| SENSITIVITY AND SPECIFICITY OF RADIOGRAPHY FOR DETECTION OF ELBOW INCONGRUITY IN CLINICAL PATIENTS. | |
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MedLine Citation:
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PMID: 22151597 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Elbow incongruity is an important factor regarding the treatment and prognosis of elbow dysplasia. Our purpose was to determine the sensitivity and specificity for radiographic detection of elbow incongruity in clinical patients, to establish inter- and intraobserver variation for different parameters, and to evaluate the possibility of radiographic grading of incongruity. Standard radiographic projections were acquired from 29 incongruent and nine congruent elbows of dogs of various ages and breeds. Computed tomography (CT) was used to diagnose and grade the incongruity. All radiographs were evaluated by four observers for detection and grading of elbow incongruity. Sensitivity, specificity, inter- and intraobserver variability were calculated. The mean sensitivity for detection of incongruity was very good (88.8%) with a mean specificity of 91.7%. Correct grading of incongruity was difficult. The radioulnar step and the widening of the humeroulnar and humeroradial joint space were seen most frequently. Intraobserver and interobserver variability were fair to excellent (Kappa = 0.372-0.809), depending on the investigated parameters. Radiography is valuable to screen for elbow incongruity. In over 91% of the patients, a clear distinction could be made between a congruent and an incongruent joint grading was not possible. |
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Authors:
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Yves Samoy; Ingrid Gielen; Jimmy Saunders; Henri van Bree; Bernadette Van Ryssen |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-12 |
Journal Detail:
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Title: Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association Volume: - ISSN: 1058-8183 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9209635 Medline TA: Vet Radiol Ultrasound Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Veterinary Radiology & Ultrasound. |
Affiliation:
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Faculty of Veterinary Medicine, Department of Medical Imaging and Small Animal Orthopaedics, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgiugm. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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