Determining Metacarpophalangeal Flexion Angle Tolerance for Reliable Volumetric Joint Space Measurements by High-resolution Peripheral Quantitative Computed Tomography

被引：11

作者：

Tom, Stephanie ^{[1
]}

Frayne, Mark ^{[2
,9
]}

Manske, Sarah L. ^{[2
,3
]}

Burghardt, Andrew J. ^{[4
]}

Stok, Kathryn S. ^{[5
]}

Boyd, Steven K. ^{[3
,6
,7
,10
]}

Barnabe, Cheryl ^{[2
,8
,11
]}

机构：

[1] Univ Toronto, Fac Med, Dept Med, Toronto, ON, Canada

[2] Univ Calgary, McCaig Inst Bone & Joint Hlth, Calgary, AB, Canada

[3] Univ Calgary, Cumming Sch Med, Dept Radiol, Calgary, AB, Canada

[4] Univ Calif San Francisco, Musculoskeletal Quantitat Imaging Res Grp, Dept Radiol & Biomed Imaging, San Francisco, CA 94143 USA

[5] Swiss Fed Inst Technol, Inst Biomech, Zurich, Switzerland

[6] Univ Calgary, Schulich Sch Engn, Calgary, AB, Canada

[7] Univ Calgary, Fac Kinesiol, Calgary, AB, Canada

[8] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[9] Univ Waterloo, Dept Mech Engn, Mech Engn, Waterloo, ON, Canada

[10] Univ Calgary, McCaig Inst Bone & Joint Hlth, Dept Radiol, Calgary, AB, Canada

[11] Univ Calgary, Dept Med, Calgary, AB, Canada

来源：

JOURNAL OF RHEUMATOLOGY | 2016年 / 43卷 / 10期

关键词：

HIGH-RESOLUTION PERIPHERAL QUANTITATIVE COMPUTED TOMOGRAPHY; JOINT SPACE NARROWING; RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; RHEUMATOID-ARTHRITIS; RELIABILITY; RADIOGRAPHS; DISABILITY; CARTILAGE; IMAGES; DAMAGE; WRIST; WIDTH; SCORE;

D O I：

10.3899/jrheum.160649

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. The position-dependence of a method to measure the joint space of metacarpophalangeal (MCP) joints using high-resolution peripheral quantitative computed tomography (HR-pQCT) was studied. Methods. Cadaveric MCP were imaged at 7 flexion angles between 0 and 30 degrees. The variability in reproducibility for mean, minimum, and maximum joint space widths and volume measurements was calculated for increasing degrees of flexion. Results. Root mean square coefficient of variance values were < 5% under 20 degrees of flexion for mean, maximum, and volumetric joint spaces. Values for minimum joint space width were optimized under 10 degrees of flexion. Conclusion. MCP joint space measurements should be acquired at < 10 degrees of flexion in longitudinal studies.

引用

页码：1941 / 1944

页数：4

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