Đorić Igor, Žarković Miloš, Radojičić Zoran, Repac Nikola, Janićijević Aleksandar, Rotim Krešimir, Tasić Goran, Rasulić Lukas
Department of Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Belgrade, Serbia
School of Medicine, University of Belgrade
Acta Clin Croat. 2017 Mar;56(1):21-27. doi: 10.20471/acc.2017.56.01.04.
The use of multidetector computed tomography (MDCT) is an integral part of contemporary diagnostics of Graves‘ orbitopathy. The aim of this study was to assess proptosis measurement by MDCT and to compare it to the current standard, Hertel exophthalmometry. A cross-sectional study was conducted at the Clinical Centre of Serbia and included 91 patients (19 male and 72 female) with verified Graves‘ orbitopathy. Globe protrusion measured by MDCT (globe protrusion, GPR) was correlated to Hertel measured protrusion (HR). There was no constant or any systematic bias between the two methods. GPR significantly correlated with the best-corrected visual acuity, while HR did not. Age, body mass index and duration of the disease did not influence proptosis measurement by either method. Proptosis was significantly larger in males. According to our results, GPR compared to HR provides better assessment of the protrusion in Graves‘ disease. GPR measurement is simple and should always be part of the radiological assessment of orbits in Graves‘ disease.
多排螺旋计算机断层扫描（MDCT）的应用是当代格雷夫斯眼眶病诊断不可或缺的一部分。本研究的目的是评估MDCT测量眼球突出度，并将其与当前标准方法——赫特尔眼球突出计测量法进行比较。在塞尔维亚临床中心进行了一项横断面研究，纳入了91例确诊为格雷夫斯眼眶病的患者（19例男性和72例女性）。通过MDCT测量的眼球突出度（GPR）与赫特尔测量的突出度（HR）进行相关性分析。两种方法之间不存在恒定或任何系统性偏差。GPR与最佳矫正视力显著相关，而HR则不然。年龄、体重指数和病程对两种测量方法的眼球突出度测量均无影响。男性的眼球突出度明显更大。根据我们的结果，与HR相比，GPR能更好地评估格雷夫斯病的眼球突出情况。GPR测量简单，应始终作为格雷夫斯病眼眶影像学评估的一部分。
