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<meta name="DC.Title" content="Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus" />
<meta name="DC.Identifier" content="10.3174/ajnr.A3943" />
<meta name="DC.Date" content="2014-09-01" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
<meta name="DC.Rights" content="© 2014 by American Journal of Neuroradiology" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE: The lateral rectus–superior rectus band is an orbital connective tissue structure that has been implicated in a form of strabismus termed sagging eye syndrome. Our purpose was to define the normal MR imaging and CT appearance of this band in patients without strabismus.

MATERIALS AND METHODS: Orbital MR imaging and CT examinations in 100 consecutive patients without strabismus were evaluated. Readers graded the visibility of the lateral rectus–superior rectus band on coronal T1WI, coronal STIR, and coronal CT images. Readers determined whether the band demonstrated superotemporal bowing or any discontinuities and whether a distinct lateral levator aponeurosis was seen. Reader agreement was assessed by κ coefficients. Association between imaging metrics and patient age/sex was calculated by using the Fisher exact test.

RESULTS: The lateral rectus–superior rectus band was visible in 95% of coronal T1WI, 68% of coronal STIR sequences, and 70% of coronal CT scans. Ninety-five percent of these bands were seen as a continuous, arc-like structure extending from the superior rectus/levator palpebrae muscle complex to the lateral rectus muscle; 24% demonstrated superotemporal bowing; and in 82% of orbits, a distinct lateral levator aponeurosis was visible. Increasing patient age was negatively associated with lateral rectus–superior rectus band visibility ( P = .03), positively associated with lateral rectus–superior rectus band superotemporal bowing ( P = .03), and positively associated with lateral levator aponeurosis visibility ( P = .01).

CONCLUSIONS: The lateral rectus–superior rectus band is visible in most patients without strabismus on coronal T1WI. The age effect with respect to its visibility and superotemporal bowing could represent age-related connective tissue degeneration.

LR-SR band
:   lateral rectus–superior rectus band" />
<meta name="DC.Contributor" content="S.H. Patel" />
<meta name="DC.Contributor" content="M.E. Cunnane" />
<meta name="DC.Contributor" content="A.F. Juliano" />
<meta name="DC.Contributor" content="M.G. Vangel" />
<meta name="DC.Contributor" content="M.A. Kazlas" />
<meta name="DC.Contributor" content="G. Moonis" />
<meta name="article:published_time" content="2014-09-01" />
<meta name="article:section" content="Head &amp;amp; Neck" />
<meta name="citation_title" content="Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;BACKGROUND AND PURPOSE:&lt;/h3&gt;
&lt;p&gt;The lateral rectus–superior rectus band is an orbital connective tissue structure that has been implicated in a form of strabismus termed sagging eye syndrome. Our purpose was to define the normal MR imaging and CT appearance of this band in patients without strabismus.&lt;/p&gt;&lt;h3&gt;MATERIALS AND METHODS:&lt;/h3&gt;
&lt;p&gt;Orbital MR imaging and CT examinations in 100 consecutive patients without strabismus were evaluated. Readers graded the visibility of the lateral rectus–superior rectus band on coronal T1WI, coronal STIR, and coronal CT images. Readers determined whether the band demonstrated superotemporal bowing or any discontinuities and whether a distinct lateral levator aponeurosis was seen. Reader agreement was assessed by κ coefficients. Association between imaging metrics and patient age/sex was calculated by using the Fisher exact test.&lt;/p&gt;&lt;h3&gt;RESULTS:&lt;/h3&gt;
&lt;p&gt;The lateral rectus–superior rectus band was visible in 95% of coronal T1WI, 68% of coronal STIR sequences, and 70% of coronal CT scans. Ninety-five percent of these bands were seen as a continuous, arc-like structure extending from the superior rectus/levator palpebrae muscle complex to the lateral rectus muscle; 24% demonstrated superotemporal bowing; and in 82% of orbits, a distinct lateral levator aponeurosis was visible. Increasing patient age was negatively associated with lateral rectus–superior rectus band visibility (&lt;i&gt;P&lt;/i&gt; = .03), positively associated with lateral rectus–superior rectus band superotemporal bowing (&lt;i&gt;P&lt;/i&gt; = .03), and positively associated with lateral levator aponeurosis visibility (&lt;i&gt;P&lt;/i&gt; = .01).&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;The lateral rectus–superior rectus band is visible in most patients without strabismus on coronal T1WI. The age effect with respect to its visibility and superotemporal bowing could represent age-related connective tissue degeneration.&lt;/p&gt;" />
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<meta name="citation_author" content="G. Moonis" />
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<meta name="citation_reference" content="citation_journal_title=Archives of Ophthalmology;citation_journal_abbrev=Arch Ophthalmol;citation_author=L. Koornneef;citation_title=New Insights in the Human Orbital Connective Tissue: Result of a New Anatomical Approach;citation_pages=1269-1273;citation_volume=95;citation_year=1977;citation_issue=7;citation_issn=0003-9950;citation_pmid=880087;citation_doi=10.1001/archopht.1977.04450070167018" />
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<meta name="twitter:title" content="Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus" />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE: The lateral rectus–superior rectus band is an orbital connective tissue structure that has been implicated in a form of strabismus termed sagging eye syndrome. Our purpose was to define the normal MR imaging and CT appearance of this band in patients without strabismus.

