Skeletal Radiology最新文献

筛选
英文 中文
Prevalence of thoracic degenerative MRI findings and association with pain and disability: a systematic review. 胸部退行性MRI发现的患病率及其与疼痛和残疾的关系:一项系统综述。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-17 DOI: 10.1007/s00256-024-04864-4
Bodil Al-Mashhadi Arnbak, Stine Haugaard Clausen, Mette Jensen Stochkendahl, Rikke Krüger Jensen
{"title":"Prevalence of thoracic degenerative MRI findings and association with pain and disability: a systematic review.","authors":"Bodil Al-Mashhadi Arnbak, Stine Haugaard Clausen, Mette Jensen Stochkendahl, Rikke Krüger Jensen","doi":"10.1007/s00256-024-04864-4","DOIUrl":"https://doi.org/10.1007/s00256-024-04864-4","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically review the literature on the prevalence of degenerative MRI findings in the thoracic spine and their association with pain and disability.</p><p><strong>Materials and methods: </strong>The Medline, EMBASE, CINAHL, and CENTRAL databases were searched. Two independent reviewers screened the articles, extracted the data, and assessed the risk of bias (RoB) using a modified version of the Hoy tool for articles on prevalence and QUADAS-2 for articles on associations.</p><p><strong>Results: </strong>The review included 23 articles describing 20 study populations: 5 general populations, 2 populations of asymptomatic volunteers, and 13 clinical populations. As the articles were highly heterogeneous, especially regarding study populations and the MRI findings assessed, a meta-analysis was not possible, and the results were presented descriptively. Prevalence estimates were reported in 21 articles, and 5 (3 study populations) had low RoB. The most frequently reported prevalence rates concerned the intervertebral discs, vertebral endplates, and the ligamentum flavum. Estimates varied considerably, with the prevalence of thoracic disc degeneration ranging from 0.2%-89% and vertebral endplate signal changes ranging from 0%-82%, depending on MRI definitions, population characteristics, and recruitment settings. Four articles investigated the association between MRI findings and spinal pain, with the RoB mainly considered low or unclear. Only two of these studies specifically examined thoracic spinal pain. None assessed the association with disability.</p><p><strong>Conclusion: </strong>Due to heterogeneity, few high-quality studies and few studies on individual MRI findings, no definitive conclusions could be drawn about the prevalence of thoracic degenerative MRI findings or their association with pain and disability.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paravertebral crystal deposition disease: a retrospective study of clinical presentation, prevalence, and CT imaging findings. 椎旁晶体沉积病:临床表现、患病率和CT影像学表现的回顾性研究。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-16 DOI: 10.1007/s00256-025-04874-w
Taro Takeda, Mieko Takasugi, Kotaro Yoshida
{"title":"Paravertebral crystal deposition disease: a retrospective study of clinical presentation, prevalence, and CT imaging findings.","authors":"Taro Takeda, Mieko Takasugi, Kotaro Yoshida","doi":"10.1007/s00256-025-04874-w","DOIUrl":"https://doi.org/10.1007/s00256-025-04874-w","url":null,"abstract":"<p><strong>Objectives: </strong>Paravertebral crystal deposition disease, characterized by the deposition of crystals around the vertebral bodies leading to acute inflammation and pain, is a condition that remains largely unrecognized. This study aims to elucidate the prevalence, clinical features, and CT findings associated with this disease.</p><p><strong>Methods: </strong>We retrospectively analyzed 14,839 consecutive patients who underwent chest and/or abdominal CT (September 2017 to September 2024) owing to chest, abdominal, or back pain. Cases demonstrating paravertebral calcification with a surrounding soft tissue density of ≥ 5 mm were identified and further evaluated.</p><p><strong>Results: </strong>Twenty-four cases of paravertebral crystal deposition disease were identified, with a prevalence of 0.16% (95% CI: 0.10, 0.24). The mean age was 46.2 years, with a female predominance (n = 15, 63%). Back pain was the most common presenting symptom (n = 15, 63%). Calcifications were primarily located at the lower thoracic and upper lumbar spine (Th6/7-L1/2) in 18 cases (75%) and in the anterior median to anterior right region of the vertebral body in 21 cases (86%). Mean of maximum CT values of the crystal deposition was approximately 800 HU; in follow-up cases, the depositions either resolved or exhibited morphological changes.</p><p><strong>Conclusions: </strong>This study adds to the current knowledge base by identifying a 0.16% prevalence of paravertebral crystal deposition disease in patients with torso pain-often overlooked in clinical practice, primarily affecting middle-aged women. CT imaging shows calcifications mainly in the lower thoracic and upper lumbar spine. Considering this self-limiting disease in differential diagnoses can improve diagnostic accuracy and patient management.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sacral tumors: a comprehensive review of imaging, diagnostic challenges, and tumor mimics. 骶骨肿瘤:影像学、诊断挑战和肿瘤模拟的综合综述。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-16 DOI: 10.1007/s00256-024-04862-6
Mehmet Emin Adin, Graham Woolf, Rahul Hegde, Aladine A Elsamadicy, Ehud Mendel, William B Zucconi, Darko Pucar, Nafi Aygün
{"title":"Sacral tumors: a comprehensive review of imaging, diagnostic challenges, and tumor mimics.","authors":"Mehmet Emin Adin, Graham Woolf, Rahul Hegde, Aladine A Elsamadicy, Ehud Mendel, William B Zucconi, Darko Pucar, Nafi Aygün","doi":"10.1007/s00256-024-04862-6","DOIUrl":"https://doi.org/10.1007/s00256-024-04862-6","url":null,"abstract":"<p><p>The sacrum can harbor a diverse group of both benign and malignant tumors, including metastases. Primary tumors of the sacrum can arise from bone, cartilage, marrow, notochordal remnants, or surrounding nerves and vessels. Among a variety of primary tumors of the spine, chordoma, germ cell tumors and Ewing's sarcoma are recognized for their propensity to occur in the sacrum. Imaging is essential in diagnosis, pretreatment evaluation, and assessment of response to treatment. Radiography, CT and MRI are the primary modalities in assessing morphology and tumor extent whereas PET/CT is crucial in the evaluation of systemic disease in the setting of myeloma, lymphoproliferative disease, and metastasis. A definitive diagnosis is not always achievable by imaging as some tumors lack specific imaging features. However, as we detail in this comprehensive review, many entities have characteristic clinical and epidemiological factors as well as typical imaging findings that can help make either a confident diagnosis or offer a narrow list of differentials. We discuss a wide range of benign and malignant, primary, and secondary tumors that can involve the sacrum, highlighting the pertinent clinical details and typical imaging findings of these entities, enabling the reader to develop and apply a systematic approach to evaluating sacral masses on imaging. We also briefly describe non-neoplastic tumor mimics, which include developmental entities, infections, and insufficiency fractures.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The diagnostic accuracy of ultrasound in assessing anterior cruciate ligament tears: a systematic review and meta-analysis. 超声诊断前交叉韧带撕裂的准确性:一项系统回顾和荟萃分析。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-14 DOI: 10.1007/s00256-025-04866-w
Gabriella Schreiner, Stephen Fucaloro, Mark Ward, Laura Krivicich, Jack Bragg, Matthew Harkey, Matthew Salzler
{"title":"The diagnostic accuracy of ultrasound in assessing anterior cruciate ligament tears: a systematic review and meta-analysis.","authors":"Gabriella Schreiner, Stephen Fucaloro, Mark Ward, Laura Krivicich, Jack Bragg, Matthew Harkey, Matthew Salzler","doi":"10.1007/s00256-025-04866-w","DOIUrl":"https://doi.org/10.1007/s00256-025-04866-w","url":null,"abstract":"<p><strong>Background: </strong>Advances in technology and affordability of ultrasound (US) have expanded its use in the evaluation of musculoskeletal injuries. However, US accuracy for diagnosing anterior cruciate ligament (ACL) injuries remains inconsistently reported in the literature.</p><p><strong>Hypothesis/purpose: </strong>Systematically review the literature and perform a meta-analysis to statistically evaluate the accuracy of US in diagnosing ACL tears.</p><p><strong>Methods: </strong>PubMed, Embase, and Web of Science databases were queried for studies comparing US to MRI or arthroscopy for diagnosing ACL tears. Studies evaluating US techniques including anterior tibial translation relative to the femur, hematoma at the ACL insertion (\"notch sign\"), or direct ACL visualization were pooled using random-effects models to generate sensitivity, specificity, positive predictive values (PPV), and negative predictive values (NPV). A p-value less than 0.05 was used to indicate statistical significance.