Diagnostic features of osteitis condensans ilii by MRI-a systematic literature review.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Anne Grethe Jurik, Asta Linauskas, Rosa Marie Kiil
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引用次数: 0

Abstract

Objective: To describe and  evaluate the current knowledge of MRI characteristics of osteitis condensans ilii (OCI) in the diagnostics and differentiation of OCI from other conditions.

Materials and methods: The databases PubMed, EMBASE, Scopus, and Web of Science were searched from their inception to March 2024 using the search terms "Magnetic Resonance Imaging" (MESH term in PubMed) and "osteitis condensans ilii" and limited to English language. Two reviewers independently screened titles, abstracts, and full-text eligibility and assessed the risk of bias according to Quality Assessment of Diagnostic Accuracy Studies, QUADAS-2.

Results: The search identified 53 records. Case reports, letters/notes, and conference abstracts were excluded, resulting in 24 reports assessed by full-text, 9 research articles, 14 reviews, and a book chapter. Five retrospective research studies were found eligible for the review. Detailed MRI features of OCI were only described in two studies of patients with pain where they encompassed manifest subchondral iliac sclerosis often accompanied by bone marrow edema (BME) located peripheral to the sclerosis and displaying a continuous distribution and frequently accompanied by sacral BME. Erosions were rare and ankylosis did not occur. Fat deposition in the bone marrow was frequent and similar to BME often located to anterior strain-related joint areas. The QUADAS-2 assessments revealed risks of bias in all studies analyzed, especially regarding general applicability of the MRI features.

Conclusion: There is a lack of valid data describing characteristic MRI features in general groups of OCI patients with and without pain.

Abstract Image

通过磁共振成像诊断髂髁炎的特征--系统性文献综述。
摘要描述并评估目前关于髁状突骨炎(OCI)磁共振成像特征的知识,以诊断和区分 OCI 与其他疾病:以 "磁共振成像"(PubMed 中的 MESH 术语)和 "髂骨炎 "为检索词,对 PubMed、EMBASE、Scopus 和 Web of Science 等数据库进行了检索,检索时间从开始到 2024 年 3 月,检索语言仅限于英语。两名审稿人独立筛选了标题、摘要和全文的合格性,并根据诊断准确性研究质量评估(QUADAS-2)评估了偏倚风险:结果:检索共发现 53 条记录。排除了病例报告、信件/注释和会议摘要,最终全文评估了 24 份报告、9 篇研究文章、14 篇综述和 1 本书籍章节。其中有五项回顾性研究符合审查条件。只有两项关于疼痛患者的研究描述了OCI的详细核磁共振特征,其中包括明显的髂骨软骨下硬化,通常伴有骨髓水肿(BME),位于硬化周围,呈连续分布,并经常伴有骶骨BME。很少发生侵蚀,也没有发生强直。骨髓中的脂肪沉积很常见,与 BME 相似,通常位于前劳损相关关节部位。QUADAS-2评估显示,所有分析研究都存在偏倚风险,尤其是磁共振成像特征的普遍适用性:结论:目前缺乏有效数据来描述有疼痛和无疼痛的OCI患者的磁共振成像特征。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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