Diagnostic Performance of Three-Phase Bone Scintigraphy and Digital Infrared Thermography Imaging for Chronic Post-Traumatic Complex Regional Pain Syndrome

被引:6
|
作者
Cheon, Miju [1 ]
Kang, Hyo Jung [2 ]
Do, Kyung Hee [2 ]
Yang, Hee Seung [2 ]
Han, Eul Joo [3 ]
Yoo, Jang [1 ]
机构
[1] Vet Hlth Serv Med Ctr, Dept Nucl Med, Seoul 05368, South Korea
[2] Vet Hlth Serv Med Ctr, Dept Phys Med & Rehabil, Seoul 05368, South Korea
[3] Vet Hlth Serv Med Ctr, Dept Oriental Med, Seoul 05368, South Korea
基金
新加坡国家研究基金会;
关键词
pain; complex regional pain syndrome; three-phase bone scintigraphy; digital infrared thermography; REFLEX SYMPATHETIC DYSTROPHY; METAANALYSIS; MECHANISMS; SYMPTOMS; PATTERNS; FEATURES; CRITERIA; SIGNS;
D O I
10.3390/diagnostics11081459
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study aimed to evaluate the diagnostic performance of three-phase bone scintigraphy (TPBS) and digital infrared thermography imaging (DITI) in the chronic post-traumatic CRPS and propose new imaging diagnostic criteria that combine the two tests. We retrospectively enrolled 44 patients with suspected symptoms of CRPS from various injuries during obligatory military service. We analyzed the following findings: (1) uptake pattern on TPBS, (2) uptake ratios of affected and unaffected sides in each phase of TPBS, (3) difference in body skin temperature on DITI. New criteria combining the above findings were also evaluated. Eighteen patients were finally defined as CRPS according to the Budapest criteria. Uptake pattern and uptake ratio in blood pool phase on the TPBS were significantly different between CRPS and non-CRPS groups (both p < 0.05). The DITI could not discriminate significantly between the groups (p = 0.334). The diagnostic criteria considering both the pattern analysis and quantitative analysis in TPBS exhibited the highest positive likelihood ratio. On the other hand, the diagnostic criteria combining DITI and TPBS showed the lowest negative likelihood ratio value. TPBS can be useful in diagnosing chronic post-traumatic CRPS. Moreover, we can suggest that different diagnostic criteria be applied depending on the purpose.
引用
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页数:12
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