Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy
Abstract. Background. Certain hemophilia patients are unable to cooperate with or afford magnetic resonance imaging (MRI) examinations. The purpose of our study was to explore the value of multislice spiral computed tomography (MSCT) in evaluating hemophilic arthropathy (HA). Methods. Thirty-eight p...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2020-07-01
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| Series: | Chinese Medical Journal |
| Online Access: | http://journals.lww.com/10.1097/CM9.0000000000000876 |
| _version_ | 1818349026138914816 |
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| author | Yu-Xia Zhang Mei-Xia Li Shu-Fang Wei Lu Zhang Tian-Ming Cheng Ying-Hui Ge Qiang Shi |
| author_facet | Yu-Xia Zhang Mei-Xia Li Shu-Fang Wei Lu Zhang Tian-Ming Cheng Ying-Hui Ge Qiang Shi |
| author_sort | Yu-Xia Zhang |
| collection | DOAJ |
| description | Abstract. Background. Certain hemophilia patients are unable to cooperate with or afford magnetic resonance imaging (MRI) examinations. The purpose of our study was to explore the value of multislice spiral computed tomography (MSCT) in evaluating hemophilic arthropathy (HA).
Methods. Thirty-eight patients with 73 joints of HA were consecutively selected from January 2016 to May 2018 for this prospective study. All 73 joints were examined by X-ray, CT, and MRI within 2 days. The MRI scores of the joints were determined by the International Prophylaxis Study Group (IPSG) standard. The CT findings were quantified according to the IPSG standard, except for cartilage injury, which was quantified by joint space narrowing using the X-ray Pettersson score. The CT and MRI scores were compared by the paired Wilcoxon signed-rank test. The correlations between the CT score of joint space narrowing and MRI score of cartilage injury and the total CT and MRI scores were analyzed by Spearman rank correlation. The kappa test was used to compare the consistency of CT and MRI scores.
Results. MRI was superior to CT based on the scores for small amount of effusion (P < 0.05), synovial hypertrophy and hemosiderin deposition in the mild groups (P < 0.05). The CT and MRI scores were not significantly different for moderate and massive effusion, synovial hypertrophy, and hemosiderin deposition in the moderate and severe groups, bone erosion or cystic changes (P > 0.05), and there was a high degree of consistency between the two scores (kappa > 0.81). The consistency between the Pettersson scores of joint space narrowing on CT and the IPSG scores of cartilage injury on MRI was high (kappa = 0. 774, P < 0.05).
Conclusion. The image scores of MSCT are generally consistent with MRI except for mild synovitis, which can be used as an alternative for the evaluation of HA. |
| first_indexed | 2024-12-13T17:59:24Z |
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| id | doaj.art-8b6e56224e9f4784aa5fbb126bea36e0 |
| institution | Directory Open Access Journal |
| issn | 0366-6999 2542-5641 |
| language | English |
| last_indexed | 2024-12-13T17:59:24Z |
| publishDate | 2020-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Chinese Medical Journal |
| spelling | doaj.art-8b6e56224e9f4784aa5fbb126bea36e02022-12-21T23:36:15ZengWolters KluwerChinese Medical Journal0366-69992542-56412020-07-01133141669167510.1097/CM9.0000000000000876202007200-00005Multislice spiral computed tomography imaging in evaluating hemophilic arthropathyYu-Xia ZhangMei-Xia LiShu-Fang WeiLu ZhangTian-Ming ChengYing-Hui GeQiang ShiAbstract. Background. Certain hemophilia patients are unable to cooperate with or afford magnetic resonance imaging (MRI) examinations. The purpose of our study was to explore the value of multislice spiral computed tomography (MSCT) in evaluating hemophilic arthropathy (HA). Methods. Thirty-eight patients with 73 joints of HA were consecutively selected from January 2016 to May 2018 for this prospective study. All 73 joints were examined by X-ray, CT, and MRI within 2 days. The MRI scores of the joints were determined by the International Prophylaxis Study Group (IPSG) standard. The CT findings were quantified according to the IPSG standard, except for cartilage injury, which was quantified by joint space narrowing using the X-ray Pettersson score. The CT and MRI scores were compared by the paired Wilcoxon signed-rank test. The correlations between the CT score of joint space narrowing and MRI score of cartilage injury and the total CT and MRI scores were analyzed by Spearman rank correlation. The kappa test was used to compare the consistency of CT and MRI scores. Results. MRI was superior to CT based on the scores for small amount of effusion (P < 0.05), synovial hypertrophy and hemosiderin deposition in the mild groups (P < 0.05). The CT and MRI scores were not significantly different for moderate and massive effusion, synovial hypertrophy, and hemosiderin deposition in the moderate and severe groups, bone erosion or cystic changes (P > 0.05), and there was a high degree of consistency between the two scores (kappa > 0.81). The consistency between the Pettersson scores of joint space narrowing on CT and the IPSG scores of cartilage injury on MRI was high (kappa = 0. 774, P < 0.05). Conclusion. The image scores of MSCT are generally consistent with MRI except for mild synovitis, which can be used as an alternative for the evaluation of HA.http://journals.lww.com/10.1097/CM9.0000000000000876 |
| spellingShingle | Yu-Xia Zhang Mei-Xia Li Shu-Fang Wei Lu Zhang Tian-Ming Cheng Ying-Hui Ge Qiang Shi Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy Chinese Medical Journal |
| title | Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| title_full | Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| title_fullStr | Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| title_full_unstemmed | Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| title_short | Multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| title_sort | multislice spiral computed tomography imaging in evaluating hemophilic arthropathy |
| url | http://journals.lww.com/10.1097/CM9.0000000000000876 |
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