{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:47:14Z","timestamp":1790419634028,"version":"4.1.0"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>\n            Purpose\u2002The usefulness of direct MR arthrography of the shoulder with additional ABER position (ABER-MRA) has always been discussed. The goals of the following review are to analyze the usefulness of this technique according to the available literature and present recommendations with respect to indications and benefits in diagnostic imaging of shoulder abnormalities in the clinical routine.<\/jats:p><jats:p>\n            Method\u2002For this review we assessed the current literature databases of the Cochrane Library, Embase, and PubMed with regard to MRA in the ABER position up to the February 28, 2022. Search terms were \u201cshoulder MRA, ABER\u201d, \u201cMRI ABER\u201d, \u201cMR ABER\u201d, \u201cshoulder, abduction external rotation MRA\u201d, \u201cabduction external rotation MRI\u201d and \u201cABER position\u201d. The inclusion criteria were prospective and retrospective studies with surgical and\/or arthroscopic correlation within 12 months. Overall, 16 studies with 724 patients fulfilled the inclusion criteria: 10 studies dealing with anterior instabilities, three studies with posterior instabilities and seven studies with suspected rotator cuff pathologies (some studies addressing multiple items).<\/jats:p><jats:p>\n            Results\u2002For anterior instability the use of ABER-MRA in the ABER position led to a significant increase in sensitivity for detecting lesions of the labral ligamentous complex compared with standard 3-plane shoulder MRA (81\u200a% versus 92\u200a%, p\u200a=\u200a0.001) while maintaining high specificity (96\u200a%). ABER-MRA demonstrated high sensitivity and specificity (89\u200a% and 100\u200a%, respectively) for SLAP lesions and was able to detect micro-instability in overhead athletes, but case counts are still very small. With regard to rotator cuff tears, no improvement of sensitivity or specificity could be shown with use of ABER-MRA.<\/jats:p><jats:p>\n            Conclusion\u2002Based on the currently available literature, ABER-MRA achieves a level of evidence C in the detection of pathologies of the anteroinferior labroligamentous complex. With regard to the evaluation of SLAP lesions and the exact determination of the degree of rotator cuff injury, ABER-MRA can be of additive value, but is still a case-by-case decision.<\/jats:p><jats:p>\n            Key Points:\u2002<\/jats:p><jats:p>\n            Citation Format\n          <\/jats:p>","DOI":"10.1055\/a-2005-0206","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T23:39:21Z","timestamp":1677800361000},"page":"586-596","source":"Crossref","is-referenced-by-count":5,"title":["ABER Position in Direct MR Arthrography of the Shoulder: Useful\u00a0Adjunct or Waste of Imaging Time?"],"prefix":"10.1055","volume":"195","author":[{"given":"Sebastian","family":"Altmann","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Jungmann","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilman","family":"Emrich","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Jezycki","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl-Friedrich","family":"Kreitner","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg University Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1007\/s00330-017-5208-y","article-title":"How, when, why in magnetic resonance arthrography: an international survey by the European Society of Musculoskeletal Radiology (ESSR)","volume":"28","author":"L M Sconfienza","year":"2018","journal-title":"Eur Radiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1007\/s00402-012-1493-8","article-title":"A meta-analysis of the diagnostic test accuracy of MRA and MRI for detection of glenoid labral injury","volume":"132","author":"T O Smith","year":"2012","journal-title":"Arch Orthop TRauma Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1136\/bjsports-2014-094148","article-title":"Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterization of rotator cuff disorders: a systematic review and meta-analysis","volume":"49","author":"J-S Roy","year":"2015","journal-title":"Br J Sports Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1148\/radiol.2017162681","article-title":"Diagnosis of superior labrum anterior-to-posterior tears by using MR imaging and MR arthrography: a systematic review and meta-analysis","volume":"285","author":"J S Symanski","year":"2017","journal-title":"Radiology"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s00402-018-2894-0","article-title":"Diagnosis of glenoid labral tears using 3 tesla MRI vs. 3-tesla MRA: a systemetic review and meta-analysis","volume":"138","author":"A Ajuied","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.2214\/AJR.07.3962","article-title":"Usefuness of the abduction and external rotation views in shoulder MR arthrography","volume":"191","author":"A M Saleem","year":"2008","journal-title":"Am J Roentgenol Amer J Roentegenol"},{"key":"ref7","first-page":"179","article-title":"Protokollempfehlungen der AG Bildgebende Verfahren des Bewegungsapparates (AG BVB) der Deutschen Ro\u0308ntgengesellschaft (DRG) zu Messsequenzen fu\u0308r