Atlas of individual radiographic features in osteoarthritis, revised

Atlas of individual radiographic features in osteoarthritis, revised
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DOI:
10.1016/j.joca.2006.11.009
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发表时间:
2007-01-01
影响因子:
7
通讯作者:
Gold, G. E.
Gold, G. E.
中科院分区:
医学2区
文献类型:
--
作者:
Altman, R. D.;Gold, G. E.

文献摘要

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目标:开发骨关节炎(OA)的影像学图谱,作为模板和指导骨关节炎病变的手,髋关节和knee.Method的分级射线照片:1995年的图集进行了审查,最有用的图像为临床试验。通过审查从患者获得的连续X线照片,从斯坦福大学放射科图片档案和通信系统中选择替代图像。下载的选定图像不含患者识别信息。图像按手、髋和膝组织。审查了OA的结果,并根据个体结果和变化程度将图像分组为图像文件。两位研究人员分别选择了最有希望的图像。最终的图像是通过协商一致选择的。然后裁剪原始电子图像并按顺序放置。结果:个体放射学特征(例如,骨赘、关节间隙狭窄);还对正常、1+、2+和3+变化进行排序。图像可在打印和电子formates.Conclusion:一个更新的地图集的放射图像制作,以协助分级的手,髋关节和膝关节的临床医生和临床试验中使用的个人影像学特征。(C)2007年由Elsevier Ltd代表国际骨关节炎研究学会出版。
Objective: Develop a radiographic atlas of osteoarthritis (OA) to be used as a template and guide for grading radiographs of osteoarthritic lesions of the hand, hip and knee.Method: The 1995 atlas was reviewed for the images most useful for clinical trials. Replacement images were selected from the Stanford University Radiology Department Picture Archive and Communications System by reviewing consecutive radiographs obtained from patients. Selected images were downloaded without patient identification information. Images were organized by hand, hip and knee. They were reviewed for findings of OA and images grouped into image files by individual findings and degree of change. Both investigators individually selected the most promising images. Final images were selected by consensus. Original electronic images were then cropped and placed in sequence.Results: Individual radiographic features (e.g., osteophytes, joint space narrowing) were recorded for hand (distal interphalangeal joint, proximal interphalangeal joint, trapeziometacarpal joint), hip (acetabular, femoral) and knee (medial compartment, lateral compartment, tibial, femoral); they were also sequenced for normal, 1+, 2+, and 3+ change. Images were made available in print and electronic formats.Conclusion: An updated atlas of radiographic images was produced to assist in grading individual radiographic features of the hand, hip and knee for clinicians and for use in clinical trials. (C) 2007 Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International.