Diagnostic Performance of Ultrasound to Evaluate Mild Hip Osteoarthritis: Comparison With Radiography and MRI.

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-09-20 DOI:10.1002/jcu.70086

Antti Kemppainen, Saana Kaartinen, Mika T Nevalainen

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引用次数: 0

Abstract

Purpose: To study the diagnostic performance of ultrasound (US) in mild hip osteoarthritis (HOA) compared to conventional radiography (CR) and magnetic resonance imaging (MRI).

Methods: Fifty-eight patients referred to CR for suspected HOA with at least unilateral Kellgren-Lawrence (KL) 2 change in the CRs were recruited. Bilateral hip US and MRI (n = 116) were performed, and patients filled the Visual Analog Scale (VAS) bilaterally. A sum US score was formed, and its correlation to KL grades and VAS scores was tested. Descriptive statistics, Chi square and McNemar's test, Spearman correlation, and linear regression analysis were applied as statistical techniques.

Results: US and CR showed similar moderate diagnostic performance compared to MRI with moderate correlation (r = 0.449) between US sum score and KL grades. With pain associations, US sum score showed an OR = 1.725 (CI 1.169-2.546) and KL grades an OR = 2.058 (CI 1.038-4.082).

Conclusion: US and CR demonstrated similar moderate diagnostic capability in detecting mild HOA compared to MRI, and both the US sum score and KL grades were associated with increased hip pain. With US and CR demonstrating different aspects of HOA, our findings support the complementary role of US in evaluating patients with suspected HOA.

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超声评估轻度髋关节骨关节炎的诊断性能：与x线摄影和MRI的比较。

目的：探讨超声（US）对轻度髋关节骨关节炎（HOA）的诊断价值，并与常规x线摄影（CR）和磁共振成像（MRI）进行比较。方法：58例疑似HOA，且至少伴有单侧Kellgren-Lawrence (KL) 2改变的患者入组。进行双侧髋关节US和MRI (n = 116)，患者双侧填写视觉模拟量表（VAS）。形成US总分，并检验其与KL等级和VAS评分的相关性。统计方法采用描述性统计、卡方检验、McNemar检验、Spearman相关和线性回归分析。结果：与MRI相比，US和CR表现出相似的中等诊断性能，US总评分与KL分级之间存在中等相关性（r = 0.449）。与疼痛相关的US总评分OR = 1.725 (CI 1.169-2.546)， KL评分OR = 2.058 （CI 1.038-4.082）。结论：与MRI相比，US和CR在检测轻度HOA方面表现出相似的中等诊断能力，且US sum评分和KL分级均与髋关节疼痛增加有关。由于US和CR显示了HOA的不同方面，我们的研究结果支持US在评估疑似HOA患者中的补充作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.