• Je něco špatně v tomto záznamu ?

Is ultra low-dose CT with tin filtration useful for examination of SI joints? Can it replace X-ray in diagnostics of sacroiliitis

E. Korcakova, J. Stepankova, D. Suchy, P. Hosek, K. Bajcurova, J. Pernicky, H. Mirka

. 2022 ; 166 (1) : 77-83. [pub] 20210204

Jazyk angličtina Země Česko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22009428

OBJECTIVES: The first objective of our study was to determine the radiation exposure received by patients during tin-filtrated ultra-low-dose computed tomography (TFULDCT) of sacroiliac joints and to compare those to conventional X-ray doses. For comparison, we added a cohort examined by low-dose CT (LDCT) without tin filtration. The second objective was to compare the results of TFULDCT and X-ray in the detection of sacroiliitis. METHODS: Our retrospective study covered 45 patients, who were examined for suspected axial spondyloarthritis (AxSpA). The first group underwent TFULDCT as well as conventional radiography (CR); the second group underwent LDCT only without tin filtration. Effective doses of TFULDCT, LDCT and CR were calculated by an experienced medical physicist. TFULDCT and CR were independently evaluated by three investigators, who decided on the presence or absence of rheumatoid inflammatory bone changes. The results were statistically evaluated. RESULTS: In our cohort, the median effective dose for TFULDCT was 0.11 mSv, range (0.06-0.40 mSv), for LDCT 0.5 mSv (0.29-0.89 mSv), and for CR 0.25 mSv (0.06-1.87 mSv). We proved that TFULDCT produces a significantly lower percentage of uncertain results (23.3%; 95% CI: 11.3-41.6%) than CR (66.7%; 95% CI: 48.3-81.1%). CONCLUSIONS: Tin filtration helps to reduce CT radiation exposure to values lower than those resulting from CR. TFULDCT offers better overall diagnostic performance than CR. Our results prove that TFULDCT can replace CR in the diagnosis of sacroiliitis in the radiographical stage of AxSpA.

Citace poskytuje Crossref.org

Bibliografie atd.

Literatura

000      
00000naa a2200000 a 4500
001      
bmc22009428
003      
CZ-PrNML
005      
20220718105504.0
007      
ta
008      
220419s2022 xr ad f 000 0|eng||
009      
AR
024    7_
$a 10.5507/bp.2021.008 $2 doi
035    __
$a (PubMed)33542538
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xr
100    1_
$a Korčáková, Eva $7 xx0243359 $u Department of Imaging methods, University hospital in Plzen, Czech Republic $u Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Czech Republic
245    10
$a Is ultra low-dose CT with tin filtration useful for examination of SI joints? Can it replace X-ray in diagnostics of sacroiliitis / $c E. Korcakova, J. Stepankova, D. Suchy, P. Hosek, K. Bajcurova, J. Pernicky, H. Mirka
504    __
$a Literatura
520    9_
$a OBJECTIVES: The first objective of our study was to determine the radiation exposure received by patients during tin-filtrated ultra-low-dose computed tomography (TFULDCT) of sacroiliac joints and to compare those to conventional X-ray doses. For comparison, we added a cohort examined by low-dose CT (LDCT) without tin filtration. The second objective was to compare the results of TFULDCT and X-ray in the detection of sacroiliitis. METHODS: Our retrospective study covered 45 patients, who were examined for suspected axial spondyloarthritis (AxSpA). The first group underwent TFULDCT as well as conventional radiography (CR); the second group underwent LDCT only without tin filtration. Effective doses of TFULDCT, LDCT and CR were calculated by an experienced medical physicist. TFULDCT and CR were independently evaluated by three investigators, who decided on the presence or absence of rheumatoid inflammatory bone changes. The results were statistically evaluated. RESULTS: In our cohort, the median effective dose for TFULDCT was 0.11 mSv, range (0.06-0.40 mSv), for LDCT 0.5 mSv (0.29-0.89 mSv), and for CR 0.25 mSv (0.06-1.87 mSv). We proved that TFULDCT produces a significantly lower percentage of uncertain results (23.3%; 95% CI: 11.3-41.6%) than CR (66.7%; 95% CI: 48.3-81.1%). CONCLUSIONS: Tin filtration helps to reduce CT radiation exposure to values lower than those resulting from CR. TFULDCT offers better overall diagnostic performance than CR. Our results prove that TFULDCT can replace CR in the diagnosis of sacroiliitis in the radiographical stage of AxSpA.
650    _2
$a lidé $7 D006801
650    _2
$a dávka záření $7 D011829
650    _2
$a rentgendiagnostika $7 D011859
650    _2
$a retrospektivní studie $7 D012189
650    12
$a sakroiliitida $x diagnostické zobrazování $7 D058566
650    12
$a cín $7 D014001
650    _2
$a počítačová rentgenová tomografie $x metody $7 D014057
650    _2
$a rentgenové záření $7 D014965
655    _2
$a časopisecké články $7 D016428
700    1_
$a Štěpánková, Jana $7 xx0246599 $u Division of Medical physics, University hospital in Plzen, Czech Republic
700    1_
$a Suchý, David, $d 1970- $7 xx0111581 $u Clinical Rheumatology, University hospital in Plzen, Czech Republic
700    1_
$a Hošek, Petr $7 xx0224573 $u Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Czech Republic
700    1_
$a Bajcurová, Kristýna $7 xx0225270 $u Department of Imaging methods, University hospital in Plzen, Czech Republic $u Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Czech Republic
700    1_
$a Pernický, Jan $7 xx0251372 $u Department of Imaging methods, University hospital in Plzen, Czech Republic
700    1_
$a Mírka, Hynek, $d 1971- $7 nlk20040148203 $u Department of Imaging methods, University hospital in Plzen, Czech Republic $u Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Czech Republic
773    0_
$w MED00012606 $t Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia $x 1213-8118 $g Roč. 166, č. 1 (2022), s. 77-83
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33542538 $y Pubmed
910    __
$a ABA008 $b A 1502 $c 958 $y p $z 0
990    __
$a 20220419 $b ABA008
991    __
$a 20220718105502 $b ABA008
999    __
$a ok $b bmc $g 1815559 $s 1160626
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2022 $b 166 $c 1 $d 77-83 $e 20210204 $i 1213-8118 $m Biomedical papers of the Medical Faculty of the University Palacký, Olomouc Czech Republic $n Biomed. Pap. Fac. Med. Palacký Univ. Olomouc Czech Repub. (Print) $x MED00012606
LZP    __
$b NLK118 $a Pubmed-20220419

Najít záznam

Citační ukazatele

Možnosti archivace