Diagnostic and score value of ultrasound and magnetic resonance imaging in hemophilia arthropathy
10.3760/cma.j.issn.1004-4477.2016.06.016
- VernacularTitle:超声与磁共振成像对血友病骨关节病变诊断及评分的价值探讨
- Author:
Fei MA
;
Yingjia LI
;
Liling XIAO
;
Li ZHANG
;
Shuyi LUO
;
Wanxian LUO
;
Shiyu ZHANG
;
Shaofu HONG
;
Manxiang WU
;
Jing SUN
;
Fang ZHOU
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Hemophilia Joint diseases;
Magnetic resonance imaging
- From:Chinese Journal of Ultrasonography
2016;25(6):525-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic and score value of ultrasound on hemophiliac arthropathy referring to MRI on the diagnosis and score of hemophiliac arthropathy Methods The ultrasound and MRI examinations were performed on 42 joints of 42 hemophilia patients 14 knees 14 ankles and 14 elbows The consistency of ultrasound and magnetic resonance imaging in the detection and score of joint diseases was compared Finally inter-and intra-observer agreement of ultrasound scoring system were tested Results The consistency of ultrasound and magnetic resonance imaging was excellent κ=0 763-0 896 P < 0 001 in the detection of early soft tissue lesions effusion or hemarthrosis synovial hypertrophy hemosiderin excellent κ=0 793 P <0 001 in the detection of cartilage loss poor κ=0 133 P = 0 132 in the detection of erosions and poor κ= 0 100 P = 0 137 in the detection of subchondral cysts The consistency of ultrasound and magnetic resonance imaging was good to excellentκ=0 684-0 833 P < 0 001 in the score of early soft tissue lesions effusion or hemarthrosis synovial hypertrophy and hemosiderin and poor to good κ=0 145 -0 635 P <0 001 in the score of advanced osteochondral lesions cartilage loss and bone erosions The inter-observer agreement was good to excellent κ=0 676-0 870 P <0 001 for early soft tissue lesions and moderate to excellent κ=0 421- 0 75 1 P < 0 001 for advanced osteochondral lesions The intra-observer agreement was good to excellent κ=0 705-0 885 P <0 001 for early soft tissue lesions and moderate to good κ=0 532 -0 732 P <0 001 for advanced osteochondral lesions Conclusions Ultrasound plays an important role in detecting early soft tissue changes effusion or hemarthrosis synovial hypertrophy hemosiderin and cartilage loss which helps follow-up and guide clinical treatment.