die Gelenk-MRT","volume":"190","year":"2018","journal-title":"Fortschr R\u00f6ntgenstr"},{"key":"ref9","first-page":"1627","article-title":"The Aber position in shoulder MR arthrography for rotator cuff tears","volume":"29","author":"C Tian","year":"2013","journal-title":"J Pract Radiol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.jos.2015.12.019","article-title":"Abduction external rotation porition in magentic resonance arthrography for the diagnosis of rotator cuff tears","volume":"21","author":"W Qiu","year":"2016","journal-title":"J Orthop Science"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1148\/radiology.208.2.9680562","article-title":"Glenohumeral joint: comparison of shoulder positions at MR arthrography","volume":"208","author":"S M Quak","year":"1998","journal-title":"Radiology"},{"key":"ref12","first-page":"552","article-title":"[MR arthrographic findings of SLAP lesion type V]","volume":"64","author":"J Suyama","year":"2004","journal-title":"Nihon Hoshasen"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/jmri.20465","article-title":"Anterior-inferior labral lesions of recurrent shoulder dislocation evaluated by MR arthrography in an adduction internal rotation (ADIR) position","volume":"23","author":"H-T Song","year":"2005","journal-title":"J Magn Reson Imaging"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.arthro.2009.06.028","article-title":"Abnormal translation in SLAP lesions on magnetic resonance Imaging abduction externally rotated view","volume":"26","author":"A M Chhadia","year":"2010","journal-title":"Arthroscopy"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"2331","DOI":"10.1177\/0363546512456974","article-title":"The evaluation of arthroscopic remplissage by high-resolution by high-resolution magnetic resonance imaging","volume":"40","author":"M J Park","year":"2012","journal-title":"Am J Sports Med"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1177\/1758573214550839","article-title":"Functional outcome and the structural integrity of arthroscopic Bankart repair: a prospective trial","volume":"7","author":"M Zhu","year":"2015","journal-title":"Shoulder Elbow"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/s11547-012-0838-2","article-title":"Lesions of the biceps pulley as cause of anterosuperior impingement of the shoulder in the athlete: potenstials and limist of MR arthrography compared with arthroscopy","volume":"118","author":"A Barile","year":"2013","journal-title":"Radiol Med"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1007\/s00330-014-3133-x","article-title":"MR arthrography including abduction and external rotation images in the assessment of atraumatic multidirectional instability of the shoulder","volume":"24","author":"C Schaeffeler","year":"2014","journal-title":"Eur Radiol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1148\/radiology.192.3.8058959","article-title":"MR arthrographic depiction of tears of the rotator cuff: benefit of abduction and external rotation of the arm","volume":"192","author":"P F Tirman","year":"1994","journal-title":"Radiology"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"837","DOI":"10.2214\/ajr.169.3.9275908","article-title":"Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum","volume":"169","author":"O Cvitanic","year":"1997","journal-title":"Am J Roentgenol"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.2214\/ajr.172.5.10227520","article-title":"Imaging findings in the dominant shoulder of throwing athletes: comparison of radiography, arthrography, CT arthrography, and MR arthrography with arthroscopic correlation","volume":"172","author":"B Roger","year":"1999","journal-title":"Am J Roentgenol"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2214\/ajr.178.1.1780233","article-title":"Perthes lesion (a variant of the Bankart lesion): MR imaging and MR arthrographic findings with surgical correlation","volume":"178","author":"T K Wischer","year":"2002","journal-title":"Am J Roentgenol Amer J Roentgenol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1148\/radiol.2241011128","article-title":"MR arthrography of shoulders after suture-anchor Bankart repair","volume":"224","author":"H Sugimoto","year":"2002","journal-title":"Radiology"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1148\/radiol.2241011261","article-title":"Horizontal component of partial-thickness tears of rotator cuff: imaging characteristics and comparison of ABER view with oblique coronal view at MR arthrography initial results","volume":"224","author":"S Y Lee","year":"2002","journal-title":"Radiology"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.2214\/AJR.08.1544","article-title":"Assessment of capsular laxity in patients with recurrent anterior shoulder dislocation using MRI","volume":"192","author":"A W Ng","year":"2009","journal-title":"Am J Roentgenol"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"679","DOI":"10.2214\/AJR.08.2285","article-title":"Transverse thickening along the articular surface of the rotator cuff consistent with the rotator cable: identification with MR arthrography and relevance in rotator cuff evaluation","volume":"193","author":"K Sheah","year":"2009","journal-title":"Am J