Suppr超能文献

CT和大体病理学是检测犬退行性骶髂关节病变的可比方法。

CT and gross pathology are comparable methods for detecting some degenerative sacroiliac joint lesions in dogs.

作者信息

Carnevale Michael, Jones Jeryl, Holásková Ida, Sponenberg D Phillip

机构信息

Department of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia.

Department of Animal and Veterinary Sciences, Clemson University, Clemson, South Carolina.

出版信息

Vet Radiol Ultrasound. 2019 Jul;60(4):378-389. doi: 10.1111/vru.12749. Epub 2019 Apr 16.

Abstract

Degenerative sacroiliac joint disease is a cause of lumbosacral pain in dogs; however, published information on cross-sectional imaging characteristics is limited. Objectives of this retrospective, secondary analysis, methods-comparison study were to test hypotheses that CT lesions reported in humans with degenerative sacroiliac joint disease are also present in dogs, and that CT is comparable to gross pathology for detecting these lesions. Matched CT and gross pathology slice images of 30 sacroiliac joints were retrieved from a previous prospective, canine cadaver study. A veterinary radiologist interpreted randomized CT images for each joint based on previously published CT characteristics of lesions in humans with degenerative sacroiliac joint disease. A veterinary pathologist independently interpreted randomized gross pathology images using the same criteria. All joints had at least one CT lesion consistent with degenerative sacroiliac joint disease. A new CT lesion was also identified and termed "subarticular cleft." The CT and gross pathology methods agreed for detecting joints with subchondral sclerosis, subchondral erosion, and intra-articular ankylosis lesions (P > .05, McNemar's test), but disagreed for detection of joints with subchondral cyst, para-articular ankylosis, and subarticular cleft lesions (P ≤ .05). Using gross pathology as the reference standard, CT had 100% sensitivity for detection of subarticular cleft and subchondral cyst lesions, with 56% and 22% specificity, respectively. Para-articular ankylosis lesions were detected by CT but not by gross pathology. Findings supported the hypothesis that CT lesions reported in humans with degenerative sacroiliac joint disease are also present in dogs, and partially supported the hypothesis that CT is comparable to gross pathology for detecting joints with these lesions.

摘要

退行性骶髂关节疾病是犬类腰荐部疼痛的一个原因;然而,关于横断面成像特征的已发表信息有限。这项回顾性、二次分析、方法比较研究的目的是检验以下假设:患有退行性骶髂关节疾病的人类中报告的CT病变在犬类中也存在,并且CT在检测这些病变方面与大体病理学相当。从之前一项前瞻性犬类尸体研究中检索到30个骶髂关节的匹配CT和大体病理切片图像。一名兽医放射科医生根据先前发表的患有退行性骶髂关节疾病的人类病变的CT特征,对每个关节的随机CT图像进行解读。一名兽医病理学家使用相同标准独立解读随机的大体病理图像。所有关节均至少有一个与退行性骶髂关节疾病一致的CT病变。还发现了一种新的CT病变,称为“关节下裂”。CT和大体病理方法在检测伴有软骨下硬化、软骨下侵蚀和关节内强直病变的关节方面结果一致(P>.05,McNemar检验),但在检测伴有软骨下囊肿、关节旁强直和关节下裂病变的关节方面结果不一致(P≤.05)。以大体病理学作为参考标准,CT检测关节下裂和软骨下囊肿病变的敏感性为100%,特异性分别为56%和22%。CT检测到了关节旁强直病变,而大体病理学未检测到。研究结果支持了患有退行性骶髂关节疾病的人类中报告的CT病变在犬类中也存在这一假设,并部分支持了CT在检测伴有这些病变的关节方面与大体病理学相当这一假设。

相似文献

1
CT and gross pathology are comparable methods for detecting some degenerative sacroiliac joint lesions in dogs.
Vet Radiol Ultrasound. 2019 Jul;60(4):378-389. doi: 10.1111/vru.12749. Epub 2019 Apr 16.
2
The prevalence of sacroiliac joint CT and MRI findings is high in large breed dogs.
Vet Radiol Ultrasound. 2022 Nov;63(6):739-748. doi: 10.1111/vru.13109. Epub 2022 Jun 9.
4
Appearance and incidence of sacroiliac joint disease in ventrodorsal radiographs of the canine pelvis.
Vet Radiol Ultrasound. 2004 Jan-Feb;45(1):1-9. doi: 10.1111/j.1740-8261.2004.04001.x.
6
The gross and radiographic appearance of sacroiliac ankylosis capsularis ossea in the dog.
Res Vet Sci. 2003 Feb;74(1):85-92. doi: 10.1016/s0034-5288(02)00156-x.
9
The normal sacroiliac joint: a CT study of asymptomatic patients.
Radiology. 1984 May;151(2):433-7. doi: 10.1148/radiology.151.2.6709915.
10
MRI-based Synthetic CT in the Detection of Structural Lesions in Patients with Suspected Sacroiliitis: Comparison with MRI.
Radiology. 2021 Feb;298(2):343-349. doi: 10.1148/radiol.2020201537. Epub 2020 Dec 22.

本文引用的文献

1
Radiography, abdominal CT and MRI compared with sacroiliac joint CT in diagnosis of structural sacroiliitis.
Eur J Radiol. 2017 Oct;95:169-176. doi: 10.1016/j.ejrad.2017.08.004. Epub 2017 Aug 7.
3
Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy.
Forensic Sci Int. 2013 Dec 10;233(1-3):90-8. doi: 10.1016/j.forsciint.2013.08.025. Epub 2013 Sep 5.
4
Post-mortem computed tomography compared to forensic autopsy findings: a French experience.
Eur Radiol. 2013 Jul;23(7):1829-35. doi: 10.1007/s00330-013-2779-0. Epub 2013 Mar 12.
5
Comparison of computed tomography and autopsy in detection of injuries after unsuccessful cardiopulmonary resuscitation.
Resuscitation. 2013 Mar;84(3):357-60. doi: 10.1016/j.resuscitation.2012.06.023. Epub 2012 Jul 6.
6
Feasibility and accuracy of ultrasound-guided sacroiliac joint injection in dogs.
Vet Radiol Ultrasound. 2012 Jul-Aug;53(4):446-54. doi: 10.1111/j.1740-8261.2011.01920.x. Epub 2012 May 2.
7
"Buckle" rib fracture: an artifact following cardio-pulmonary resuscitation detected on postmortem CT.
Leg Med (Tokyo). 2011 Sep;13(5):233-9. doi: 10.1016/j.legalmed.2011.05.004. Epub 2011 Jul 26.
10
Hip and sacroiliac disease: selected disorders and their management with physical therapy.
Clin Tech Small Anim Pract. 2007 Nov;22(4):183-94. doi: 10.1053/j.ctsap.2007.09.007.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验