration groups.
Graphical Abstract</description><subject>Adipose Tissue - diagnostic imaging</subject><subject>Adult</subject><subject>Aged</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscular atrophy</subject><subject>Neuroradiology</subject><subject>Original</subject><subject>Original Article</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - diagnostic imaging</subject><subject>Shoulder</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><issn>2509-9280</issn><issn>2509-9280</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk1rFTEUhoMotlz7B1xIwI2b0XxNJlmJFD8KBRF0Hc5kkttc5yY1yRT67829U2vrwlXCOc_75pzwIvSSkreUKvmuCDqIoSNMdIT0jHX9E3TKeqI7zRR5-uB-gs5K2RFCqNa6l-o5OuFacNkrfYrytwViDRVquHF4mWuGkpY4YSjFlbJ3seLksYdab3GIPhyIGlI8VOuVwzk1bcrYLt7j_VLs7ApeSohbPIL9WWxTutZOzvtgQ_N7gZ55mIs7uzs36Menj9_Pv3SXXz9fnH-47KxQunaTp8CF5Ir1oxegQRGwgx0k90CdVoL2SvSywUxL58UopAYOjkxSeT0xvkEXq--UYGeuc9hDvjUJgjkWUt4ayDW0gQ1lCoANo5NKCeu4HrgGPU1OUfBE-ub1fvW6Xsa9m2xbI8P8yPRxJ4Yrs003hlKhpWhDb9CbO4ecfi2uVLMPxbp5hujSUgynVFPNBqEa-vofdJeWHNtfHSneD5IeDNlK2ZxKyc7fT0OJOUTErBExLSLmGBHTN9Grh3vcS_4EogF8BUprxa3Lf9_-j-1vR-vJ3w</recordid><startdate>20241022</startdate><enddate>20241022</enddate><creator>Toto-Brocchi, Marco</creator><creator>Wu, Yuanshan</creator><creator>Jerban, Saeed</creator><creator>Han, Aiguo</creator><creator>Andre, Michael</creator><creator>Shah, Sameer B.</creator><creator>Chang, Eric Y.</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3633-5630</orcidid></search><sort><creationdate>20241022</creationdate><title>Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient</title><author>Toto-Brocchi, Marco ; Wu, Yuanshan ; Jerban, Saeed ; Han, Aiguo ; Andre, Michael ; Shah, Sameer B. ; Chang, Eric Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-df1a3463825bf4a9a80ac7c763fa1e984158456c48296ef4b469a3ae0d68f9d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adipose Tissue - diagnostic imaging</topic><topic>Adult</topic><topic>Aged</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscular atrophy</topic><topic>Neuroradiology</topic><topic>Original</topic><topic>Original Article</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - diagnostic imaging</topic><topic>Shoulder</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toto-Brocchi, Marco</creatorcontrib><creatorcontrib>Wu, Yuanshan</creatorcontrib><creatorcontrib>Jerban, Saeed</creatorcontrib><creatorcontrib>Han, Aiguo</creatorcontrib><creatorcontrib>Andre, Michael</creatorcontrib><creatorcontrib>Shah, Sameer B.</creatorcontrib><creatorcontrib>Chang, Eric Y.</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>European radiology experimental</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toto-Brocchi, Marco</au><au>Wu, Yuanshan</au><au>Jerban, Saeed</au><au>Han, Aiguo</au><au>Andre, Michael</au><au>Shah, Sameer B.</au><au>Chang, Eric Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient</atitle><jtitle>European radiology experimental</jtitle><stitle>Eur Radiol Exp</stitle><addtitle>Eur Radiol Exp</addtitle><date>2024-10-22</date><risdate>2024</risdate><volume>8</volume><issue>1</issue><spage>119</spage><epage>9</epage><pages>119-9</pages><artnum>119</artnum><issn>2509-9280</issn><eissn>2509-9280</eissn><abstract>Background
To prospectively evaluate ultrasound backscatter coefficients (BSCs) of the supraspinatus and infraspinatus muscles and compare with Goutallier classification on magnetic resonance imaging (MRI).
Methods
Fifty-six participants had shoulder MRI exams and ultrasound exams of the supraspinatus and infraspinatus muscles. Goutallier MRI grades were determined and BSCs were measured. Group means were compared and the strength of relationships between the measures were determined. Using binarized Goutallier groups (0–2
versus
3–4), areas under the receiver operating characteristic curves (AUROCs) were calculated. The nearest integer cutoff value was determined using Youden’s index.
Results
BSC values were significantly different among most Goutallier grades for the supraspinatus and infraspinatus muscles (both
p
< 0.001). Strong correlations were found between the BSC values and Goutallier grades for the supraspinatus (τ
b
= 0.72,
p
< 0.001) and infraspinatus (τ
b
= 0.79,
p
< 0.001) muscles. BSC showed excellent performance for classification of the binarized groups (0–2
versus
3–4) for both supraspinatus (AUROC = 0.98,
p
< 0.0001) and infraspinatus (AUROC = 0.98,
p
< 0.0001) muscles. Using a cutoff BSC value of −17 dB, sensitivity, specificity, and accuracy for severe fatty infiltration were 87.0%, 90.0%, and 87.5% for the supraspinatus muscle, and 93.6%, 87.5%, and 92.7% for the infraspinatus muscle.
Conclusion
BSC can be applied to the rotator cuff muscles for assessment of fatty infiltration. For both the supraspinatus and infraspinatus muscles, BSC values significantly increased with higher Goutallier grades and showed strong performance in distinguishing low
versus
high Goutallier grades.
Relevance statement
Fatty infiltration of the rotator cuff muscles can be quantified using BSC values, which are higher with increasing Goutallier grades.
Key Points
Ultrasound BSC measurements are reliable for the quantification of muscle fatty infiltration.
BCS values increased with higher Goutallier MRI grades.
BCS values demonstrated high performance for distinguishing muscle fatty infiltration groups.
Graphical Abstract</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>39436589</pmid><doi>10.1186/s41747-024-00522-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3633-5630</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2509-9280 |
| ispartof | European radiology experimental, 2024-10, Vol.8 (1), p.119-9, Article 119 |
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| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_128aa27be6884ce39739a9dde81af06f |
| source | Publicly Available Content Database; Springer Nature - SpringerLink Journals - Fully Open Access ; PubMed Central |
| subjects | Adipose Tissue - diagnostic imaging Adult Aged Diagnostic Radiology Female Humans Imaging Internal Medicine Interventional Radiology Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Middle Aged Muscular atrophy Neuroradiology Original Original Article Prospective Studies Radiology Rotator cuff Rotator Cuff - diagnostic imaging Shoulder Ultrasonic imaging Ultrasonography Ultrasonography - methods Ultrasound |
| title | Quantitative ultrasound assessment of fatty infiltration of the rotator cuff muscles using backscatter coefficient |
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