Roentgenol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s00256-009-0692-z","article-title":"Is a single direct MR arthrography series in ABER position as accurate in detecting anteroinferior labroligamentous lesions as conventional MR arthography?","volume":"38","author":"S A Schreinemachers","year":"2009","journal-title":"Skeletal Radiol"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s00256-009-0680-3","article-title":"Detection of partial-thickness supraspinatus tendon tears: is a single direct MR arthrography series in ABER position as accurate as conventional MR arthrography?","volume":"38","author":"S A Schreinemachers","year":"2009","journal-title":"Skeletal Radiol"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"194","DOI":"10.3109\/02841850903300298","article-title":"Magnetic resonance arthrography including ABER view in diagnosing partial-thickness tears of the rotator cuff: accuracy, and inter- and intra-observer agreements","volume":"51","author":"J Y Jung","year":"2010","journal-title":"Acta Radiol"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s00256-009-0744-4","article-title":"Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation","volume":"39","author":"C G Borrero","year":"2010","journal-title":"Skeletal Radiol"},{"key":"ref31","first-page":"e337","article-title":"Accuracy of abduction-external rotation MRA versus standard MRA in the diagnosis of intra-articular shoulder pathology","volume":"36","author":"C S Modi","year":"2013","journal-title":"Orthopedics"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/j.ejrad.2012.11.038","article-title":"The added value of ABER position for the detection and classificationof anteroinferior labroligamentous lesions in MR arthrography of the shoulder","volume":"82","author":"C-Y Tian","year":"2013","journal-title":"Eur J Radiol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.17554\/j.issn.2311-5106.2020.07.3003","article-title":"Accuracy of Magnetic Resonance Arthrography in the Detection and Classification of Chronic Anteroinferior Labrum Lesions: Iossifidis A et al. Acurracy of magnetic resonance arthrogam in recurrent shoulder instability","volume":"7","author":"A Iossifidis","year":"2020","journal-title":"International Journal of Orthopaedics"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"87","DOI":"10.21608\/scumj.2021.173384","article-title":"Role of ABER Positioning in Evaluation of Anteroinferior Labroligamentous Lesions in Shoulder MR Arthrograms","volume":"24","author":"A A Wahdan","year":"2021","journal-title":"Suez Canal University Medical Journal"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/j.crad.2014.07.009","article-title":"Does the experience level of the radiologist, assessment in consensus, or the addition of the abduction and external rotation view improve the diagnostic reproducibility and accuracy of MRA of the shoulder?","volume":"69","author":"S van Grinsven","year":"2014","journal-title":"Clin Radiol"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1007\/s00256-022-03996-9","article-title":"Diagnostic performance of MRA in abduction and external rotation position in the detection of glenoid labral lesions: a systematic review and meta-analysis","volume":"51","author":"M Shafiei","year":"2022","journal-title":"Skeletal Radiol"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"529","DOI":"10.7326\/0003-4819-155-8-201110180-00009","article-title":"QUADAS-2: a revised tool for the qualitiy assessment of diagnostic accuracy studies","volume":"155","author":"P F Whiting","year":"2011","journal-title":"Ann Intern Med"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"562","DOI":"10.3928\/01477447-20100625-17","article-title":"The abduction external rotation (ABER) view for MRI of the shoulder","volume":"33","author":"J J Iyengar","year":"2010","journal-title":"Orthopeadics"},{"key":"ref39","first-page":"660","article-title":"Addition of the abduction and external rotation view during MR arthrography of the shoulder: increased sensitivitiy and confidence levels in the detection of anterior glenoid labral tears for readers at various levels of training","volume":"221","author":"T G Sanders","year":"2001","journal-title":"Radiology"},{"issue":"01","key":"ref40","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s13244-021-00995-7","article-title":"Evidence levels in radiology: the insights into imaging approach","volume":"12","author":"Marti-Bonmati","year":"2021","journal-title":"Insights Imaging"}],"container-title":["R\u00f6Fo - Fortschritte auf dem Gebiet der R\u00f6ntgenstrahlen und der bildgebenden Verfahren"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2005-0206.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T23:46:08Z","timestamp":1689032768000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2005-0206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,2]]},"references-count":39,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2023,7,6]]},"published-print":{"date-parts":[[2023,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2005-0206","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1438-9029","1438-9010"],"issn-type":[{"value":"1438-9029","type":"print"},{"value":"1438-9010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,2]]}}}