医学
轴性脊柱炎
磁共振成像
置信区间
放射科
诊断准确性
析因分析
计算机断层摄影术
曼惠特尼U检验
核医学
物理疗法
内科学
骶髂关节炎
作者
Sevtap Tugce Ulas,Felix Radny,Katharina Ziegeler,Iris Eshed,Juliane Greese,Dominik Deppe,Carsten Stelbrink,Robert Biesen,Hildrun Haibel,V. Rios Rodriguez,Judith Rademacher,Mikhail Protopopov,Fabian Proft,Denis Poddubnyy,Torsten Diekhoff
标识
DOI:10.1093/rheumatology/kead564
摘要
Abstract Objectives Reporting diagnostic confidence (DC) in axial spondyloarthritis (axSpA) imaging is recommended by the ASAS guidelines. Our aim was to investigate whether self-reported DC predicts diagnostic accuracy in axSpA imaging using X-ray (XR), computed tomography (CT) and magnetic resonance imaging (MRI). Methods We performed a post hoc analysis including 163 patients with low back pain (89 axSpA and 56 non-axSpA). Nine blinded readers with different experience levels [inexperienced (<1 year), semi-experienced (3–8 years) and experienced (>12 years)] scored the sacroiliac joint images for compatibility with axSpA. DC was reported on a scale from 1 (not sure) to 10 (very sure). Mean DC scores and standard deviations were calculated for correct and incorrect responses using XR, CT, MRI, XR+MRI and CT+MRI. Differences in DC were assessed using the Mann–Whitney U test. Results DC scores were higher for correct axSpA diagnoses and differed significantly between correct and incorrect responses for all modalities (P < 0.001), with a mean DC of 7.1 ± 2.1 and 6.3 ± 2.1 for XR, 8.3 ± 1.8 and 6.7 ± 2.0 for CT, 8.1 ± 1.9 and 6.2 ± 1.9 for MRI, 8.2 ± 1.8 and 6.7 ± 1.8 for XR+MRI and 8.4 ± 1.8 and 6.8 ± 1.8 for CT+MRI, respectively. This was also the case when looking at the results by experience group, except for XR in the inexperienced group. Conclusion Providing self-reported DC in radiological reports is useful information to predict diagnostic reliability in axSpA imaging.
科研通智能强力驱动
Strongly Powered by AbleSci AI