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Dokumenttyp:
journal article 
Autor(en):
Segal, N A; Frick, E; Duryea, J; Roemer, F; Guermazi, A; Nevitt, M C; Torner, J C; Felson, D T; Anderson, D D 
Titel:
Correlations of Medial Joint Space Width on Fixed-Flexed Standing Computed Tomography and Radiographs With Cartilage and Meniscal Morphology on Magnetic Resonance Imaging. 
Abstract:
To assess whether medial tibiofemoral joint space width (JSW) on 3-dimensional (3-D) standing computed tomography (SCT) correlates more closely with magnetic resonance imaging cartilage morphology (CM) and meniscal scores than does radiographic 2-D JSW.Participants in the Multicenter Osteoarthritis Study, who had standing fixed-flexion posteroanterior knee radiographs, were recruited. Medial tibiofemoral 3-D JSW on SCT and 2-D JSW on fixed-flexion radiographs were compared with medial tibiofemoral cartilage and meniscal morphology using the Whole-Organ Magnetic Resonance Imaging Score (WORMS). Associations between the area of the articular surface with 3-D JSW<2.5 mm on SCT, radiographic minimal 2-D JSW, and the WORMS-CM and meniscal scores were assessed using Spearman's rho.For the 19 participants included (33 knees), mean ± SD age was 66.9 ± 5.4 years, body mass index was 29.5 ± 4.4 kg/m(2) , 42.1% of participants were female, and the Kellgren/Lawrence grades were 0 (21.2%), 1 (36.4%), 2 (18.2%), and 3 (24.2%). The articular surface area with 3-D JSW<2.5 mm on SCT correlated with WORMS-CM scores for the central medial tibia (rs = 0.84, P< 0.001), central medial femur (rs = 0.60, P< 0.007), and posterior medial meniscal tear (rs = 0.39, P< 0.026), as did other cut points for 3-D JSW. Correlations with radiographic minimal 2-D JSW were -0.66, -0.52, and -0.40, respectively, differing from SCT only for tibial cartilage (P = 0.001).Greater surface area with a low JSW, measured by SCT, correlates more strongly with the severity of tibial cartilage lesions, while correlating with medial femoral cartilage and meniscal damage to a similar extent as radiographic minimal JSW. SCT may enable valid stratification of participants in clinical trials, through quickly and inexpensively characterizing osteoarthritis features. 
Zeitschriftentitel:
Arthritis Care Res (Hoboken) 
Jahr:
2016 
Band / Volume:
68 
Heft / Issue:
10 
Seitenangaben Beitrag:
1410-6 
Sprache:
eng 
Print-ISSN:
2151-464X 
TUM Einrichtung:
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie