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Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study

Osteoarthritis (OA) is a common degenerative musculoskeletal disease highly prevalent in aging societies worldwide. Traditionally, knee OA is diagnosed using conventional radiography. However, structural changes of articular cartilage or menisci cannot be directly evaluated using this method. On the...

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Autores principales: Podlipská, Jana, Guermazi, Ali, Lehenkari, Petri, Niinimäki, Jaakko, Roemer, Frank W., Arokoski, Jari P., Kaukinen, Päivi, Liukkonen, Esa, Lammentausta, Eveliina, Nieminen, Miika T., Tervonen, Osmo, Koski, Juhani M., Saarakkala, Simo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772126/
https://www.ncbi.nlm.nih.gov/pubmed/26926836
http://dx.doi.org/10.1038/srep22365
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author Podlipská, Jana
Guermazi, Ali
Lehenkari, Petri
Niinimäki, Jaakko
Roemer, Frank W.
Arokoski, Jari P.
Kaukinen, Päivi
Liukkonen, Esa
Lammentausta, Eveliina
Nieminen, Miika T.
Tervonen, Osmo
Koski, Juhani M.
Saarakkala, Simo
author_facet Podlipská, Jana
Guermazi, Ali
Lehenkari, Petri
Niinimäki, Jaakko
Roemer, Frank W.
Arokoski, Jari P.
Kaukinen, Päivi
Liukkonen, Esa
Lammentausta, Eveliina
Nieminen, Miika T.
Tervonen, Osmo
Koski, Juhani M.
Saarakkala, Simo
author_sort Podlipská, Jana
collection PubMed
description Osteoarthritis (OA) is a common degenerative musculoskeletal disease highly prevalent in aging societies worldwide. Traditionally, knee OA is diagnosed using conventional radiography. However, structural changes of articular cartilage or menisci cannot be directly evaluated using this method. On the other hand, ultrasound is a promising tool able to provide direct information on soft tissue degeneration. The aim of our study was to systematically determine the site-specific diagnostic performance of semi-quantitative ultrasound grading of knee femoral articular cartilage, osteophytes and meniscal extrusion, and of radiographic assessment of joint space narrowing and osteophytes, using MRI as a reference standard. Eighty asymptomatic and 79 symptomatic subjects with mean age of 57.7 years were included in the study. Ultrasound performed best in the assessment of femoral medial and lateral osteophytes, and medial meniscal extrusion. In comparison to radiography, ultrasound performed better or at least equally well in identification of tibio-femoral osteophytes, medial meniscal extrusion and medial femoral cartilage morphological degeneration. Ultrasound provides relevant additional diagnostic information on tissue-specific morphological changes not depicted by conventional radiography. Consequently, the use of ultrasound as a complementary imaging tool along with radiography may enable more accurate and cost-effective diagnostics of knee osteoarthritis at the primary healthcare level.
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spelling pubmed-47721262016-03-07 Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study Podlipská, Jana Guermazi, Ali Lehenkari, Petri Niinimäki, Jaakko Roemer, Frank W. Arokoski, Jari P. Kaukinen, Päivi Liukkonen, Esa Lammentausta, Eveliina Nieminen, Miika T. Tervonen, Osmo Koski, Juhani M. Saarakkala, Simo Sci Rep Article Osteoarthritis (OA) is a common degenerative musculoskeletal disease highly prevalent in aging societies worldwide. Traditionally, knee OA is diagnosed using conventional radiography. However, structural changes of articular cartilage or menisci cannot be directly evaluated using this method. On the other hand, ultrasound is a promising tool able to provide direct information on soft tissue degeneration. The aim of our study was to systematically determine the site-specific diagnostic performance of semi-quantitative ultrasound grading of knee femoral articular cartilage, osteophytes and meniscal extrusion, and of radiographic assessment of joint space narrowing and osteophytes, using MRI as a reference standard. Eighty asymptomatic and 79 symptomatic subjects with mean age of 57.7 years were included in the study. Ultrasound performed best in the assessment of femoral medial and lateral osteophytes, and medial meniscal extrusion. In comparison to radiography, ultrasound performed better or at least equally well in identification of tibio-femoral osteophytes, medial meniscal extrusion and medial femoral cartilage morphological degeneration. Ultrasound provides relevant additional diagnostic information on tissue-specific morphological changes not depicted by conventional radiography. Consequently, the use of ultrasound as a complementary imaging tool along with radiography may enable more accurate and cost-effective diagnostics of knee osteoarthritis at the primary healthcare level. Nature Publishing Group 2016-03-01 /pmc/articles/PMC4772126/ /pubmed/26926836 http://dx.doi.org/10.1038/srep22365 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Podlipská, Jana
Guermazi, Ali
Lehenkari, Petri
Niinimäki, Jaakko
Roemer, Frank W.
Arokoski, Jari P.
Kaukinen, Päivi
Liukkonen, Esa
Lammentausta, Eveliina
Nieminen, Miika T.
Tervonen, Osmo
Koski, Juhani M.
Saarakkala, Simo
Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title_full Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title_fullStr Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title_full_unstemmed Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title_short Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
title_sort comparison of diagnostic performance of semi-quantitative knee ultrasound and knee radiography with mri: oulu knee osteoarthritis study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772126/
https://www.ncbi.nlm.nih.gov/pubmed/26926836
http://dx.doi.org/10.1038/srep22365
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