The Association between Iron-Deficiency Anemia (IDA) and Septic Arthritis (SA): The Real-World Data.

Background and Objectives: Iron-deficiency anemia (IDA) could predispose the afflicted individuals to various infections and musculoskeletal disorders. This study attempted to investigate the association between IDA and septic arthritis (SA), a musculoskeletal disease. Materials and Methods: We investigated all the eligible subjects in the Taiwanese longitudinal health insurance database (LHID) between 2000 and 2012. Subjects with the diagnosis of IDA (International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM): 280) were allocated to the IDA cohort. The control subjects were randomly matched to every subject with IDA coding by age and sex at the 1:4 ratio. All of the recruited subjects were followed since the index date to the onset of SA (ICD-9-CM: 711.0), withdrawal from the insurance (including death), or 31 December 2013. Results: The cumulative incidence of SA was assessed. We showed that the cumulative incidence of SA was higher in the IDA cohort than in the control cohort (p-value < 0.0001). After adjustment of the comorbidities, the IDA patients had a 2.53-fold risk of SA compared to control subjects (aHR = 2.53, 95% CI = 1.89−3.38). Conclusions: IDA was associated with an increased risk of SA.

Tissue motion and elevational speckle decorrelation in freehand 3D ultrasound.

3D positioning is essential for quantitative volume analysis in 3D ultrasound. Particularly for freehand scanning without an external positioning device, such information must be estimated by analyzing the original 2D images prior to 3D reconstruction. Previous work on freehand 3D positioning has focused on elevational displacement estimation using speckle decorrelation for linear scans. However, the effects of other types of motion have been ignored. Given that all types of motion potentially introduce speckle decorrelation, the accuracy of the elevational displacement estimation is likely to be diminished by the presence of motions of other types. In the present study, simulations were performed to probe the effects of various motions on elevational displacement estimation. In particular, the effects of rotational motions on image correlation are investigated in detail. It is found that these motions significantly affect the estimation results and thus should be taken into account when reconstructing the 3D image. In addition, speckle variations also affect the estimation even when only elevational motion is present. Finally, full motion analysis in freehand scanning may not be possible by only using speckle correlation analysis unless speckle variations can be reduced and the correlation distribution under complex motion can be obtained.