Hamard, M.; Sans Merce, M.; Gorican, K.; Poletti, P.-A.; Neroladaki, A.; Boudabbous, S. The Role of Cone-Beam Computed Tomography CT Extremity Arthrography in the Preoperative Assessment of Osteoarthritis. Tomography2023, 9, 2134-2147.
Hamard, M.; Sans Merce, M.; Gorican, K.; Poletti, P.-A.; Neroladaki, A.; Boudabbous, S. The Role of Cone-Beam Computed Tomography CT Extremity Arthrography in the Preoperative Assessment of Osteoarthritis. Tomography 2023, 9, 2134-2147.
Hamard, M.; Sans Merce, M.; Gorican, K.; Poletti, P.-A.; Neroladaki, A.; Boudabbous, S. The Role of Cone-Beam Computed Tomography CT Extremity Arthrography in the Preoperative Assessment of Osteoarthritis. Tomography2023, 9, 2134-2147.
Hamard, M.; Sans Merce, M.; Gorican, K.; Poletti, P.-A.; Neroladaki, A.; Boudabbous, S. The Role of Cone-Beam Computed Tomography CT Extremity Arthrography in the Preoperative Assessment of Osteoarthritis. Tomography 2023, 9, 2134-2147.
Abstract
Osteoarthritis (OA) is a prevalent disease and the leading cause of pain, disability, and quality of life deterioration. Our study sought to evaluate the image quality and dose of cone-beam com-puted tomography arthrography (CBCT-A) and compare them to digital radiography (DR) for OA diagnosis. Overall, 32 cases of CBCT-A and DR with OA met inclusion criteria and were prospectively analyzed. The Kellgren and Lawrence classification (KLC) stage, sclerosis, osteo-phytes, erosions, and mean joint width (MJW) were compared between CBCT-A and DR. Image quality was excellent in all CBCT-As, with excellent inter-observer agreement. OA un-der-classification was noticed with DR for MJW (p=0.02), osteophyte detection (<0.0001), and KLC (P<0.0001). The HU values obtained for the CBCT did not correspond to the values for MDCT, with a greater mean deviation obtained with the MDCT HU for MBIR1 than MBIR2. CBCT-A has been found to be more reliable for OA diagnosis than DR as revealed by our results using three-point rating scale for the qualitative image analysis, with higher quality and an ac-ceptable dose. Moreover, the use of this imaging technique permits the preoperative assessment of extremities in OA diagnosis, the upright position and bone microarchitecture analysis being two other advantages of CBCT-A.
Keywords
cone-beam computed tomography arthrography; X-ray; osteoarthritis; Kellgren and Lawrence classification; density; radiation
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
