放射科医生和骨科外科医生之间的膝关节和关节骨关节炎放射性分类的可靠性
Henriette M Eijking1,2, Robin Voskuilen1, Pieter Tilman1
1Excellence Center for Hip and Knee Arthroplasty, Department of Orthopedic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Journal of orthopaedic surgery and research
|February 7, 2026
概括
骨关节炎的放射分类显示了外科医生和放射科医生之间相当或中等的观察者间一致. 凯尔格伦-劳伦斯系统推用于下肢骨关节炎,尽管早期阶段仍然具有挑战性.
科学领域:
- 整形医生 整形医生 整形医生
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 是一种普遍的,残疾的关节疾病,需要准确的评估.
- 放射性OA严重程度分类的变化可能会影响诊断和治疗.
- 这项研究评估了部和膝盖OA放射分级系统的观察者间可靠性.
研究的目的:
- 评估各种关节和膝关节骨关节炎放射分级系统的观察者间可靠性.
- 为了比较骨科外科医生和放射科医生之间的协议水平.
主要方法:
- 对576名关节/膝关节OA患者 (2016-2023) 的回顾性分析与放射性评估.
- 由3位整形外科医生和3位放射科医生进行独立评分.
- 使用了凯尔格伦-劳伦斯 (K-L),克罗夫特 (部),阿尔贝克,布兰特和国际骨关节炎研究会 (OARSI) (膝盖) 分类系统.
- 使用kappa统计数据评估观察者间协议.
主要成果:
- 部OA:对K-L (κ=0.552) 和Croft (κ=0.468) 的适度协议.
- 膝关节OA:对K-L (κ=0.598) 和Ahlbäck (κ=0.463) 的中度同意;对于Brandt (κ=0.625) 和OARSI (κ=0.648) 的大量同意.
- 放射科医生通常比骨科外科医生分配更高的OA严重性得分.
结论:
- 对于部和膝盖OA的放射性诊断,观察者之间存在相当或中等的协议.
- 建议使用Kellgren-Lawrence系统对下肢骨关节炎进行分级.
- 在分级微妙的骨质细胞和早期的OA方面仍然存在挑战.
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