Teng M M, Murphy W A, Gilula L A, Destouet J M, Edelstein G, Monsees B, Totty W G
Radiology. 1984 Dec;153(3):611-3. doi: 10.1148/radiology.153.3.6494458.
Twenty-six elbow arthrograms were retrospectively reviewed. Each arthrogram consisted of conventional radiography, conventional tomography, standard double-contrast arthrography, and arthrotomography. Each of these four components was independently interpreted in a blinded fashion by six radiologists, each working alone. The four components were evaluated for presence or absence of intraarticular bodies, cartilage loss, or fractures. The results showed that conventional tomography was the most accurate single study. Arthrotomography rarely improved the diagnostic accuracy of noncontrast methods. It was useful in those few patients where detection of purely cartilaginous bodies, precise position of mineralized densities, or status of articular cartilage was desired. It may be possible to reduce the number of elbow arthrograms, thereby reducing time, cost, and radiation dose factors.
对26例肘关节造影进行了回顾性研究。每次肘关节造影包括传统X线摄影、传统体层摄影、标准双重对比关节造影和关节体层摄影。这四个部分由六名放射科医生各自独立地以盲法进行解读。对这四个部分评估关节内是否存在游离体、软骨损伤或骨折情况。结果显示，传统体层摄影是最准确的单项检查。关节体层摄影很少能提高非对比方法的诊断准确性。在少数需要检测纯软骨游离体、矿化密度的精确位置或关节软骨状态的患者中它是有用的。有可能减少肘关节造影的数量，从而减少时间、成本和辐射剂量因素。