MATERIALS AND METHODS: Orbital MR imaging and CT examinations in 100 consecutive patients without strabismus were evaluated. Readers graded the visibility of the lateral rectus–superior rectus band on coronal T1WI, coronal STIR, and coronal CT images. Readers determined whether the band demonstrated superotemporal bowing or any discontinuities and whether a distinct lateral levator aponeurosis was seen. Reader agreement was assessed by κ coefficients. Association between imaging metrics and patient age/sex was calculated by using the Fisher exact test.

RESULTS: The lateral rectus–superior rectus band was visible in 95% of coronal T1WI, 68% of coronal STIR sequences, and 70% of coronal CT scans. Ninety-five percent of these bands were seen as a continuous, arc-like structure extending from the superior rectus/levator palpebrae muscle complex to the lateral rectus muscle; 24% demonstrated superotemporal bowing; and in 82% of orbits, a distinct lateral levator aponeurosis was visible. Increasing patient age was negatively associated with lateral rectus–superior rectus band visibility ( P = .03), positively associated with lateral rectus–superior rectus band superotemporal bowing ( P = .03), and positively associated with lateral levator aponeurosis visibility ( P = .01).

CONCLUSIONS: The lateral rectus–superior rectus band is visible in most patients without strabismus on coronal T1WI. The age effect with respect to its visibility and superotemporal bowing could represent age-related connective tissue degeneration.

LR-SR band
:   lateral rectus–superior rectus band" />
<meta name="og-title" property="og:title" content="Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/35/9/1830" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: The lateral rectus–superior rectus band is an orbital connective tissue structure that has been implicated in a form of strabismus termed sagging eye syndrome. Our purpose was to define the normal MR imaging and CT appearance of this band in patients without strabismus.

MATERIALS AND METHODS: Orbital MR imaging and CT examinations in 100 consecutive patients without strabismus were evaluated. Readers graded the visibility of the lateral rectus–superior rectus band on coronal T1WI, coronal STIR, and coronal CT images. Readers determined whether the band demonstrated superotemporal bowing or any discontinuities and whether a distinct lateral levator aponeurosis was seen. Reader agreement was assessed by κ coefficients. Association between imaging metrics and patient age/sex was calculated by using the Fisher exact test.

RESULTS: The lateral rectus–superior rectus band was visible in 95% of coronal T1WI, 68% of coronal STIR sequences, and 70% of coronal CT scans. Ninety-five percent of these bands were seen as a continuous, arc-like structure extending from the superior rectus/levator palpebrae muscle complex to the lateral rectus muscle; 24% demonstrated superotemporal bowing; and in 82% of orbits, a distinct lateral levator aponeurosis was visible. Increasing patient age was negatively associated with lateral rectus–superior rectus band visibility ( P = .03), positively associated with lateral rectus–superior rectus band superotemporal bowing ( P = .03), and positively associated with lateral levator aponeurosis visibility ( P = .01).

CONCLUSIONS: The lateral rectus–superior rectus band is visible in most patients without strabismus on coronal T1WI. The age effect with respect to its visibility and superotemporal bowing could represent age-related connective tissue degeneration.

