怀疑患有下凸综合征的患者的放射性发现:患病率和可靠性
Linda Christie Andrea1,2, Susanne Wulff Svendsen3, Poul Frost4
1Department of Radiology, Aarhus University Hospital, Aarhus, Denmark. linda@andreaweb.dk.
Skeletal radiology
|April 23, 2024
概括
怀疑患有下凸综合征 (SIS) 的患者的放射图显示了普遍存在的化和形形. 可靠性分析表明,化和acromial tilt措施的最佳性能.
科学领域:
- 整形外科放射学 整形外科放射学
- 肩部成像扫描 肩部成像扫描
- 诊断的准确性 诊断的准确性
背景情况:
- 下刺综合征 (SIS) 是肩部疼痛的常见原因之一.
- 放射性评估经常用于评估疑似SIS患者.
- 了解放射性发现的流行率和可靠性对于准确诊断至关重要.
研究的目的:
- 确定疑似SIS的患者中特定放射性发现的流行率.
- 为了评估这些放射性发现的inter-和intra-rater可靠性.
- 评估SIS中各种放射测量的诊断实用性.
主要方法:
- 一项横截面研究分析了850名 (18-63岁) 怀疑SIS的患者的X光片.
- 记录了诸如化,形类型,刺骨,关节炎和拉布拉/旋转袖口病变等发现的发生率.
- 使用卡帕系数和类内系数来评估评价者之间的和评价者内部的可靠性.
主要成果:
- 最常见的发现包括化 (24.4%),Bigliani III型形 (15.8%),和形形关节炎 (12.0%).
- 班卡特/希尔-萨克斯病变较少发生 (7.1%).
- 观察到化存在和区域的高可靠性 (kappa>0.80),以及形倾斜 (ICC>0.79).
结论:
- 在SIS患者中,化,形形和形关节性关节炎是常见的.
- 放射性发现,如刺和部病变的发病率较低.
- 可靠性各不相同,化和acromial倾斜显示最佳性能,而其他措施需要进一步改进.
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