{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:10:00Z","timestamp":1792069800945,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is limited data in the literature regarding the role of nonarthrographic MRI for detecting biceps pulley (BP) lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the accuracy of nonarthrographic MRI for detecting BP lesions, and to evaluate the diagnostic value of various MRI signs (superior glenohumeral ligament discontinuity\/nonvisibility, long head of biceps (LHB) displacement sign or subluxation\/dislocation, LHB tendinopathy, and supraspinatus and subscapularis tendon lesions) in detecting such lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Retrospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>84 patients (32 in BP\u2010lesion group and 52 in BP\u2010intact group\u2010as confirmed by arthroscopy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Field Strength\/Sequence<\/jats:title><jats:p>1.5\u2010T, T1\u2010weighted turbo spin echo (TSE), T2\u2010weighted TSE, and proton density\u2010weighted TSE spectral attenuated inversion recovery (SPAIR) sequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment<\/jats:title><jats:p>Three radiologists independently reviewed all MRI data for the presence of BP lesions and various MRI signs. The MRI signs and final MRI diagnoses were tested for accuracy regarding detecting BP lesions using arthroscopy results as the reference standard. Furthermore, the inter\u2010reader agreement (IRA) between radiologists was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Tests<\/jats:title><jats:p>Student's <jats:italic>t<\/jats:italic>\u2010tests, Chi\u2010squared, and Fisher's exact tests, and 4\u2010fold table test were used. The IRA was calculated using Kappa statistics. A <jats:italic>P<\/jats:italic>\u2010value &lt;0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sensitivity, specificity, and accuracy of nonarthrographic MRI for detecting BP lesions were 65.6%\u201378.1%, 90.4%\u201392.3%, and 81%\u201386.9%, respectively. The highest accuracy was noticed for the LHB displacement sign (84.5%\u201386.9%), and the highest sensitivity was registered for the LHB tendinopathy sign (87.5%). Furthermore, the highest specificity was observed for the LHB displacement sign and LHB subluxation\/dislocation sign (98.1%\u2013100%). The IRA regarding final MRI diagnosis and MRI signs of BP lesions was good to very good (<jats:italic>\u03ba<\/jats:italic>\u2009=\u20090.76\u20130.98).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusion<\/jats:title><jats:p>Nonarthrographic shoulder MRI may show good diagnostic accuracy for detecting BP lesions. The LHB displacement sign could serve as the most accurate and specific sign for diagnosis of BP lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3<\/jats:p><\/jats:sec><jats:sec><jats:title>Technical Efficacy<\/jats:title><jats:p>Stage 2<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.29004","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T10:23:34Z","timestamp":1694082214000},"page":"1299-1311","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Biceps Pulley Lesions: Diagnostic Accuracy of Nonarthrographic Shoulder <scp>MRI<\/scp> and the Value of Various Diagnostic Signs"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8395-4672","authenticated-orcid":false,"given":"Mohamad Gamal","family":"Nada","sequence":"first","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassir Edrees","family":"Almalki","sequence":"additional","affiliation":[{"name":"Division of Radiology, Medical College Najran University  Najran Kingdom of Saudi Arabia"},{"name":"Department of Internal Medicine, Medical College Najran University  Najran Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-8020","authenticated-orcid":false,"given":"Mohammad Abd Alkhalik","family":"Basha","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmin Ibrahim","family":"Libda","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed M. A.","family":"Zaitoun","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A. El\u2010Hamid","family":"M. Abdalla","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania Mostafa","family":"Almolla","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan A.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Human Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer Mahmoud","family":"Dawoud","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Faculty of Human Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Hassan Zaki","family":"Eissa","sequence":"additional","affiliation":[{"name":"Department of 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