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Abstract #0866

Usefulness of enhancement pattern analysis of non-contrast perfusion using arterial spin labeling (ASL) for the evaluation of painful shoulder diseases

Katsumi Nakamura1,2, Fumihide Arakami3, Tomoko Nishi3, Kennichi Inoue2, Satoshi Masuda2, Akiyoshi Yamamoto4, Asaka Aso5, and Mitsue Miyazaki6

1Radiology, Tobata General Hospital, Kitakyushu, Japan, 2Sakura Clinic, Kitakyushu, Japan, 3Mihagino Hospital, Kitakyushu, Japan, 4Tobata Kyoritsu Hospital, Kitakyushu, Japan, 5Canon Medical Systems, Kasuga, Japan, 6UC San Diego, La Jolla, CA, United States

We investigated the usefulness of non-contrast perfusion obtained using arterial spin labeling (ASL) for the evaluation of various shoulder diseases. In 137 consecutive patients, the subacromial space was divided into four areas, in which ASL enhancement patterns were evaluated. Most of the full thickness tear of rotator cuff demonstrated diffuse enhancement. Most of the adhesive capsulitis showed the anterior area enhancement to be consistent with rotator interval. Acromioclavicular (AC) arthritis showed dominant enhancement in the AC joint. The specific enhancement pattern of ASL is well correlated with the pathology of shoulder diseases, which is highly useful for the differential diagnosis.

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