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从幼犬到成年犬,松弛型犬髋关节计算机断层扫描图像测量的观察者间重复性。

Interobserver repeatability of measurements on computed tomography images of lax canine hip joints from youth to maturity.

作者信息

Lopez Mandi J, Davis Kechia M, Jeffrey-Borger Susan L, Markel Mark D, Rettenmund Christy

机构信息

Laboratory for Equine and Comparative Orthopedic Research, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.

出版信息

Vet Surg. 2009 Dec;38(8):920-6. doi: 10.1111/j.1532-950X.2009.00580.x.

Abstract

OBJECTIVES

To determine interobserver repeatability of measurements on computed tomography (CT) images of lax canine hip joints at different ages and in the presence of degenerative joint disease at maturity.

STUDY DESIGN

Longitudinal observational investigation.

ANIMALS

Sibling crossbreed hounds.

METHODS

Pelvic CT was performed at 20, 24, 32, 48, 68, and 104 weeks of age. Measures were performed on 3 contiguous two-dimensional (2D) transverse CT images of both hips at each time point by 3 investigators. Center-edge angle (CEA), horizontal toit externe angle (HTEA), ventral (VASA), dorsal (DASA), and horizontal (HASA) acetabular sector angles, acetabular index (AI), and percent femoral head coverage (CPC) were measured. Interobserver repeatability was quantified with the intraclass correlation coefficient (ICC). Satisfactory repeatability was considered when ICC >or=0.75.

RESULTS

DASA, CEA, and CPC were repeatable in all age groups. HASA and HTEA were repeatable for all but 1 time point. At 20 weeks of age, all measures but AI were repeatable, and at 104 weeks of age, DASA, CEA, CPC, and HASA were repeatable. Measures were repeatable in hips with and without degenerative changes with the exceptions of AI and HASA in normal hips and VASA and HTEA in osteoarthritic hips.

CONCLUSIONS

Most 2D CT measurements examined were repeatable regardless of age or joint disease.

CLINICAL RELEVANCE

Two-dimensional CT measures may augment current techniques for assessing joint changes in lax canine hips.

摘要

目的

确定不同年龄及成熟时存在退行性关节疾病的松弛犬髋关节计算机断层扫描(CT)图像测量的观察者间重复性。

研究设计

纵向观察性研究。

动物

同窝杂交猎犬。

方法

在20、24、32、48、68和104周龄时进行骨盆CT检查。3名研究人员在每个时间点对两侧髋关节的3个连续二维(2D)横向CT图像进行测量。测量中心边缘角(CEA)、水平髋臼外角(HTEA)、腹侧(VASA)、背侧(DASA)和水平(HASA)髋臼扇区角、髋臼指数(AI)以及股骨头覆盖百分比(CPC)。用组内相关系数(ICC)对观察者间重复性进行量化。当ICC≥0.75时认为重复性良好。

结果

DASA、CEA和CPC在所有年龄组中均可重复。除1个时间点外,HASA和HTEA在所有时间点均可重复。在20周龄时,除AI外的所有测量均可重复,在104周龄时,DASA、CEA、CPC和HASA可重复。无论髋关节有无退行性改变,测量均可重复,但正常髋关节中的AI和HASA以及骨关节炎髋关节中的VASA和HTEA除外。

结论

无论年龄或关节疾病如何,大多数检查的二维CT测量均可重复。

临床意义

二维CT测量可能会增强目前评估松弛犬髋关节关节变化的技术。

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