经皮椎体成形术或后凸成形术后Hounsfield单位值和椎体骨质量评分对新椎体压缩性骨折的预测性能评估。

IF 3.8 2区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Academic Radiology Pub Date : 2025-03-01 DOI:10.1016/j.acra.2024.11.039

Zhengbo Wang BS , Lingzhi Li BS , Tianyou Zhang BS, Ruya Li MS, Wei Ren BS, Helong Zhang BS, Zhiwen Tao BS, Yongxin Ren MD

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引用次数: 0

摘要

理由和目的：新的椎体压缩性骨折（NVCF）在经皮椎体成形术（PVP）或后凸成形术（PKP）后的患者中非常常见。本研究旨在评价椎体骨质量（VBQ）评分和Hounsfield单位（HU）值在预测术后NVCF中的比较预测性能。材料和方法：本研究回顾性分析了2020年至2021年间在我院接受PVP/PKP治疗的患者。术前分别通过磁共振成像（MRI）和计算机断层扫描（CT）获得VBQ评分和HU值。随后，通过对比受试者工作特征（ROC）曲线来评估这两个参数的预测能力。结果：共有303名符合条件的患者（56名患有NVCF， 247名没有NVCF）在研究中被确定。找出6个相关文献因素，纳入多因素分析，发现较低的HU值（OR = 0.967, 95% CI = 0.953-0.981， P）。结论：在PVP/PKP患者中，VBQ评分、HU值与NVCF的发生独立相关。评估HU值和VBQ分数可以在PVP/PKP操作计划中发挥有效作用。

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Evaluation of predictive performance for new vertebral compression fracture between Hounsfield units value and vertebral bone quality score following percutaneous vertebroplasty or kyphoplasty

Rationale and Objectives

New vertebral compression fractures (NVCF) are very common in patients following percutaneous vertebroplasty (PVP) or kyphoplasty (PKP). The study aims to evaluate the comparative predictive performance of vertebral bone quality (VBQ) score and Hounsfield units (HU) value in forecasting NVCF after surgery.

Materials and Methods

This study retrospectively analyzed patients who underwent PVP/PKP at our institution between 2020 and 2021. The VBQ score and HU value were obtained from preoperative magnetic resonance imaging (MRI) and computed tomography (CT) scans, respectively. Subsequently, the forecasting capabilities of these two parameters were assessed by contrasting their receiver operating characteristic (ROC) curve.

Results

A total of 303 eligible patients (56 with NVCF and 247 without) were identified in the study. Six relevant literature factors were identified and included in the multivariate analysis revealed that lower HU value (OR = 0.967, 95% CI = 0.953–0.981, P < 0.001) and higher VBQ score (OR = 3.964, 95% CI = 2.369–6.631, P < 0.001) emerged as independent predictors of NCVF occurrence. Compared to the ROC curve of the HU value, demonstrating a diagnostic accuracy of 83.2% (95% CI = 77.5%−88.9%, P < 0.001), the VBQ score was 85.8%. And, a statistically significant negative correlation was observed between the VBQ score and the T-score (r = −0.529, P < 0.001).

Conclusion

In patients undergoing PVP/PKP, VBQ score, and HU value are independently associated with the occurrence of NVCF. Assessing the HU value and the VBQ score could play an effective role in planning PVP/PKP operations.

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来源期刊

Academic Radiology 医学-核医学

CiteScore

7.60

自引率

10.40%

发文量

432

审稿时长

18 days

期刊介绍： Academic Radiology publishes original reports of clinical and laboratory investigations in diagnostic imaging, the diagnostic use of radioactive isotopes, computed tomography, positron emission tomography, magnetic resonance imaging, ultrasound, digital subtraction angiography, image-guided interventions and related techniques. It also includes brief technical reports describing original observations, techniques, and instrumental developments; state-of-the-art reports on clinical issues, new technology and other topics of current medical importance; meta-analyses; scientific studies and opinions on radiologic education; and letters to the Editor.