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[PMID]:29201292
[Au] Autor:Yoo JI; Ha YC; Hwang SC; Oh JY; Chang EC; Lee YK; Koo KH
[Ad] Endereço:Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
[Ti] Título:Factors Associated with the Risk of Articular Surface Perforation during Anchor Placement for Arthroscopic Acetabular Labral Repair.
[So] Source:Clin Orthop Surg;9(4):405-412, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: The purpose of this study was to evaluate factors associated with the risk of articular surface perforation during anchor placement for arthroscopic acetabular labral repair using follow-up computed tomographic arthrography (CTA). Methods: Forty-six patients (29 males and 17 females) underwent arthroscopic labral repair using 142 suture anchors (55 large anchors and 87 small anchors). The patients were followed with CTA 1 year postoperatively. Anchor position was assessed by the insertion angle and the distance of the suture anchor tip from the articular cartilage. The incidence of malposition of suture anchors was assessed in follow-up CTA. The location and incidence of malposition were compared between two groups divided according to the diameter of suture anchor. Results: The mean insertion angle and distance were significantly different between the groups. Of the 142 anchors, 15 (11%) were placed in the cartilage-bone transitional zone. Articular involvement was most common at the 3 o'clock position of the suture anchor (six out of 33 anchors, 18.2%). Both the insertion angle and distance showed small values in the articular involvement group. Conclusions: The radiographic analysis of the placement of suture anchors after arthroscopic labral refixation based on follow-up CTA demonstrates that articular involvement of anchors is related to the location on the acetabular rim (clock position) and anchor diameter.
[Mh] Termos MeSH primário: Acetábulo/cirurgia
Cartilagem Articular/lesões
Articulação do Quadril/cirurgia
Implante de Prótese/efeitos adversos
Âncoras de Sutura/efeitos adversos
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adulto
Artrografia
Artroscopia/efeitos adversos
Cartilagem Articular/diagnóstico por imagem
Feminino
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.405


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[PMID]:29257021
[Au] Autor:Cunningham DJ; Paranjape CS; Harris JD; Nho SJ; Olson SA; Mather RC
[Ad] Endereço:Duke University Medical Center, Durham, North Carolina.
[Ti] Título:Advanced Imaging Adds Little Value in the Diagnosis of Femoroacetabular Impingement Syndrome.
[So] Source:J Bone Joint Surg Am;99(24):e133, 2017 Dec 20.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Femoroacetabular impingement (FAI) syndrome is an increasingly recognized source of hip pain and disability in young active adults. In order to confirm the diagnosis, providers often supplement physical examination maneuvers and radiographs with intra-articular hip injection, magnetic resonance imaging (MRI), or magnetic resonance arthrography (MRA). Since diagnostic imaging represents the fastest rising cost segment in U.S. health care, there is a need for value-driven diagnostic algorithms. The purpose of this study was to identify cost-effective diagnostic strategies for symptomatic FAI, comparing history and physical examination (H&P) alone (utilizing only radiographic imaging) with supplementation with injection, MRI, or MRA. METHODS: A simple-chain decision model run as a cost-utility analysis was constructed to assess the diagnostic value of the MRI, MRA, and injection that are added to the H&P and radiographs in diagnosing symptomatic FAI. Strategies were compared using the incremental cost-utility ratio (ICUR) with a willingness to pay (WTP) of $100,000/QALY (quality-adjusted life year). Direct costs were measured using the Humana database (PearlDiver). Diagnostic test accuracy, treatment outcome probabilities, and utilities were extracted from the literature. RESULTS: H&P with and without supplemental diagnostic injection was the most cost-effective. Adjunct injection was preferred in situations with a WTP of >$60,000/QALY, low examination sensitivity, and high FAI prevalence. With low disease prevalence and low examination sensitivity, as may occur in a general practitioner's office, H&P with injection was the most cost-effective strategy, whereas in the reciprocal scenario, H&P with injection was only favored at exceptionally high WTP (∼$990,000). CONCLUSIONS: H&P and