</p><p><strong>Results: </strong>Across 12 studies, US correctly identified 419/518 (81%) of confirmed ACL injuries and 425/465 (91%) of uninjured ACLs. Meta-analysis showed high overall specificity (92%, I<sup>2</sup> = 24%), but variable sensitivity (84%, I<sup>2</sup> = 86%). PPVs were high for notch sign (96%, I<sup>2</sup> = 0%) and anterior translation (97%, I<sup>2</sup> = 0%) but low for visualization (77%, I<sup>2</sup> = 70%). NPVs were heterogeneous across techniques (notch sign 73%, I<sup>2</sup> = 90%; visualization 87%, I<sup>2</sup> = 0%; anterior translation 83%, I<sup>2</sup> = 88%).</p><p><strong>Conclusion: </strong>Ultrasound demonstrates high specificity (92%) and PPV (92%) for diagnosis of ACL tears compared to confirmed tears but is limited by fair sensitivity (84%) and NPV (83%).</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging and management of calcium pyrophosphate deposition disease. 焦磷酸钙沉积病的影像学和治疗。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-08 DOI: 10.1007/s00256-024-04859-1
Wasim Issa, Ronald Mercer, Janeth Yinh, Ali Guermazi, Mohamed Jarraya
{"title":"Imaging and management of calcium pyrophosphate deposition disease.","authors":"Wasim Issa, Ronald Mercer, Janeth Yinh, Ali Guermazi, Mohamed Jarraya","doi":"10.1007/s00256-024-04859-1","DOIUrl":"https://doi.org/10.1007/s00256-024-04859-1","url":null,"abstract":"<p><p>The radiological manifestations of calcium pyrophosphate deposition (CPPD) revolve around two main axes: the asymptomatic form and CPPD disease. The latter is a consequence of an immune response to calcium phosphate crystals. Chondrocalcinosis is broadly considered the radiographic manifestation of CPPD regardless of whether it is asymptomatic or associated with inflammatory arthritis. CPPD is associated with osteoarthritis although the direction of such association is still unclear. Apart from the detection of CPP crystals in synovial fluid, imaging (mainly conventional radiography and increasingly ultrasound) plays a central role in the diagnosis of CPPD disease. Recently, CT has been added as a diagnostic tool, especially in deep anatomic locations such as crowned dens. To date, no treatment is effective in dissolving CPP crystals. For now, the focus of current treatment strategies remains inflammation control. Our aim is to review the epidemiology, pathogenesis, and clinical and imaging manifestations of asymptomatic and symptomatic CPPD. We will also discuss recent consensus definitions and classifications of CPPD disease.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MRI grading using the neuropathy score-reporting and data system with electrodiagnostic correlation in radial neuropathy around the elbow: a 13-year retrospective review. 使用神经病变评分报告和数据系统与电诊断相关的MRI分级肘部周围桡神经病变:13年回顾性回顾。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-06 DOI: 10.1007/s00256-024-04861-7
Benjamin Abiri, David Kopylov, Mohammad Samim, William Walter, Jan Fritz, Iman Khodarahmi, Christopher J Burke
{"title":"MRI grading using the neuropathy score-reporting and data system with electrodiagnostic correlation in radial neuropathy around the elbow: a 13-year retrospective review.","authors":"Benjamin Abiri, David Kopylov, Mohammad Samim, William Walter, Jan Fritz, Iman Khodarahmi, Christopher J Burke","doi":"10.1007/s00256-024-04861-7","DOIUrl":"https://doi.org/10.1007/s00256-024-04861-7","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the Neuropathy Score-Reporting and Data System (NS-RADS) MRI grading system in conjunction with electrodiagnostic (EDx) testing for radial neuropathy at the elbow.</p><p><strong>Materials and methods: </strong>Patients presenting between 2010 and 2023 with suspected radial neuropathy who underwent both EDx testing in the form of electromyography and nerve conduction studies and MRI within a 12-month period were evaluated. Three blinded radiologists used the NS-RADS grading system to evaluate nerve entrapment (E grades), muscle denervation (M grades) proximally within the supinator/extensor carpi radialis brevis (ECRB), and more distally within the forearm extensor muscles. These grades and the presence of lateral epicondylitis were then correlated with EDx abnormalities.