LR-SR band
:   lateral rectus–superior rectus band" />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node13622--5" data-node-nid="13622" id="top-node-13622--6175504594" data-pisa="ajnr;35/9/1830" data-pisa-master="ajnr;ajnr.A3943" data-apath="/ajnr/35/9/1830.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
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      <h1 class="highwire-cite-title" id="page-title">Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">S.H. Patel</span>, <span class="highwire-citation-author" data-delta="1">M.E. Cunnane</span>, <span class="highwire-citation-author" data-delta="2">A.F. Juliano</span>, <span class="highwire-citation-author" data-delta="3">M.G. Vangel</span>, <span class="highwire-citation-author" data-delta="4">M.A. Kazlas</span> and <span class="highwire-citation-author" data-delta="5">G. Moonis</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">September 2014,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">35 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(9) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1830-1835; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A3943 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-13622--6175504594" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">S.H. Patel </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (S.H.P., M.E.C., A.F.J., G.M.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=S.H.%2BPatel%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Patel%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AS.H.%2BPatel%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">M.E. Cunnane </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (S.H.P., M.E.C., A.F.J., G.M.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.E.%2BCunnane%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Cunnane%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AM.E.%2BCunnane%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">A.F. Juliano </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (S.H.P., M.E.C., A.F.J., G.M.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=A.F.%2BJuliano%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Juliano%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AA.F.%2BJuliano%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">M.G. Vangel </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Biostatistics Center (M.G.V.), Massachusetts General Hospital, Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.G.%2BVangel%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Vangel%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AM.G.%2BVangel%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">M.A. Kazlas </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Ophthalmology (M.A.K.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts</div><div class='author-affiliation'><span class='nlm-sup'>d</span>Department of Ophthalmology (M.A.K.), Boston Children's Hospital, Boston, Massachusetts.</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.A.%2BKazlas%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Kazlas%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AM.A.%2BKazlas%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-5"><div class="author-tooltip-name">G. Moonis </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (S.H.P., M.E.C., A.F.J., G.M.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=G.%2BMoonis%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Moonis%20G&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AG.%2BMoonis%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div></div></div>  </div>

  
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<p id="p-1"><strong>BACKGROUND AND PURPOSE:</strong> The lateral rectus–superior rectus band is an orbital connective tissue structure that has been implicated in a form of strabismus termed sagging eye syndrome. Our purpose was to define the normal MR imaging and CT appearance of this band in patients without strabismus.</p>
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<p id="p-2"><strong>MATERIALS AND METHODS:</strong> Orbital MR imaging and CT examinations in 100 consecutive patients without strabismus were evaluated. Readers graded the visibility of the lateral rectus–superior rectus band on coronal T1WI, coronal STIR, and coronal CT images. Readers determined whether the band demonstrated superotemporal bowing or any discontinuities and whether a distinct lateral levator aponeurosis was seen. Reader agreement was assessed by κ coefficients. Association between imaging metrics and patient age/sex was calculated by using the Fisher exact test.</p>
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<p id="p-3"><strong>RESULTS:</strong> The lateral rectus–superior rectus band was visible in 95% of coronal T1WI, 68% of coronal STIR sequences, and 70% of coronal CT scans. Ninety-five percent of these bands were seen as a continuous, arc-like structure extending from the superior rectus/levator palpebrae muscle complex to the lateral rectus muscle; 24% demonstrated superotemporal bowing; and in 82% of orbits, a distinct lateral levator aponeurosis was visible. Increasing patient age was negatively associated with lateral rectus–superior rectus band visibility (<em>P</em> = .03), positively associated with lateral rectus–superior rectus band superotemporal bowing (<em>P</em> = .03), and positively associated with lateral levator aponeurosis visibility (<em>P</em> = .01).</p>
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<p id="p-4"><strong>CONCLUSIONS:</strong> The lateral rectus–superior rectus band is visible in most patients without strabismus on coronal T1WI. The age effect with respect to its visibility and superotemporal bowing could represent age-related connective tissue degeneration.</p>
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</div><div class="section glossary" id="glossary-1"><h2>ABBREVIATIONS:</h2>
<dl id="def-list-1"><dt id="def-item-1">LR-SR band<span class="def-item-dt-sep"></span></dt><dd>lateral rectus–superior rectus band</dd></dl>
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 35</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 9 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Sep 2014 </div></div>
      
      
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      <div class="highwire-cite-title">Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">S.H.</span> <span class="nlm-surname">Patel</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">M.E.</span> <span class="nlm-surname">Cunnane</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">A.F.</span> <span class="nlm-surname">Juliano</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">M.G.</span> <span class="nlm-surname">Vangel</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">M.A.</span> <span class="nlm-surname">Kazlas</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">G.</span> <span class="nlm-surname">Moonis</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 2014, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">35 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(9) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1830-1835; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A3943 </span></div>
  
  
  
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      <div class="highwire-cite-title">Imaging Appearance of the Lateral Rectus–Superior Rectus Band in 100 Consecutive Patients without Strabismus</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">S.H.</span> <span class="nlm-surname">Patel</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">M.E.</span> <span class="nlm-surname">Cunnane</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">A.F.</span> <span class="nlm-surname">Juliano</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">M.G.</span> <span class="nlm-surname">Vangel</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">M.A.</span> <span class="nlm-surname">Kazlas</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">G.</span> <span class="nlm-surname">Moonis</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 2014, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">35 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(9) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1830-1835; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A3943 </span></div>
  
  
  
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