radiographs with supplemental diagnostic injection are preferred over advanced imaging, even with reasonable deviations from published values of disease prevalence, test sensitivity, and test specificity. Providers with low examination sensitivity in situations with low disease prevalence may benefit most from including injection in their diagnostic strategy. Providers with high examination sensitivity in situations with high disease prevalence may not benefit from including injection in their diagnostic strategy. Providers should not routinely rely on advanced imaging to diagnose FAI syndrome, although advanced imaging may have a role in challenging clinical scenarios. LEVEL OF EVIDENCE: Economic and Decision Analysis Level IV. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Artrografia/métodos
Meios de Contraste
Análise Custo-Benefício
Impacto Femoroacetabular/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
[Mh] Termos MeSH secundário: Adulto
Artrografia/economia
Estudos de Coortes
Técnicas de Apoio para a Decisão
Feminino
Impacto Femoroacetabular/fisiopatologia
Seres Humanos
Injeções Intra-Articulares
Imagem por Ressonância Magnética/economia
Masculino
Exame Físico/métodos
Sensibilidade e Especificidade
Índice de Gravidade de Doença
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.00963


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[PMID]:28763415
[Au] Autor:Somerson JS; Neradilek MB; Service BC; Hsu JE; Russ SM; Matsen FA
[Ad] Endereço:1The University of Texas Medical Branch, Galveston, Texas 2The Mountain-Whisper-Light Statistics, Seattle, Washington 3Orthopaedic Surgery and Sports Medicine, Orlando Health, Orlando, Florida 4Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.
[Ti] Título:Clinical and Radiographic Outcomes of the Ream-and-Run Procedure for Primary Glenohumeral Arthritis.
[So] Source:J Bone Joint Surg Am;99(15):1291-1304, 2017 Aug 02.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The ream-and-run procedure can provide improvement in shoulder function and comfort for selected patients with primary glenohumeral arthritis who wish to avoid a prosthetic glenoid component. The purpose of this study was to evaluate factors associated with medialization of the humeral head after this procedure as well as the relationship of medialization to the clinical outcome. METHODS: We collected patient, shoulder, and procedure characteristics along with Simple Shoulder Test (SST) scores before surgery and at the time of follow-up. Medialization was determined by comparing the position of the humeral head prosthesis in relation to the scapula on postoperative baseline radiographs made within 6 weeks after surgery with that on comparable follow-up radiographs made ≥18 months after surgery. RESULTS: Two-year clinical outcomes were available for 101 patients (95% were male). Comparable radiographs at postoperative baseline and follow-up evaluations were available for 50 shoulders. For all patients, the mean SST score (and standard deviation) increased from 4.9 ± 2.8 preoperatively to 10.3 ± 2.4 at the latest follow-up (p < 0.001). Significant clinical improvement was observed for glenoid types A2 and B2. Shoulders with a type-A2 glenoid morphology, with larger preoperative scapular body-glenoid angles, and with lower preoperative SST scores, were associated with the greatest clinical improvement. Clinical outcome was not significantly associated with the amount of medialization. CONCLUSIONS: The ream-and-run procedure can be an effective treatment for advanced primary glenohumeral osteoarthritis in active patients. Further study will be necessary to determine whether medialization affects the clinical outcome with follow-up of >2 years. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Artrografia
Artroplastia do Ombro/métodos
Osteoartrite/diagnóstico por imagem
Osteoartrite/cirurgia
Articulação do Ombro/diagnóstico por imagem
Articulação do Ombro/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias/diagnóstico por imagem
Desenho de Prótese
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.01201


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[PMID]:28707534
[Au] Autor:Kolo FC; Schwitzguébel AJ; Kourhani A; Denard PJ; Charbonnier C; Lädermann A
[Ad] Endereço:1 Department of Radiology, Rive Droite Radiology Center , Geneva , Switzerland.
[Ti] Título:Fosbury flop tear of the rotator cuff: diagnostic assessment with magnetic resonance arthrography.
[So] Source:Br J Radiol;90(1077):20170146, 2017 Aug.
[Is] ISSN:1748-880X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim was to assess the diagnostic performance of magnetic resonance arthrography (MRA) of the shoulder for the detection of "Fosbury flop" tears. METHODS: All patients undergoing arthroscopic rotator cuff repair were considered as potentially eligible for inclusion in this prospective case series. Preoperative MRAs were consecutively performed and compared with intraoperative findings being the gold standard control. Two experienced musculoskeletal radiologists, blinded to the arthroscopic findings, independently analysed all MRAs for the presence of typical signs of Fosbury flop tears. RESULTS: 423 patients were included. Among this group, 11 presented a Fosbury flop tear with a prevalence of 2.6%. Interobserver agreement was considered as excellent for thickened tendon, tendon stump, fluid accumulation, abnormal fibres orientationand adherences between tendon and bursa. The most sensitive and specific criterion was the tendon thickness[90.9% CI(62.3-98.4) and97.1% CI(95.0-98.3), respectively].  Conclusions: Fosbury flop tear is an uncommon condition that should be recognized to allow optimal anatomic repair. MRA is a valuable tool in making the diagnosing of this lesser recognized type of rotator cuff tear. An abnormally thickened supraspinatus tendon tear should especially raise suspicion for a Fosbury flop tear of the posterosuperior rotator cuff. Advances in knowledge: MRA is a valuable tool in making the diagnosing of Fosbury flop tears. An abnormally thickened supraspinatus tendon tear should especially raise suspicion for such lesion.
[Mh] Termos MeSH primário: Artrografia/métodos
Imagem por Ressonância Magnética/métodos
Lesões do Manguito Rotador/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Reprodutibilidade dos Testes
Manguito Rotador/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE
[do] DOI:10.1259/bjr.20170146


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[PMID]:28697530
[Au] Autor:Weber MA; Wünnemann F; Jungmann PM; Kuni B; Rehnitz C
[Ad] Endereço:University Hospital Heidelberg, Diagnostic and Interventional Radiology, Heidelberg, Germany.
[Ti] Título:Modern Cartilage Imaging of the Ankle.
[Ti] Título:Moderne Knorpelbildgebung des Sprunggelenks..
[So] Source:Rofo;189(10):945-956, 2017 Oct.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Talar osteochondral lesions are an important risk factor for the development of talar osteoarthritis. Furthermore, osteochondral lesions might explain persistent ankle pain. Early diagnosis of accompanying chondral defects is important to establish the optimal therapy strategy and thereby delaying or preventing the onset of osteoarthritis. The purpose of this review is to explain modern cartilage imaging with emphasis of MR imaging as well as the discussion of more sophisticated imaging studies like CT-arthrography or functional MR imaging. Pubmed literature search concerning: osteochondral lesions, cartilage damage, ankle joint, talus, 2 D MR imaging, 3 D MR imaging, cartilage MR imaging, CT-arthrography, cartilage repair, microfracture, OATS, MACT. Dedicated MR imaging protocols to delineate talar cartilage and the appearance of acute and chronic osteochondral lesions were discussed. Recent developments of MR imaging, such as isotropic 3 D imaging that has a higher signal-to noise ratio when compared to 2 D imaging, and specialized imaging methods such as CT-arthrography as well as functional MR imaging were introduced. Several classifications schemes and imaging findings of osteochondral lesions that influence the conservative or surgical therapy strategy were discussed. MRI enables after surgery the non-invasive assessment of the repair tissue and the success of implantation. · Modern MRI allows for highly resolved visualization of the articular cartilage of the ankle joint and of subchondral pathologies.. · Recent advances in MRI include 3 D isotropic ankle joint imaging, which deliver higher signal-to-noise ratios of the cartilage and less partial volume artifacts when compared with standard 2 D sequences.. · In case of osteochondral lesions MRI is beneficial for assessing the stability of the osteochondral fragment and for this discontinuity of the cartilage layer is an important factor.. · CT-arthrography can be used in case of contraindications of MRI and in unclear MRI findings as further diagnostic approach.. · Weber MA, Wünnemann F, Jungmann PM et al. Modern Cartilage Imaging of the Ankle. Fortschr Röntgenstr 2017; 189: 945 - 956.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/diagnóstico por imagem
Artrografia/métodos
Cartilagem Articular/diagnóstico por imagem
Fraturas de Cartilagem/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Osteoartrite/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Seres Humanos
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-110861


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[PMID]:28687319
[Au] Autor:Park GY; Park JH; Kwon DR; Kwon DG; Park J
[Ad] Endereço:Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
[Ti] Título:Do the Findings of Magnetic Resonance Imaging, Arthrography, and Ultrasonography Reflect Clinical Impairment in Patients With Idiopathic Adhesive Capsulitis of the Shoulder?
[So] Source:Arch Phys Med Rehabil;98(10):1995-2001, 2017 Oct.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the correlation between arthrography, magnetic resonance imaging (MRI), and ultrasonography (US) findings in patients with idiopathic adhesive capsulitis (IAC) of the shoulder and their clinical presentation as well as functional impairment. DESIGN: Cross-sectional observational study. SETTING: Institutional practice. PARTICIPANTS: Patients (N=75) with a clinical diagnosis of unilateral IAC. INTERVENTIONS: Contrast-enhanced MRI, single-contrast arthrography, and US were performed in all patients. MAIN OUTCOME MEASURES: The thickness of the axillary recess, coracohumeral ligament (CHL), and enhanced portion in the rotator cuff interval was measured using MRI. Arthrography was used to calculate the total score of shoulder arthrographic criteria. US was used to measure the thickness of the inferior glenohumeral ligament (IGHL) and CHL, and the IGHL ratio and CHL ratio were calculated by comparing those of the unaffected side. RESULTS: None of the MRI parameters was correlated with clinical assessment scores. The total score of shoulder arthrographic criteria was negatively correlated with passive range of motion of the total shoulder motion (P<.05), shoulder forward flexion (P<.05), and abduction (P<.05). The total Constant-Murley score was well correlated with the total score of shoulder arthrographic criteria (P<.05). The total shoulder joint space capacity was positively correlated with passive range of motion of the total shoulder motion (P<.05) and shoulder forward flexion (P<.05). The IGHL thickness, IGHL ratio, CHL thickness, and CHL ratio were negatively correlated with shoulder external rotation (P<.05). CONCLUSIONS: The findings of arthrography and US in patients with IAC of the shoulder were correlated with clinical assessment scores, whereas all measuring parameters on MRI were not. US is recommended as the preferred option for diagnosing IAC of the shoulder because it is noninvasive, reflects the clinical features of IAC, and provides anatomical accuracy.
[Mh] Termos MeSH primário: Bursite/diagnóstico por imagem
Avaliação da Deficiência
Força Muscular/fisiologia
Amplitude de Movimento Articular/fisiologia
Articulação do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Artrografia
Bursite/fisiopatologia
Meios de Contraste
Estudos Transversais
Feminino
Fluoroscopia
Seres Humanos
Ligamentos Articulares/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Rotação
Manguito Rotador/diagnóstico por imagem
Articulação do Ombro/fisiopatologia
Ultrassonografia
Escala Visual Analógica
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170709
[St] Status:MEDLINE


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[PMID]:28604236
[Au] Autor:Symanski JS; Subhas N; Babb J; Nicholson J; Gyftopoulos S
[Ad] Endereço:From the Department of Radiology, NYU Langone Medical Center/Hospital for Joint Diseases, 660 First Ave, New York, NY 10016 (J.S.S., J.B., S.G.); Department of Radiology, Cleveland Clinic, Cleveland, Ohio (N.S.); and NYU Health Sciences Library, NYU School of Medicine, New York, NY (J.N.).
[Ti] Título:Diagnosis of Superior Labrum Anterior-to-Posterior Tears by Using MR Imaging and MR Arthrography: A Systematic Review and Meta-Analysis.
