TABLE A3.
Subgroup Analysis Based on Study Designa
| Test | Absolute Sensitivity | Absolute Specificity | Diagnostic Odds Ratio [Rank] | Superiority Index [Rank] | Relative Sensitivity | Relative Specificity | Data Sets, n | Studies, n |
|---|---|---|---|---|---|---|---|---|
| Prospective | ||||||||
| Any tear | ||||||||
| MRA | 0.90 (0.83-0.94) |
0.88 (0.80-0.93) |
76.41 (27.29-169.97) [1] |
4.10 (1.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
19 | 15 |
| MRI | 0.88 (0.80-0.93) |
0.79 (0.66-0.88) |
32.13 (10.60-72.44) [2] |
1.30 (0.20-3.00) [2] |
0.98 (0.88-1.08) |
0.90 (0.74-1.03) |
16 | 14 |
| US | 0.83 (0.75-0.88) |
0.77 (0.69-0.84) |
17.91 (8.50-32.70) [3] |
0.33 (0.20-1.00) [3] |
0.92 (0.83-1.03) |
0.88 (0.77-0.99) |
29 | 27 |
| FT tear | ||||||||
| MRA | 0.94 (0.87-0.98) |
0.93 (0.83-0.98) |
387.96 (65.53-1222.98) [1] |
4.64 (1.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
14 | 12 |
| MRI | 0.89 (0.79-0.94) |
0.82 (0.67-0.91) |
44.41 (12.99-107.81) [2] |
0.70 (0.20-3.00) [2] |
0.94 (0.83-1.03) |
0.88 (0.72-1.02) |
11 | 11 |
| US | 0.85 (0.74-0.92) |
0.83 (0.72-0.90) |
31.65 (10.92-69.40) [3] |
0.41 (0.20-1.00) [3] |
0.90 (0.78-1.00) |
0.89 (0.77-1.01) |
19 | 19 |
| PT tear | ||||||||
| MRA | 0.77 (0.65-0.86) |
0.87 (0.79-0.93) |
26.72 (9.75-60.58) [1] |
2.99 (0.33-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
13 | 11 |
| MRI | 0.63 (0.46-0.76) |
0.87 (0.77-0.93) |
14.08 (4.49-31.74) [2] |
1.32 (0.20-5.00) [2] |
0.83 (0.59-1.05) |
1.00 (0.87-1.12) |
11 | 11 |
| US | 0.61 (0.47-0.74) |
0.87 (0.79-0.92) |
11.29 (4.59-22.88) [3] |
0.72 (0.20-3.00) [3] |
0.80 (0.60-1.02) |
0.99 (0.90-1.10) |
18 | 18 |
| Retrospective | ||||||||
| Any tear | ||||||||
| MRA | 0.87 (0.81-0.91) |
0.93 (0.88-0.95) |
91.72 (44.31-164.17) [1] |
4.79 (3.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
34 | 27 |
| MRI | 0.82 (0.78-0.85) |
0.88 (0.85-0.91) |
36.39 (23.47-53.45) [2] |
1.08 (0.33-3.00) [2] |
0.94 (0.88-1.02) |
0.96 (0.91-1.01) |
59 | 45 |
| US | 0.77 (0.69-0.84) |
0.83 (0.75-0.89) |
17.43 (8.65-31.14) [3] |
0.23 (0.20-0.33) [3] |
0.89 (0.79-0.98) |
0.89 (0.81-0.97) |
25 | 19 |
| FT tear | ||||||||
| MRA | 0.94 (0.86-0.98) |
0.96 (0.89-0.99) |
811.66 (97.32-3419.22) [1] |
4.66 (1.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
13 | 13 |
| MRI | 0.90 (0.84-0.93) |
0.89 (0.83-0.93) |
80.81 (32.87-151.96) [2] |
0.77 (0.33-3.00) [2] |
0.95 (0.89-1.04) |
0.93 (0.86-1.01) |
29 | 29 |
| US | 0.82 (0.71-0.89) |
0.89 (0.80-0.95) |
46.44 (14.80-101.86) [3] |
0.32 (0.20-1.00) [3] |
0.87 (0.76-0.98) |
0.93 (0.83-1.02) |
11 | 11 |
| PT tear | ||||||||
| MRA | 0.82 (0.72-0.89) |
0.90 (0.82-0.95) |
51.64 (17.15-118.56) [1] |
4.49 (1.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
14 | 13 |
| MRI | 0.67 (0.58-0.75) |
0.87 (0.80-0.91) |
14.01 (6.89-24.52) [2] |
0.85 (0.20-3.00) [2] |
0.82 (0.69-0.96) |
0.96 (0.88-1.05) |
26 | 24 |
| US | 0.67 (0.46-0.84) |
0.78 (0.62-0.89) |
9.57 (2.21-28.40) [3] |
0.40 (0.20-1.00) [3] |
0.81 (0.55-1.06) |
0.87 (0.69-1.01) |
9 | 9 |
| Study type not reported | ||||||||
| Any tear | ||||||||
| MRA | 0.82 (0.56-0.95) |
0.81 (0.51-0.97) |
50.81 (3.19-243.36) [1] |
2.23 (0.20-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
6 | 6 |
| MRI | 0.86 (0.72-0.94) |
0.69 (0.51-0.83) |
17.53 (4.75-45.42) [3] |
0.97 (0.20-3.00) [3] |
1.06 (0.85-1.52) |
0.88 (0.59-1.37) |
11 | 9 |
| US | 0.82 (0.72-0.89) |
0.80 (0.69-0.88) |
21.53 (8.50-44.75) [2] |
1.45 (0.20-5.00) [2] |
1.02 (0.82-1.48) |
1.01 (0.78-1.55) |
22 | 20 |
| FT tear | ||||||||
| MRA | 0.95 (0.62-1.00) |
0.87 (0.53-0.99) |
1396.42 (8.72-1522623.09) [1] |
2.67 (0.20-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
4 | 4 |
| MRI | 0.92 (0.64-1.00) |
0.86 (0.65-0.95) |
137.15 (8.88-2350.94) [2] |
0.93 (0.20-3.00) [3] |
0.98 (0.66-1.51) |
1.01 (0.71-1.64) |
5 | 5 |
| US | 0.90 (0.76-0.96) |
0.92 (0.84-0.96) |
125.69 (29.97-379.75) [3] |
1.20 (0.20-3.00) [2] |
0.96 (0.77-1.49) |
1.09 (0.89-1.76) |
11 | 11 |
| PT tear | ||||||||
| MRA | 0.78 (0.49-0.94) |
0.90 (0.63-0.99) |
116.05 (4.84-619.64) [1] |
4.11 (1.00-5.00) [1] |
1.00 (1.00-1.00) |
1.00 (1.00-1.00) |
4 | 4 |
| MRI | 0.62 (0.41-0.81) |
0.63 (0.37-0.83) |
3.67 (0.77-10.82) [3] |
0.40 (0.20-1.00) [3] |
0.81 (0.52-1.31) |
0.71 (0.40-1.07) |
6 | 6 |
| US | 0.58 (0.42-0.74) |
0.85 (0.70-0.93) |
9.90 (2.87-23.58) [2] |
0.92 (0.33-3.00) [2] |
0.77 (0.52-1.24) |
0.95 (0.76-1.34) |
12 | 12 |
aData are reported as mean (95% CI) unless otherwise indicated. FT, full-thickness; MRA, magnetic resonance arthrography; MRI, magnetic resonance imaging; PT, partial-thickness; US, ultrasound.