</p><p><strong>Results: </strong>Forty-nine participants were included. Inter-reader reliability for M grades in the forearm extensor muscles was good (ICC = 0.90 [95% CI = 0.83 - 0.94], p < 0.001), as was reliability for the supinator/ECRB muscles (ICC = 0.91 [95% CI = 0.86-0.95], p < 0.001). Inter-reader reliability for E grades was moderate (ICC = 0.83 [95% CI = 0.69-0.90], p < 0.001). Patients with positive EDx studies had a significantly different distribution of M grades for the forearm extensors and supinator/ECRB than those with negative studies (all p values < 0.001). However, overall consensus reads showed no significant difference in the distribution of E grades between patients with positive and negative EDx studies.</p><p><strong>Conclusion: </strong>Muscle grading strongly correlated with EDx positivity, with a high level of inter-reader agreement for muscle denervation-related alterations. Nerve grading, however, did not show a statistical correlation.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Underlying synovial sarcoma undiagnosed for more than 20 years in a patient with regional pain: a case report. 一名区域性疼痛患者 20 多年未确诊的滑膜肉瘤:病例报告。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-01 Epub Date: 2024-05-10 DOI: 10.1007/s00256-024-04701-8
Hiroshi Hatano, Tetsuro Yamagishi, Kazuhito Yanabashi, Akira Ogose
{"title":"Underlying synovial sarcoma undiagnosed for more than 20 years in a patient with regional pain: a case report.","authors":"Hiroshi Hatano, Tetsuro Yamagishi, Kazuhito Yanabashi, Akira Ogose","doi":"10.1007/s00256-024-04701-8","DOIUrl":"10.1007/s00256-024-04701-8","url":null,"abstract":"<p><p>Synovial sarcoma (SS) is a malignant tumor comprising 5-10% of all soft tissue sarcomas. SS has distinct characteristics, such as a predilection for young adults and relatively slow growth compared to other soft tissue sarcomas. Some patients with SS experience long-standing pain at the tumor site before the development of a palpable mass. Herein, we report the case of a 39-year-old woman with SS in the upper arm who presented with pain for > 20 years. The tumor detected on magnetic resonance imaging at 17 years was an SS. To the best of our knowledge, no English-language reports on imaging study-based identification of SS, which was undiagnosed for > 20 years, are known in the literature. This report discusses the imaging features of this latent lesion and the volume-doubling time of this unusual tumor.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"153-158"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of deep learning algorithms in classification and localization of implant cutout for the postoperative hip. 深度学习算法在髋关节术后植入物切口分类和定位中的应用。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-01 Epub Date: 2024-05-21 DOI: 10.1007/s00256-024-04692-6
Jin Rong Tan, Yan Gao, Raghavan Raghuraman, Daniel Ting, Kang Min Wong, Lionel Tim-Ee Cheng, Hong Choon Oh, Siang Hiong Goh, Yet Yen Yan
{"title":"Application of deep learning algorithms in classification and localization of implant cutout for the postoperative hip.","authors":"Jin Rong Tan, Yan Gao, Raghavan Raghuraman, Daniel Ting, Kang Min Wong, Lionel Tim-Ee Cheng, Hong Choon Oh, Siang Hiong Goh, Yet Yen Yan","doi":"10.1007/s00256-024-04692-6","DOIUrl":"10.1007/s00256-024-04692-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the feasibility of employing convolutional neural networks for detecting and localizing implant cutouts on anteroposterior pelvic radiographs.</p><p><strong>Materials and methods: </strong>The research involves the development of two Deep Learning models. Initially, a model was created for image-level classification of implant cutouts using 40191 pelvic radiographs obtained from a single institution. The radiographs were partitioned into training, validation, and hold-out test datasets in a 6/2/2 ratio. Performance metrics including the area under the receiver operator characteristics curve (AUROC), sensitivity, and specificity were calculated using the test dataset. Additionally, a second object detection model was trained to localize implant cutouts within the same dataset. Bounding box visualizations were generated on images predicted as cutout-positive by the classification model in the test dataset, serving as an adjunct for assessing algorithm validity.</p><p><strong>Results: </strong>The classification model had an accuracy of 99.7%, sensitivity of 84.6%, specificity of 99.8%, AUROC of 0.998 (95% CI: 0.996, 0.999) and AUPRC of 0.774 (95% CI: 0.646, 0.880). From the pelvic radiographs predicted as cutout-positive, the object detection model could achieve 95.5% localization accuracy on true positive images, but falsely generated 14 results from the 15 false-positive predictions.</p><p><strong>Conclusion: </strong>The classification model showed fair accuracy for detection of implant cutouts, while the object detection model effectively localized cutout. This serves as proof of concept of using a deep learning-based approach for classification and localization of implant cutouts from pelvic radiographs.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"67-75"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opportunistic screening for osteoporosis using routine clinical care computed tomography brain studies. 利用常规临床护理计算机断层扫描脑部研究对骨质疏松症进行机会性筛查。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-01 Epub Date: 2024-05-16 DOI: 10.1007/s00256-024-04703-6
