青少年中使用MRI测量评估高位髌骨
Evaluation of patella alta using MRI measurements in adolescents.
作者信息
Yılmaz Barış, Ozdemir Guzelali, Sirin Evrim, Cicek Esin D, Anıl Burcu S, Bulbun Goncagul
机构信息
Department of Orthopedic Surgery and Traumatology, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
Department of Radiology, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
出版信息
Indian J Radiol Imaging. 2017 Apr-Jun;27(2):181-186. doi: 10.4103/ijri.IJRI_222_16.
PURPOSE
To determine whether or not there were any differences in the measurement techniques used by orthopedic and radiology specialists in the evaluation of magnetic resonance (MR) images for the diagnosis of patella alta in adolescents.
MATERIALS AND METHODS
Evaluations were performed by three orthopedic specialists (Group I) and three radiology specialists (Group II) regarding the presence of patella alta in 40 adolescents cases using the Insall-Salvati, Caton-Deschamps, Blackburne-Peel, and modified Insall-Salvati indices on MR images obtained to diagnose patellar instability.
RESULTS
The Fleiss Kappa conformity levels for Insall-Salvati, Caton-Deschamps, Blackburne-Peel, and modified Insall-Salvati measurements were 0.531, 0.559, 0.246, and 0.272, respectively, in Group I, and 0.699, 0.346, 0.516, and 0.394, respectively, in Group II.
CONCLUSION
The radiology specialists were found to have greater conformity in the evaluation of all patella alta indices, which was probably due to their greater familiarity with radiological measurements than that of the orthopedic specialists.
目的
确定骨科和放射科专家在评估青少年磁共振（MR）图像以诊断高位髌骨时所使用的测量技术是否存在差异。
材料与方法
三位骨科专家（第一组）和三位放射科专家（第二组）使用Insall-Salvati、Caton-Deschamps、Blackburne-Peel和改良Insall-Salvati指数，对40例青少年病例的MR图像进行高位髌骨存在情况的评估，这些图像是为诊断髌股关节不稳定而获取的。
结果
在第一组中，Insall-Salvati、Caton-Deschamps、Blackburne-Peel和改良Insall-Salvati测量的Fleiss Kappa一致性水平分别为0.531、0.559、0.246和0.272，在第二组中分别为0.699、0.346、0.516和0.394。
结论
发现放射科专家在评估所有高位髌骨指数时具有更高的一致性，这可能是因为他们比骨科专家更熟悉放射学测量。
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