title: Imaging algorithms for evaluating suspected rotator cuff disease: Society of Radiologists in Ultrasound consensus conference statement.
abstract: The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to reach a consensus about the recommended imaging evaluation of painful shoulders with clinically suspected rotator cuff disease. The panel met in Chicago, Ill, on October 18 and 19, 2011, and created this consensus statement regarding the roles of radiography, ultrasonography (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography. The consensus panel consisted of two co-moderators, a facilitator, a statistician and health care economist, and 10 physicians who have specialty expertise in shoulder pain evaluation and/or treatment. Of the 13 physicians on the panel, nine were radiologists who were chosen to represent a broad range of skill sets in diagnostic imaging, different practice types (private and academic), and different geographical regions of the United States. Five of the radiologists routinely performed musculoskeletal US as part of their practice and four did not. There was also one representative from each of the following clinical specialties: rheumatology, physical medicine and rehabilitation, orthopedic surgery, and nonoperative sports medicine. The goal of this conference was to construct several algorithms with which to guide the imaging evaluation of suspected rotator cuff disease in patients with a native rotator cuff, patients with a repaired rotator cuff, and patients who have undergone shoulder replacement. The panel hopes that these recommendations will lead to greater uniformity in rotator cuff imaging and more cost-effective care for patients suspected of having rotator cuff abnormality.
authors: Department of Radiology, Thomas Jefferson University Hospital, 763E Main Building, 132 S Tenth St, Philadelphia, PA 19107-5244, USA. levon.nazarian@jefferson.edu
authors: Levon N
authors: LN
authors: Nazarian
authors: Jon A
authors: JA
authors: Jacobson
authors: Carol B
authors: CB
authors: Benson
authors: Laura W
authors: LW
authors: Bancroft
authors: Asheesh
authors: A
authors: Bedi
authors: John M
authors: JM
authors: McShane
authors: Theodore T
authors: TT
authors: Miller
authors: Laurence
authors: L
authors: Parker
authors: Jay
authors: J
authors: Smith
authors: Lynne S
authors: LS
authors: Steinbach
authors: Sharlene A
authors: SA
authors: Teefey
authors: Ralf G
authors: RG
authors: Thiele
authors: Michael J
authors: MJ
authors: Tuite
authors: James N
authors: JN
authors: Wise
authors: Ken
authors: K
authors: Yamaguchi
mesh_terms: D000465:Algorithms; D003952:Diagnostic Imaging; D006801:Humans; D017006:Rotator Cuff / Q000473:pathology*; D020069:Shoulder Pain / Q000175:diagnosis* / Q000473:pathology
references: J Bone Joint Surg Am. 2003 Jun;85(6):1084-9
references: 12784007
references: J Shoulder Elbow Surg. 2011 Mar;20(2 Suppl):S20-9
references: 21281919
references: BMJ. 2005 Nov 12;331(7525):1124-8
references: 16282408
references: Radiology. 1995 Mar;194(3):831-5
references: 7862988
references: Clin Orthop Relat Res. 2010 Jun;468(6):1558-64
references: 19347412
references: Radiographics. 2004 Jan-Feb;24(1):69-85
references: 14730038
references: J Am Coll Radiol. 2011 Sep;8(9):602-9
references: 21889746
references: AJR Am J Roentgenol. 2008 Apr;190(4):1105-11
references: 18356462
references: Skeletal Radiol. 2010 Jul;39(7):661-7
references: 19826811
references: AJR Am J Roentgenol. 2004 Nov;183(5):1465-8
references: 15505321
references: J Shoulder Elbow Surg. 2009 Jul-Aug;18(4):581-7
references: 19559372
references: Radiographics. 2005 Nov-Dec;25(6):1591-607
references: 16284137
references: Semin Ultrasound CT MR. 2011 Apr;32(2):101-13
references: 21414546
references: Radiology. 2011 Jul;260(1):6-16
references: 21697306
references: J Bone Joint Surg Am. 2004 Apr;86(4):708-16
references: 15069134
references: Best Pract Res Clin Rheumatol. 2011 Feb;25(1):59-68
references: 21663850
references: Eur J Radiol. 2008 Oct;68(1):36-56
references: 18387766
references: Eur Radiol. 2008 Dec;18(12):2937-48
references: 18618117
references: Skeletal Radiol. 2008 Nov;37(11):979-86
references: 18651142
references: AJR Am J Roentgenol. 2008 Jan;190(1):27-31
references: 18094290
references: Ann Rheum Dis. 1998 Nov;57(11):649-55
references: 9924205
references: AJR Am J Roentgenol. 2011 May;196(5):1139-44
references: 21512082
references: J Bone Joint Surg Am. 2010 Nov 17;92(16):2623-33
references: 21084574
references: Am J Sports Med. 2007 May;35(5):719-28
references: 17337727
references: J Bone Joint Surg Am. 2004;86-A Suppl 2:35-40
references: 15691107
references: AJR Am J Roentgenol. 2003 Apr;180(4):1117-20
references: 12646465
references: J Bone Joint Surg Am. 2004 Feb;86(2):219-24
references: 14960664
references: J Am Coll Radiol. 2008 Mar;5(3):182-8
references: 18312965
references: Semin Roentgenol. 2010 Jul;45(3):160-79
references: 20483113
references: AJR Am J Roentgenol. 2004 Nov;183(5):1449-52
references: 15505319
references: Radiology. 1997 Dec;205(3):593-618
references: 9393511
references: J Bone Joint Surg Br. 2005 Jun;87(6):824-8
references: 15911667
references: Orthop Traumatol Surg Res. 2011 May;97(3):246-51
references: 21459063
references: AJR Am J Roentgenol. 2006 Dec;187(6):1448-52
references: 17114535
references: AJR Am J Roentgenol. 2009 Jun;192(6):1701-7
references: 19457838
references: J Shoulder Elbow Surg. 2001 Sep-Oct;10(5):428-33
references: 11641699
references: J Bone Joint Surg Am. 1999 Sep;81(9):1312-24
references: 10505528
references: Radiology. 2001 Apr;219(1):29-34
references: 11274531
references: Eur J Radiol. 2008 Oct;68(1):120-36
references: 18400443
references: AJR Am J Roentgenol. 2010 Sep;195(3):638
references: 20729439
references: J Bone Joint Surg Br. 1995 Mar;77(2):296-8
references: 7706351
references: J Bone Joint Surg Am. 2010 Apr;92(4):829-39
references: 20360505
references: AJR Am J Roentgenol. 1998 Jul;171(1):229-33
references: 9648794
references: J Ultrasound Med. 1985 Nov;4(11):608, 607
references: 4078967
references: Arthroscopy. 2012 Feb;28(2):154-9
references: 22019235
references: Eur Radiol. 2007 Feb;17(2):491-8
references: 16969638