Owen J P, Parnell A P, Keir M J, Ellis H A, Wilkinson R, Ward M K, Elliott R W
Department of Radiology, Royal Victoria Infirmary, Newcastle-upon-Tyne.
Clin Radiol. 1988 Nov;39(6):578-82. doi: 10.1016/s0009-9260(88)80049-7.
Skeletal radiology and bone histopathology were compared in 82 patients with renal failure. The performance of radiology in detecting lesions was assessed using interobserver studies which showed disappointing levels of agreement probably reflecting the subjective nature of the radiological signs. Radiology was very insensitive in detecting and grading hyperparathyroidism even when histology and serum biochemistry were floridly abnormal. The most useful radiographs for monitoring subperiosteal erosions and vascular and soft tissue calcification are identified.
对82例肾衰竭患者的骨骼放射学和骨组织病理学进行了比较。通过观察者间研究评估放射学在检测病变方面的表现，结果显示一致性水平令人失望，这可能反映了放射学征象的主观性。即使组织学和血清生化明显异常，放射学在检测和分级甲状旁腺功能亢进方面也非常不敏感。确定了监测骨膜下侵蚀以及血管和软组织钙化最有用的X线片。
