Keywords: Tendon/Ligament, Aging, syntheticMagnetic resonance imaging is the gold standard for evaluation of rotator cuff injury in non-invasive examination. And 90% occur in supraspinatus tendons. In this study, synthetic MRI (SyMRI) generated both structural and functional images to qualitatively and quantitatively evaluate supraspinatus tendon injury using zero-echo magnetic resonance imaging (ZTE-MRI) as structural reference images. Despite superior quality and inter-reader agreement on critical shoulder angle measurements of ZTE-MRI to SyMRI-generated T1WI, SyMRI showed excellent intra-modality agreement of acromion index and CSA to ZTE-MRI and also provided quantitative information for better identifying injured sites at the early stage of rotator cuff injury.
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