A new and simplified comprehensive ultrasound protocol of haemophilic joints: the Universal Simplified Ultrasound (US-US) protocol.
Clin Radiol
; 74(11): 897.e9-897.e16, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31474302
ABSTRACT
AIM:
To present a new protocol to optimise ultrasound (US) assessment of haemophilic arthropathy. MATERIALS ANDMETHODS:
Ultrasound of haemophilic arthropathy joints was performed using three different ultrasound protocols, namely, the Toronto-Vellore Comprehensive Ultrasound (TVC-US) protocol, the Haemophilia Early Arthropathy Detection with Ultrasound (HEAD-US), and the newly developed Universal Simplified Ultrasound (US-US) protocol. Synovial hypertrophy, haemosiderin deposition, effusion, erosion, and cartilage loss were evaluated in 20 joints. The reliability and diagnostic efficiency of these protocols was compared using magnetic resonance imaging (MRI).RESULTS:
The correlation between the TVC-US and US-US protocols for synovial hypertrophy was excellent kappa significance (KS) was 1, but was substantial (KS=0.65) with the HEAD-US protocol. For effusion, both the TVC-US and the HEAD-US protocols had substantial correlation with the US-US protocol (KS=0.7 and 0.6 respectively). The correlation for erosion and cartilage loss was excellent between the TVC-US and the US-US with MRI (KS=1), but poor (KS=0) with the HEAD-US protocol. The US-US protocol also had good interobserver agreement (KS=1).CONCLUSION:
The accuracy of the US-US protocol is comparable to the TVC-US protocol and MRI and is superior to the HEAD-US protocol in the assessment of haemophilic arthropathy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Disco da Articulação Temporomandibular
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Hemofilia A
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Articulação do Joelho
/
Articulação do Tornozelo
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Child
/
Humans
Idioma:
En
Revista:
Clin Radiol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Índia