{"title":"诊断犬肱骨髁内裂隙的X光片诊断准确性。","authors":"M Sprocatti, M A Solano, V Volckaert, A Danielski","doi":"10.1111/jsap.13784","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To assess the diagnostic accuracy of radiographs in identifying humeral intracondylar fissures in dogs.</p><p><strong>Materials and methods: </strong>Clinical data from dogs undergoing CT and radiographic elbow investigations at a single institution were reviewed. Based on CT diagnosis, radiographs were classified as having fissures and not having fissures. The radiographic images were evaluated by three blinded observers for the presence/absence of a fissure, type (partial or complete), and for secondary signs that could suggest the presence of a fissure in case this was not visible.</p><p><strong>Results: </strong>A total of 81 radiographs (76 elbows) were reviewed. Based on CT findings, 37 elbows had fissures and 44 did not. Radiographic interpretation demonstrated a sensitivity of 47.7% (confidence interval 95%: 0.40 to 0.59) and specificity of 85.6% (confidence interval 95%: 0.72 to 0.93) in correctly identifying humeral intracondylar fissures. The positive predictive value was 75.5% (confidence interval 95%: 0.64 to 0.84) and the negative predictive value was 66.1% (confidence interval 95%: 0.63 to 0.68). Agreement with CT images was <0.4, and interobserver and intraobserver agreements were <0.8. The radiographic orientation and type of fissure did not significantly affect interpretation outcomes.</p><p><strong>Clinical significance: </strong>Radiographic imaging alone is insufficient for reliably diagnosing humeral intracondylar fissures in dogs.</p>","PeriodicalId":17062,"journal":{"name":"Journal of Small Animal Practice","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnostic accuracy of radiographs for the diagnosis of humeral intracondylar fissure in dogs.\",\"authors\":\"M Sprocatti, M A Solano, V Volckaert, A Danielski\",\"doi\":\"10.1111/jsap.13784\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To assess the diagnostic accuracy of radiographs in identifying humeral intracondylar fissures in dogs.</p><p><strong>Materials and methods: </strong>Clinical data from dogs undergoing CT and radiographic elbow investigations at a single institution were reviewed. Based on CT diagnosis, radiographs were classified as having fissures and not having fissures. The radiographic images were evaluated by three blinded observers for the presence/absence of a fissure, type (partial or complete), and for secondary signs that could suggest the presence of a fissure in case this was not visible.</p><p><strong>Results: </strong>A total of 81 radiographs (76 elbows) were reviewed. Based on CT findings, 37 elbows had fissures and 44 did not. Radiographic interpretation demonstrated a sensitivity of 47.7% (confidence interval 95%: 0.40 to 0.59) and specificity of 85.6% (confidence interval 95%: 0.72 to 0.93) in correctly identifying humeral intracondylar fissures. The positive predictive value was 75.5% (confidence interval 95%: 0.64 to 0.84) and the negative predictive value was 66.1% (confidence interval 95%: 0.63 to 0.68). Agreement with CT images was <0.4, and interobserver and intraobserver agreements were <0.8. The radiographic orientation and type of fissure did not significantly affect interpretation outcomes.</p><p><strong>Clinical significance: </strong>Radiographic imaging alone is insufficient for reliably diagnosing humeral intracondylar fissures in dogs.</p>\",\"PeriodicalId\":17062,\"journal\":{\"name\":\"Journal of Small Animal Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-09-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Small Animal Practice\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/jsap.13784\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Small Animal Practice","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/jsap.13784","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Diagnostic accuracy of radiographs for the diagnosis of humeral intracondylar fissure in dogs.
Objectives: To assess the diagnostic accuracy of radiographs in identifying humeral intracondylar fissures in dogs.
Materials and methods: Clinical data from dogs undergoing CT and radiographic elbow investigations at a single institution were reviewed. Based on CT diagnosis, radiographs were classified as having fissures and not having fissures. The radiographic images were evaluated by three blinded observers for the presence/absence of a fissure, type (partial or complete), and for secondary signs that could suggest the presence of a fissure in case this was not visible.
Results: A total of 81 radiographs (76 elbows) were reviewed. Based on CT findings, 37 elbows had fissures and 44 did not. Radiographic interpretation demonstrated a sensitivity of 47.7% (confidence interval 95%: 0.40 to 0.59) and specificity of 85.6% (confidence interval 95%: 0.72 to 0.93) in correctly identifying humeral intracondylar fissures. The positive predictive value was 75.5% (confidence interval 95%: 0.64 to 0.84) and the negative predictive value was 66.1% (confidence interval 95%: 0.63 to 0.68). Agreement with CT images was <0.4, and interobserver and intraobserver agreements were <0.8. The radiographic orientation and type of fissure did not significantly affect interpretation outcomes.
Clinical significance: Radiographic imaging alone is insufficient for reliably diagnosing humeral intracondylar fissures in dogs.
期刊介绍：
Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery.
In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world.
The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher.
The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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