Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI
Abstract Background While ultrasound (US) measures of the subacromial space (SAS) have demonstrated excellent reliability, measurements are typically captured by experts with extensive ultrasound experience. Further, the agreement between US measured SAS width and other imaging modalities has not be...
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04482-1 |
| _version_ | 1797376872918548480 |
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| author | Stephen M. Boulanger Alexandra Mahna Talia Alenabi Anthony A. Gatti Oriana Culig Loriann M. Hynes Jaclyn N. Chopp-Hurley |
| author_facet | Stephen M. Boulanger Alexandra Mahna Talia Alenabi Anthony A. Gatti Oriana Culig Loriann M. Hynes Jaclyn N. Chopp-Hurley |
| author_sort | Stephen M. Boulanger |
| collection | DOAJ |
| description | Abstract Background While ultrasound (US) measures of the subacromial space (SAS) have demonstrated excellent reliability, measurements are typically captured by experts with extensive ultrasound experience. Further, the agreement between US measured SAS width and other imaging modalities has not been explored. This research evaluated the agreement between SAS measures captured by novice and expert raters and between US and magnetic resonance imaging (MRI). This study also evaluated the effect of US transducer tilt on measured SAS. Methods Nine men and nine women participated in this study. US images were captured by a novice and expert with the participant in both seated and supine positions. An inclinometer was fixed to the US probe to measure transducer tilt. SAS width was measured in real time from freeze framed images. MRI images were captured, and the humerus and acromion manually segmented. The SAS width was measured using a custom algorithm. Results Intraclass correlation coefficients (ICCs) between novice and expert raters were 0.74 and 0.63 for seated and supine positions, respectively. Intra-rater agreement was high for both novice (ICC = 0.83–0.84) and expert (ICC ≥ 0.94) raters. Agreement between US and MRI was poor (ICC = 0.21–0.49) but linearly related. Conclusions Moderate agreement between novice and expert raters was demonstrated, while the agreement between US and MRI was poor. High intra-rater reliability within each rater suggests that US measures of the SAS may be completed by a novice with introductory training. |
| first_indexed | 2024-03-08T19:45:52Z |
| format | Article |
| id | doaj.art-d94033bfebe64c68b0bba7e512f2aafe |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-08T19:45:52Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d94033bfebe64c68b0bba7e512f2aafe2023-12-24T12:24:36ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-12-0118111210.1186/s13018-023-04482-1Investigating the reliability and validity of subacromial space measurements using ultrasound and MRIStephen M. Boulanger0Alexandra Mahna1Talia Alenabi2Anthony A. Gatti3Oriana Culig4Loriann M. Hynes5Jaclyn N. Chopp-Hurley6School of Kinesiology and Health Science, York UniversitySchool of Kinesiology and Health Science, York UniversityDepartment of Kinesiology, University of WaterlooDepartment of Radiology, Stanford UniversitySchool of Kinesiology and Health Science, York UniversitySchool of Kinesiology and Health Science, York UniversitySchool of Kinesiology and Health Science, York UniversityAbstract Background While ultrasound (US) measures of the subacromial space (SAS) have demonstrated excellent reliability, measurements are typically captured by experts with extensive ultrasound experience. Further, the agreement between US measured SAS width and other imaging modalities has not been explored. This research evaluated the agreement between SAS measures captured by novice and expert raters and between US and magnetic resonance imaging (MRI). This study also evaluated the effect of US transducer tilt on measured SAS. Methods Nine men and nine women participated in this study. US images were captured by a novice and expert with the participant in both seated and supine positions. An inclinometer was fixed to the US probe to measure transducer tilt. SAS width was measured in real time from freeze framed images. MRI images were captured, and the humerus and acromion manually segmented. The SAS width was measured using a custom algorithm. Results Intraclass correlation coefficients (ICCs) between novice and expert raters were 0.74 and 0.63 for seated and supine positions, respectively. Intra-rater agreement was high for both novice (ICC = 0.83–0.84) and expert (ICC ≥ 0.94) raters. Agreement between US and MRI was poor (ICC = 0.21–0.49) but linearly related. Conclusions Moderate agreement between novice and expert raters was demonstrated, while the agreement between US and MRI was poor. High intra-rater reliability within each rater suggests that US measures of the SAS may be completed by a novice with introductory training.https://doi.org/10.1186/s13018-023-04482-1ShoulderReliabilityMagnetic resonance imagingUltrasound |
| spellingShingle | Stephen M. Boulanger Alexandra Mahna Talia Alenabi Anthony A. Gatti Oriana Culig Loriann M. Hynes Jaclyn N. Chopp-Hurley Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI Journal of Orthopaedic Surgery and Research Shoulder Reliability Magnetic resonance imaging Ultrasound |
| title | Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI |
| title_full | Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI |
| title_fullStr | Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI |
| title_full_unstemmed | Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI |
| title_short | Investigating the reliability and validity of subacromial space measurements using ultrasound and MRI |
| title_sort | investigating the reliability and validity of subacromial space measurements using ultrasound and mri |
| topic | Shoulder Reliability Magnetic resonance imaging Ultrasound |
| url | https://doi.org/10.1186/s13018-023-04482-1 |
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