Dee Zhen Lim, Milo Macbain, Marcus Kok, Ghanda Wiggins, Hussein Abbouchie, Sze Ting Lee, Eddie Lau, Ruth P Lim, Cherie Chiang, Numan Kutaiba
{"title":"Opportunistic screening for osteoporosis using routine clinical care computed tomography brain studies.","authors":"Dee Zhen Lim, Milo Macbain, Marcus Kok, Ghanda Wiggins, Hussein Abbouchie, Sze Ting Lee, Eddie Lau, Ruth P Lim, Cherie Chiang, Numan Kutaiba","doi":"10.1007/s00256-024-04703-6","DOIUrl":"10.1007/s00256-024-04703-6","url":null,"abstract":"<p><strong>Objective: </strong>Osteoporosis and falls are both prevalent in the elderly, and CT brain (CTB) is frequently performed post head-strike. We aim to validate the relationship between frontal bone density (Hounsfield unit) from routine CTB and bone mineral density from dual-energy X-ray absorptiometry (DEXA) scan for opportunistic osteoporosis screening.</p><p><strong>Materials and methods: </strong>Patients who had a non-contrast CTB followed by a DEXA scan in the subsequent year were included in this multi-center retrospective study. The relationship between frontal bone density on CT and femoral neck T-score on DEXA was examined using ANOVA, Pearson's correlation, and receiver operating curve (ROC) analysis. Sensitivity, specificity, negative and positive predictive values, and area under the curve (AUC) were calculated.</p><p><strong>Results: </strong>Three hundred twenty-six patients (205 females and 121 males) were analyzed. ANOVA analysis showed that frontal bone density was lower in patients with DEXA-defined osteoporosis (p < 0.001), while Pearson's correlation analysis demonstrated a fair correlation with femoral neck T-score (r = 0.3, p < 0.001). On subgroup analysis, these were true in females but not in males. On ROC analysis, frontal bone density weakly predicted osteoporosis (AUC 0.6, 95% CI 0.5-0.7) with no optimal threshold identified. HU < 610 was highly specific (87.5%) but poorly sensitive (18.9%). HU > 1200 in females had a strong negative predictive value for osteoporosis (92.6%, 95% CI 87.1-98.1%).</p><p><strong>Conclusion: </strong>Frontal bone density from routine CTB is significantly different between females with and without osteoporosis, but not between males. However, frontal bone density was a weak predictor for DEXA-defined osteoporosis. Further research is required to determine the role of CTB in opportunistic osteoporosis screening.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"33-40"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cubital tunnel syndrome: anatomy, pathology, and imaging. 拇指隧道综合征:解剖学、病理学和影像学。
IF 1.9 3区 医学
Skeletal Radiology Pub Date : 2025-01-01 Epub Date: 2024-05-18 DOI: 10.1007/s00256-024-04705-4
Mohsin Hussein, Manasa Mayukha Hanumanthu, Kapil Shirodkar, Vijay Ram Kumar Papineni, Hasan Rahij, Sandeep Velicheti, Karthikeyan P Iyengar, Rajesh Botchu
{"title":"Cubital tunnel syndrome: anatomy, pathology, and imaging.","authors":"Mohsin Hussein, Manasa Mayukha Hanumanthu, Kapil Shirodkar, Vijay Ram Kumar Papineni, Hasan Rahij, Sandeep Velicheti, Karthikeyan P Iyengar, Rajesh Botchu","doi":"10.1007/s00256-024-04705-4","DOIUrl":"10.1007/s00256-024-04705-4","url":null,"abstract":"<p><p>Cubital tunnel syndrome (CuTS) is the second most common peripheral neuropathy in the upper limb. It occurs due to ulnar nerve compression within the fibro-osseous cubital tunnel at the elbow joint. Although CuTS is typically diagnosed clinically and with electrodiagnostic studies, the importance of imaging in evaluating the condition is growing. Knowing the typical imaging findings of ulnar nerve entrapment is necessary for precise diagnosis and proper treatment. In this article, we focus on the clinical features, workup and complex imaging of the \"anatomic\" cubital tunnel and relevant pathological entities.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信