Carnevale Michael, Jones Jeryl, Holásková Ida, Sponenberg D Phillip
Department of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia.
Department of Animal and Veterinary Sciences, Clemson University, Clemson, South Carolina.
Vet Radiol Ultrasound. 2019 Jul;60(4):378-389. doi: 10.1111/vru.12749. Epub 2019 Apr 16.
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.
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。