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使用不同成像方式评估脊柱形脊椎病的科布角测量的比较:系统性审查

Henri d'Astorg¹, Stephane Bourret², Sonia Ramos-Pascual³

¹Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Ramsay Santé, Lyon, France.

EFORT open reviews

|June 8, 2023

概括

科布角测量在成像方法和患者位置之间有所不同,这可能会影响脊椎病的评估. 临床医生必须在解释其他方式和位置的站立放射图的值时保持谨慎.

科学领域:

放射学放射学是一门学科.
整形外科整形外科整形外科
医疗成像医学成像

背景情况:

准确的科布角测量对于脊柱形脊柱病的诊断和管理至关重要.
测量技术和成像方法的变化可能会影响结果.

研究的目的:

系统地审查和比较使用常规射线图与其他成像方式 (包括EOS成像) 的科布角测量的准确性,可重复性和一致性.
评估不同成像技术中对科布角测量的观察者间协议.

主要方法:

在Medline,Embase和Cochrane数据库中按照PRISMA指南进行了系统的文献搜索.
两个独立的研究人员选了标题,摘要和全文,从符合条件的研究中提取了科布角测量的数据.
包括的研究比较了来自X射线图和/或EOS成像的Cobb角度,或与CT,MRI,数字光学或双能X射线吸收度.

主要成果:

包括14项研究,比较各种成像方式. 站立式放射角度往往高于卧卧式MRI/CT角度;站立式EOS角度高于卧卧式/倾斜式CT角度.
在不同的成像方式中观察到强烈的相关性 (R = 0.78-0.97).
观察者之间的一致性总体上很好 (ICC = 0.77-1.00),除了放射和MRI测量的一项例外.

结论:

在比较不同的成像方式和患者位置时,Cobb角度存在显著差异 (高达11o).
仅仅将观察到的差异归因于模式或位置变化是具有挑战性的.
临床医生应谨慎地将从站立式放射图片中得出的值应用于其他成像方法和患者位置,以评估结石结石.

关键词:

科布的角度科布的角度这就是EOS的EOS.协议协议协议协议协议图像成像方式.射线图片的使用情况.脊柱体脊椎病是什么?脊柱体脊椎病是什么?

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