{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:21:58Z","timestamp":1790824918897,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the accuracy, sensitivity, and specificity of a minimally invasive needle arthroscopy device and magnetic resonance imaging (MRI) compared with diagnostic arthroscopy, the gold standard in diagnosing intra\u2010articular shoulder pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective, blinded clinical trial over 6 months on 50 patients with shoulder pathology requiring arthroscopy. Patients were eligible if they had an MRI and consented for surgical arthroscopy. Patients were excluded if they didn\u2019t consent. Each underwent a clinical evaluation, MRI, needle arthroscopy, and surgical arthroscopy. Videos and images were blindly reviewed postoperatively. Analysis included sensitivity, specificity, positive predictive value (PPV), negative predictive value, Cohen\u2019s kappa agreement coefficient, and the McNemar test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Needle arthroscopy had similar accuracy to MRI in diagnosing intra\u2010articular shoulder pathologies when both were compared with the gold standard of diagnostic arthroscopy. It had high specificities and PPV for certain rotator cuff tears, biceps pathology, and anterior labral tears. When compared with the gold standard, specificity of needle arthroscopy for diagnosing rotator cuff tear and cartilage lesions was 1.00 and 0.97 and 0.72 and 0.86 for MRIs, respectively. Sensitivity of needle arthroscopy for rotator cuff and cartilage lesions was 0.89 and 0.74, respectively, lower than MRI. For most intra\u2010articular pathologies, needle arthroscopy was at least equally accurate to MRI at diagnosing intra\u2010articular shoulder pathologies, with similar or high kappa statistics when correlated with surgical arthroscopic findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Needle arthroscopy is a promising diagnostic modality for intra\u2010articular shoulder pathologies. It had comparable accuracy with MRI for diagnosing articular cartilage, labrum, rotator cuff, and biceps pathology. Across all pathologies, needle arthroscopy had better ability to \u201crule in\u201d a diagnosis (high specificities and PPV), but slightly worse ability to \u201crule out\u201d a diagnosis (lower sensitivities and negative predictive value) compared with MRI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, Development of diagnostic criteria on consecutive patients (with universally applied reference \u201cgold\u201d standard).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.03.006","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T18:27:00Z","timestamp":1617128820000},"page":"2090-2098","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Needle Diagnostic Arthroscopy and Magnetic Resonance Imaging of the Shoulder Have Comparable Accuracy With Surgical Arthroscopy: A Prospective Clinical Trial"],"prefix":"10.1002","volume":"37","author":[{"given":"Eric R.","family":"Wagner","sequence":"first","affiliation":[{"name":"Division of Upper Extremity Surgery Department of Orthopaedic Surgery Emory University Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarret M.","family":"Woodmass","sequence":"additional","affiliation":[{"name":"Section of Orthopaedic Surgery Pan Am Clinic University of Manitoba Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary R.","family":"Zimmer","sequence":"additional","affiliation":[{"name":"Shoulder Service Massachusetts General Hospital Department of Orthopedic Surgery Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Welp","sequence":"additional","affiliation":[{"name":"Shoulder Service Massachusetts General Hospital Department of Orthopedic Surgery Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle J.","family":"Chang","sequence":"additional","affiliation":[{"name":"Shoulder Service Massachusetts General Hospital Department of Orthopedic Surgery Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander M.","family":"Prete","sequence":"additional","affiliation":[{"name":"Shoulder Service Massachusetts General Hospital Department of Orthopedic Surgery Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin X.","family":"Farley","sequence":"additional","affiliation":[{"name":"Division of Upper Extremity Surgery Department of Orthopaedic Surgery Emory University Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon J.P.","family":"Warner","sequence":"additional","affiliation":[{"name":"Shoulder Service Massachusetts General Hospital Department of Orthopedic Surgery Boston Shoulder Institute Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,30]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"CD009020","article-title":"Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered","author":"Lenza M.","year":"2013","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_2_3_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta7290","article-title":"The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: A systematic review","volume":"7","author":"Dinnes J.","year":"2003","journal-title":"Health Technol 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system","volume":"46","author":"McMillan S.","year":"2017","journal-title":"Am J Orthop (Belle Mead 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