[So] Source:Radiology;285(1):101-113, 2017 Oct.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose To evaluate the diagnostic accuracies of nonenhanced magnetic resonance (MR) imaging and MR arthrography for diagnosis of superior labrum anterior-to-posterior (SLAP) tears by using a systematic review and meta-analysis. Materials and Methods A comprehensive literature search was performed on the two main concepts of MR imaging (MR imaging, and direct and indirect MR arthrography) and SLAP tears. Inclusion criteria consisted of original studies that assessed the diagnostic accuracy of MR imaging, direct MR arthrography, and/or indirect MR arthrography for the detection of SLAP tears, by using surgical findings as the reference standard. The Quality Assessment of Diagnostic Accuracy Studies 2, or QUADAS-2 Quality Assessment of Diagnostic Accuracy Studies 2 Quality Assessment of Diagnostic Accuracy Studies 2 , tool was used to assess methodologic quality. Meta-analyses were performed that compared MR imaging studies to direct MR arthrography studies and indirect MR arthrography studies, 3-T studies to 1.5-T studies, and low-bias MR imaging studies to low-bias direct MR arthrography studies. Study variation was analyzed by using the Cochran Q test of heterogeneity and the I statistic. Results Thirty-two studies met inclusion and exclusion criteria, including 3524 imaging examinations: 1963 direct MR arthrography examinations (23 studies), 1402 MR examinations (14 studies), and 159 indirect MR arthrography examinations (three studies). Twelve studies had low risk for bias, two had questionable risk, and 18 had high risk. Mean sensitivities of direct MR arthrography, MR imaging, and indirect MR arthrography for SLAP tear diagnosis were 80.4%, 63.0%, and 74.2%, respectively. Mean specificities of direct MR arthrography, MR imaging, and indirect MR arthrography were 90.7%, 87.2%, and 66.5%, respectively. Summary receiver operator characteristic (ROC) curve demonstrated superior accuracy of direct MR arthrography compared with those of MR imaging and indirect MR arthrography. Similar findings were observed in the low-bias subanalysis. Summary ROC curve demonstrated overall superiority of 3-T imaging, with or without intra-articular contrast material compared with 1.5-T imaging, with or without intra-articular contrast material. Significant variance was observed for MR imaging and direct MR arthrography (P < .001) studies for both mean sensitivity and specificity. Conclusion Direct MR arthrography appears to be more accurate than nonenhanced MR imaging for diagnosis of SLAP tears, whereas 3-T MR imaging with or without intra-articular contrast material appears to improve diagnostic accuracy compared with 1.5-T MR imaging with or without intra-articular contrast material. RSNA, 2017 Online supplemental material is available for this article.
[Mh] Termos MeSH primário: Artrografia
Imagem por Ressonância Magnética
Lesões do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Artrografia/métodos
Artrografia/estatística & dados numéricos
Seres Humanos
Imagem por Ressonância Magnética/métodos
Imagem por Ressonância Magnética/estatística & dados numéricos
Meia-Idade
Curva ROC
Ombro/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2017162681


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[PMID]:28598322
[Au] Autor:Gadeholt O
[Ad] Endereço:Department of Rheumatology/Immunology, Medical Clinic II, University Clinic Wuerzburg, Germany. gadeholt_o@ukw.de.
[Ti] Título:Rheumatoid arthritis is not a single disease.
[So] Source:Clin Exp Rheumatol;35 Suppl 104(2):20-21, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Artrite Reumatoide/classificação
Artrite Reumatoide/diagnóstico
Articulações/diagnóstico por imagem
Peptídeos Cíclicos/imunologia
Fator Reumatoide/sangue
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Artrite Reumatoide/epidemiologia
Artrografia
Biomarcadores/sangue
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Valor Preditivo dos Testes
Prognóstico
Testes Sorológicos
Distribuição por Sexo
Adulto Jovem
[Pt] Tipo de publicação:LETTER
[Nm] Nome de substância:
0 (Biomarkers); 0 (Peptides, Cyclic); 0 (cyclic citrullinated peptide); 9009-79-4 (Rheumatoid Factor)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170923
[Lr] Data última revisão:
170923
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE


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[PMID]:28537759
[Au] Autor:Tuite MJ; Small KM
[Ad] Endereço:1 Department of Radiology, University of Wisconsin, Box 3252, 600 Highland Ave, Madison, WI 53792-3252.
