VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS

ABSTRACT Objective: The objective of this study is to describe a new, extremely simple method for measuring pelvic incidence (PI) using computed tomography (CT) and to compare those measurements with measurements derived from whole spine and lumbosacral X-rays in a Brazilian population. Methods: P...

Full description

Bibliographic Details
Main Authors: MURILO TAVARES DAHER, RENATO TAVARES DAHER, RICARDO TAVARES DAHER, LUCAS LODOMIRO ARAÚJO MELO, WENDER GONÇALVES MOURA, VINÍCIO NUNES NASCIMENTO, PEDRO FELISBINO JR, RICARDO VIEIRA TELES FILHO, JULIANE LEITE ORCINO, MARCELO FOUAD RABAHI
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC) 2022-07-01
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200202&lng=en&tlng=en
_version_ 1818466734851489792
author MURILO TAVARES DAHER
RENATO TAVARES DAHER
RICARDO TAVARES DAHER
LUCAS LODOMIRO ARAÚJO MELO
WENDER GONÇALVES MOURA
VINÍCIO NUNES NASCIMENTO
PEDRO FELISBINO JR
RICARDO VIEIRA TELES FILHO
JULIANE LEITE ORCINO
MARCELO FOUAD RABAHI
author_facet MURILO TAVARES DAHER
RENATO TAVARES DAHER
RICARDO TAVARES DAHER
LUCAS LODOMIRO ARAÚJO MELO
WENDER GONÇALVES MOURA
VINÍCIO NUNES NASCIMENTO
PEDRO FELISBINO JR
RICARDO VIEIRA TELES FILHO
JULIANE LEITE ORCINO
MARCELO FOUAD RABAHI
author_sort MURILO TAVARES DAHER
collection DOAJ
description ABSTRACT Objective: The objective of this study is to describe a new, extremely simple method for measuring pelvic incidence (PI) using computed tomography (CT) and to compare those measurements with measurements derived from whole spine and lumbosacral X-rays in a Brazilian population. Methods: Patients who had whole spine and lumbosacral X-rays and whole abdomen, pelvis, or lumbar spine CT performed within a period of less than three months were selected. Image overlay was used to measure PI from the CT. The PI was calculated by two independent examiners, and the PI for each exam was calculated twice, with an interval of two months between the assessments. The intra- and interexaminer reliability and reproducibility were evaluatedusing the intraclass correlation coefficient (ICC) and the repeatability coefficient, considering a 95% confidence interval. Results: Fifty-five patients of both sexes with a mean age of 58.7 years (±19) were analyzed. The mean PI angles in the analyses of both examiners at both evaluations were 54.85° (±13.73) for the whole spine X-ray, 54.06° (±11.67) for the lumbosacral spine X-ray, and 49.96° (±9.85) for the CT. There was good intra- and interexaminer reliability and reproducibility. There was also high concordancewith the whole spine and lumbosacral X-rays. Conclusion: CT is a reliable and reproducible alternative for measuring PI. Level of Evidence III; Prospective comparative.
first_indexed 2024-04-13T21:01:24Z
format Article
id doaj.art-f41accf918d14f1dba649d973a72a463
institution Directory Open Access Journal
issn 2177-014X
language English
last_indexed 2024-04-13T21:01:24Z
publishDate 2022-07-01
publisher Sociedade Brasileira de Coluna (SBC)
record_format Article
series Coluna/Columna
spelling doaj.art-f41accf918d14f1dba649d973a72a4632022-12-22T02:30:09ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2022-07-0121210.1590/s1808-185120222102261465VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYSMURILO TAVARES DAHERhttps://orcid.org/0000-0001-9589-5596RENATO TAVARES DAHERhttps://orcid.org/0000-0003-2567-0994RICARDO TAVARES DAHERhttps://orcid.org/0000-0002-6846-7315LUCAS LODOMIRO ARAÚJO MELOhttps://orcid.org/0000-0001-5932-6118WENDER GONÇALVES MOURAhttps://orcid.org/0000-0002-0753-4094VINÍCIO NUNES NASCIMENTOhttps://orcid.org/0000-0002-5280-8146PEDRO FELISBINO JRhttps://orcid.org/0000-0003-3952-8470RICARDO VIEIRA TELES FILHOhttps://orcid.org/0000-0003-4822-1526JULIANE LEITE ORCINOhttps://orcid.org/0000-0002-7039-0214MARCELO FOUAD RABAHIhttps://orcid.org/0000-0002-4050-5906ABSTRACT Objective: The objective of this study is to describe a new, extremely simple method for measuring pelvic incidence (PI) using computed tomography (CT) and to compare those measurements with measurements derived from whole spine and lumbosacral X-rays in a Brazilian population. Methods: Patients who had whole spine and lumbosacral X-rays and whole abdomen, pelvis, or lumbar spine CT performed within a period of less than three months were selected. Image overlay was used to measure PI from the CT. The PI was calculated by two independent examiners, and the PI for each exam was calculated twice, with an interval of two months between the assessments. The intra- and interexaminer reliability and reproducibility were evaluatedusing the intraclass correlation coefficient (ICC) and the repeatability coefficient, considering a 95% confidence interval. Results: Fifty-five patients of both sexes with a mean age of 58.7 years (±19) were analyzed. The mean PI angles in the analyses of both examiners at both evaluations were 54.85° (±13.73) for the whole spine X-ray, 54.06° (±11.67) for the lumbosacral spine X-ray, and 49.96° (±9.85) for the CT. There was good intra- and interexaminer reliability and reproducibility. There was also high concordancewith the whole spine and lumbosacral X-rays. Conclusion: CT is a reliable and reproducible alternative for measuring PI. Level of Evidence III; Prospective comparative.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200202&lng=en&tlng=enTomographyLordosisRadiographySpinePelvis
spellingShingle MURILO TAVARES DAHER
RENATO TAVARES DAHER
RICARDO TAVARES DAHER
LUCAS LODOMIRO ARAÚJO MELO
WENDER GONÇALVES MOURA
VINÍCIO NUNES NASCIMENTO
PEDRO FELISBINO JR
RICARDO VIEIRA TELES FILHO
JULIANE LEITE ORCINO
MARCELO FOUAD RABAHI
VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
Coluna/Columna
Tomography
Lordosis
Radiography
Spine
Pelvis
title VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
title_full VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
title_fullStr VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
title_full_unstemmed VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
title_short VALIDATION OF MEASURING PI USING CT AND A COMPARISON WITH WHOLE SPINE AND LUMBOSACRAL X-RAYS
title_sort validation of measuring pi using ct and a comparison with whole spine and lumbosacral x rays
topic Tomography
Lordosis
Radiography
Spine
Pelvis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000200202&lng=en&tlng=en
work_keys_str_mv AT murilotavaresdaher validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT renatotavaresdaher validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT ricardotavaresdaher validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT lucaslodomiroaraujomelo validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT wendergoncalvesmoura validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT vinicionunesnascimento validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT pedrofelisbinojr validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT ricardovieiratelesfilho validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT julianeleiteorcino validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays
AT marcelofouadrabahi validationofmeasuringpiusingctandacomparisonwithwholespineandlumbosacralxrays