Recognizing osteoporotic vertebral deformity on frontal view radiograph: a cohort analysis and a pictorial review

التفاصيل البيبلوغرافية
العنوان: Recognizing osteoporotic vertebral deformity on frontal view radiograph: a cohort analysis and a pictorial review
المؤلفون: Nazmi Che-Nordin, Pei-Pei Ye, Yi-Xiang J. Wang, Zhi-Han Yan, Shi-Wen Qiu, Mei-Mei Du, James F. Griffith
المصدر: Archives of Osteoporosis. 15
بيانات النشر: Springer Science and Business Media LLC, 2020.
سنة النشر: 2020
مصطلحات موضوعية: 0301 basic medicine, medicine.medical_specialty, Radiography, Osteoporosis, Kyphosis, 030209 endocrinology & metabolism, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Medical Illustration, Humans, Medicine, Orthopedics and Sports Medicine, Aged, Aged, 80 and over, VERTEBRAL DEFORMITY, business.industry, Middle Aged, medicine.disease, Height loss, Spine, Vertebra, medicine.anatomical_structure, Orthopedic surgery, Spinal Fractures, Female, 030101 anatomy & morphology, Radiology, business, Osteoporotic Fractures, Cohort study
الوصف: Opportunities exist to detect osteoporotic vertebral deformities (VDs) on frontal radiograph (FR) indicated for lung or abdominal diseases, while literature have been mostly based on lateral radiograph (LR). This study analyzed the detectability of moderate and severe grades VD on FR.There were 105 female cases (mean 72 years, range 55~93 year), who were referred for digital spine FR and LR with back and/or leg pain. The LR and FR were read, osteoporotic VDs with 20%, 20-25%, 25-40%, and 40% vertebral body height loss were recorded as minimal, mild, moderate, and severe grades, respectively. After a 10-month interval, only FRs were read again, and each vertebra was classified as (1) no notable VD, (2) with notable VD, and (3) ambiguous. The first reading was the reference, while the second reading was allowed to miss minimal/mild VCD and endplate/cortex fracture.Counting by subjects, for 98 cases, the two reading sessions had agreement, including 43 "true negative" cases and 55 true positive cases. There were two false positive cases, and five ambiguous cases. In total, 1286 vertebra were assessed, FR reading had 1126 vertebrae "true negative," 130 vertebrae true positive, one vertebra false negative, 3 vertebrae false positive, and 26 ambiguous vertebrae (65.4% being true negative and 34.6% being true positive). Most of the disagreements were associated with kyphosis or poor X-ray projection. Nineteen illustrative cases are presented graphically.Moderate and severe grades of VD are identifiable on FR as long as the involved vertebrae are clearly filmed.
تدمد: 1862-3514
1862-3522
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0c5d4f4324c7dedc07053b843f4800d2
https://doi.org/10.1007/s11657-020-00716-5
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....0c5d4f4324c7dedc07053b843f4800d2
قاعدة البيانات: OpenAIRE