[Ti] Título:Imaging Evaluation of Nonacute Shoulder Pain.
[So] Source:AJR Am J Roentgenol;209(3):525-533, 2017 Sep.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A variety of radiographic views have been described in the literature for the initial imaging of nonacute shoulder pain. Multiple articles have also discussed the best next imaging test if radiographs do not show the diagnosis, especially the use of unenhanced MRI, MR arthrography, CT arthrography, and ultrasound. The purpose of this article is to examine the evidence for the most helpful radiographic views and the best imaging test after radiographs for different clinical presentations of chronic shoulder pain. CONCLUSION: The recommended radiographic views and best next imaging test after the radiograph depends on the clinical diagnosis. Ultrasound is generally preferred over MRI for evaluating chronic rotator cuff pain, whereas MR arthrography, preferably with abducted and externally rotated images, is most accurate for imaging chronic symptoms from a suspected labral tear or instability.
[Mh] Termos MeSH primário: Diagnóstico por Imagem/métodos
Artropatias/diagnóstico por imagem
Lesões do Ombro/diagnóstico por imagem
Articulação do Ombro/diagnóstico por imagem
Dor de Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Artrografia/métodos
Meios de Contraste
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.17.18085


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[PMID]:28400059
[Au] Autor:Kim J; Lee HH; Kang Y; Kim TK; Lee SW; So Y; Lee WW
[Ad] Endereço:Department of Nuclear Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
[Ti] Título:Maximum standardised uptake value of quantitative bone SPECT/CT in patients with medial compartment osteoarthritis of the knee.
[So] Source:Clin Radiol;72(7):580-589, 2017 Jul.
[Is] ISSN:1365-229X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: To evaluate the correlation between the maximum standardised uptake value (SUVmax) from bone single-photon-emission computed tomography/computed tomography (SPECT/CT) and other imaging parameters for medial compartment osteoarthritis (OA) of the knee. MATERIALS AND METHODS: Patients (n=26; male:female=2:24; age, 55.3±5.8 years) underwent quantitative knee SPECT/CT using technetium-99m (Tc-99m) hydroxymethylene diphosphonate (HDP) before surgical operation for medial OA of the knee. SUVmax was calculated using dedicated quantitative software. Visual grades of tracer uptake on bone SPECT/CT and Kellgren-Lawrence (KL) OA scores on plain radiographs were assessed using a five-point scale. Magnetic resonance imaging (MRI) scores (n=22) and patient symptom scores were also assessed. RESULTS: The operated knees (n=34) had a greater SUVmax than the non-operated knees (n=18) in the medial compartment (14.1±6.1 versus 5.3±4.4, p<0.0001). In the medial compartment, the SUVmax was significantly correlated with SPECT/CT visual grades (rho=0.794, p<0.0001), KL scores (rho=0.703, p<0.0001), and MRI scores (rho=0.714-0.808, p≤0.0002); however, SUVmax and other imaging parameters were not correlated with patient symptom scores (p>0.05). CONCLUSIONS: The SUVmax of quantitative bone SPECT/CT was highly correlated with traditional imaging parameters for medial compartment OA severity of the knee. Quantitative bone SPECT/CT is a promising imaging technique for the objective assessment of knee OA.
[Mh] Termos MeSH primário: Osso e Ossos/metabolismo
Osteoartrite do Joelho/diagnóstico por imagem
Osteoartrite do Joelho/metabolismo
Compostos Radiofarmacêuticos/farmacocinética
Medronato de Tecnécio Tc 99m/análogos & derivados
Tomografia Computadorizada de Emissão de Fóton Único
[Mh] Termos MeSH secundário: Adulto
Artrografia
Feminino
Seres Humanos
Articulação do Joelho
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Estudos Retrospectivos
Medronato de Tecnécio Tc 99m/farmacocinética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 72945-61-0 (technetium Tc 99m hydroxymethylene diphosphonate); X89XV46R07 (Technetium Tc 99m Medronate)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170607
[Lr] Data última revisão:
170607
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE



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