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    Correction to: The 2D and 3D MR arthrographic description of aponeurotic expansion of supraspinatus tendon and biceps tendon anomaly in a large patient cohort
    (2023) Güçlü, Derya; Oğul, Hayri; Ünlü, Elif Nisa; Tuncer, Kutsi; Köse, Mehmet; Kantarcı, Mecit; Eren, Suat
    Seismic behavior of an isolated bridge is analyzed in the frequency domain under the effects of non-stationary ground motions. For dynamic solutions, different ground environments are considered by simulating non-stationary quakes that can be represented from bedrock to soft ground level. In the simulations, power spectral functions and filtered white noise model are adopted for spectral densities of the earthquake excitations. Various computer algorithms have been developed for earthquake simulations, establishing the bridge finite element model and stochastic solutions. Twenty simulated ground motions are used for each soil profile and the parameters of Rayleigh dispersion are estimated by evaluating the system responses for each ensemble. A number of peak response factors dependent on soil conditions are presented for seismic responses. In addition, extreme value distributions of the responses are shown with the probability of exceeding functions and tables. The responses are discussed for the specific exceedance level of probabilities used in probabilistic design process. The stochastic analyses generally yielded responses consistent with time domain solutions. Exceedance probability functions of the peak responses were obtained in a close relationship. However, the probability distributions of the responses decomposed for the soft soil case and they displayed a wider dispersion even for low exceedance levels. The peak responses are expressed with some exceedance probabilities. In the estimation of response variations, this study showed the practicality of the frequency domain method and the results revealed higher peak response factors and variances for softer soil conditions. Furthermore, this study indicated that the frequency domain procedure is an effective tool in the obtaining of non stationary seismic responses.
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    Detection of the glenoid bare spot by non-arthrographic MR imaging, conventional MR arthrography, and 3D high-resolution T1-weighted VIBE MR arthrography: comparison with CT arthrography
    (2023) Özel, Mehmet Ali; Oğul, Hayri; Köksal, Ali; Köse, Mehmet; Tuncer, Kutsi; Eren, Suat; Kantarcı, Mecit
    Objectives To determine the diagnostic accuracy of non-arthrographic MR imaging, conventional MR arthrography, and 3D T1-weighted volumetric interpolated breath-hold examination (VIBE) MR arthrography sequences as compared with a CT arthrography in the diagnosis of glenoid bare spot. Methods A retrospective study of 216 patients who underwent non-arthrographic MR imaging, conventional MR arthrography, VIBE MRI arthrography, and CT arthrogram between January 2011 and March 2022 was conducted. The diagnostic accuracy of non-arthrographic MR imaging, direct MR arthrography, and VIBE MRI arthrography in the detection of glenoid bare spot was compared with that of CT arthrography. All studies were reviewed by 2 MSK radiologists. Interobserver agreement for MR imaging and MR arthrographic findings was calculated. Results Sixteen of 216 patients were excluded. Twenty-three of 200 shoulders had glenoid bare spot on CT arthrographic images. The glenoid bare spot was detected in 11 (47.8%) and 7 (30.4%) patients on conventional non-arthrographic MR images and in 18 (78.3%) and 16 (69.6%) patients on conventional MR arthrograms by observers 1 and 2, respectively. Both observers separately described the bare spot in 22 of 23 patients (95.7%) on 3D volumetric MR arthrograms. Interobserver variabilities were fair agreement for conventional non-arthrographic MR imaging (κ = 0.35, p < 0.05), moderate agreement for conventional MR arthrogram (κ = 0.50, p < 0.05), and near-perfect agreement for 3D volumetric MR arthrogram reading (κ = 0.87, p < 0.05). Conclusions A 3D high-resolution T1-weighted VIBE MR arthrography sequence may yield diagnostic performance that is comparable with that of CT arthrography in the diagnosis of glenoid bare spot.
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    The 2D and 3D MR arthrographic description of aponeurotic expansion of supraspinatus tendon and biceps tendon anomaly in a large patient cohort
    (2023) Güçlü, Derya; Oğul, Hayri; Ünlü, Elif Nisa; Tuncer, Kutsi; Köse, Mehmet; Kantarcı, Mecit; Eren, Suat
    Objective: To describe the aponeurotic expansion of supraspinatus tendon (AEST) and biceps tendon abnormalities with magnetic resonance (MR) arthrographic examinations and determine their prevalence in patients, we performed a high-resolution 3D direct MR arthrography. Materials and methods: This was a retrospective study of 700 shoulder MR arthrograms performed between May 2010 and January 2022. Extension in the coronal plane of an AEST on 3D fat-suppressed T1-weighted volumetric interpolated breath-hold examination (VIBE) MR arthrography was identified. Based on its morphology, the AEST on MR arthrography was divided into four subtypes: absence of tendinous thickness in the bicipital synovial surface or intra-synovial tendon-like structure in the bicipital groove, thin and flat tendinous thickness ≥1 mm of bicipital synovium, oval tendinous structure less than half the size of the adjacent biceps tendon, oval tendinous structure more than half the size of the adjacent biceps tendon, and oval tendinous structure larger than the adjacent biceps tendon. Based on its origin and termination, aponeurotic expansions can be divided into three subtypes: proximal pulley zone, middle humeral neck zone, and distal myotendinous junction zone. Association with the biceps synovium of the AEST was categorized into three types: intra-synovial, extra-synovial, and trans-synovial. Results: An AEST in the anterior shoulder joint in 3D VIBE MR arthrography images was identified in 63 (9%) of 700 arthrograms. The most common arthrographic type of AEST was type 1-this was detected in 39 of 63 patients. The most common course type of the AEST was anteriorly midline. The most common distal insertion type was at the tenosynovial sheath of the long head of the biceps tendon (LHBT) in the middle humeral neck zone-this was detected in 31 of 63 patients. There were only 10 MR arthrograms biceps tendon abnormality, including 4 biceps agenesis and 6 split ruptures. Conclusion: A 2D and high-resolution 3D MR arthrography can demonstrate the anatomical detail around the bicipital groove and facilitate the differentiation between a biceps tendon anomaly and an AEST. On high-resolution 3D MR arthrographic images, the AEST tends to be in the anterior midline and anteromedial portions of the biceps synovium with intra-synovial, extra-synovial, and trans-synovial courses and its three different insertion types.