肱骨近端偶然骨质病变的放射学评估:一项患病率研究。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI:10.1177/02841851241275058
Mustafa Kara, Serkan Bayram, Emre Kocazeybek, Gökhan Demirtaş
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引用次数: 0

摘要

背景:目的:研究不同观察者对肱骨近端骨质病变的放射学检测的观察者间可靠性:骨科医生对 17243 名患者进行了 X 射线检查,以评估是否存在肱骨近端骨质病变。经过初步筛查后,确定了 201 名有病变的患者,并由三名不同的医生(骨科肿瘤学家、骨科外科医生和肌肉骨骼放射科医生)对这 201 份扫描结果进行了评估。在这 201 名有病变的患者中,有 80 人除了接受 X 光检查外,还接受了磁共振成像评估。病变的诊断由每位参与者根据其放射学外观来确定,以评估观察者之间的可靠性:骨科医生确定肱骨近端病变的发生率为 1.165%(17243 名患者中的 201 人)。在 201 名有病变的患者中,平均年龄为 48 ± 17 岁(范围 = 18-91 岁)。根据骨科肿瘤学家、骨科外科医生和肌肉骨骼放射科医生的评估,最常见的骨病变是骨质增生,发病率分别为 53.7%、59.7% 和 64.7%。三位研究人员在骨病变的集体诊断方面达成了值得注意的共识,Fleiss'κ达到了0.74(P 结论:三位研究人员在骨病变的集体诊断方面达成了值得注意的共识:三位研究者在骨病变的集体诊断上达成了明显的一致。在我们的系列研究中,骨质增生是肱骨近端最常见的骨病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiographic assessment of incidental bone lesions of the proximal humerus: a prevalence study.

Background: An increased prevalence of benign lesions has been associated with the increased use of radiological tools in orthopedic practice.

Purpose: To investigate the inter-observer reliability of the radiographic detection of lesions on the proximal humerus between different observers.

Material and methods: X-ray radiological examinations of 17,243 patients were performed by an orthopedic surgeon to assess the presence of proximal humeral bone lesions. After this initial screening, 201 patients with lesions were identified and these 201 scans were assessed by three different physicians: an orthopedic oncologist, an orthopedic surgeon, and a musculoskeletal radiologist. Of the 201 patients with lesions, 80 had magnetic resonance imaging in addition to X-rays and were assessed. The diagnosis of the lesions was determined by each participant according to their radiological appearance to assess inter-observer reliability.

Results: The prevalence of proximal humeral lesions was determined by the orthopedic surgeon to be 1.165% (201 of 17,243 patients). In 201 patients with a lesion, the mean age was 48 ± 17 years (range = 18-91 years). According to the assessments of the orthopedic oncologist, orthopedic surgeon, and musculoskeletal radiologist, the most common bone lesion identified was enostosis, with prevalence percentages of 53.7%, 59.7%, and 64.7%, respectively. A noteworthy consensus exists in the collective diagnosis of bone lesions among the three investigators, demonstrated by a substantial agreement with Fleiss' κ at 0.74 (P < 0.001).

Conclusion: There was remarkable agreement between the three investigators on the collective diagnosis of bone lesions. Enostosis was the most common bone lesion at the proximal humerus in our series.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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