摘要
目的:探究在骨质疏松性椎体压缩骨折(osteoporotic vertebral compressive fractures,OVCF)中运用椎体松质骨电子计算机断层扫描(computed tomography,CT)值鉴别新鲜与陈旧骨折椎体的价值。方法:回顾性分析2022年9月至2023年9月我院收治的101例OVCF患者的临床资料。Kappa检验核磁共振成像(magnetic resonance imaging,MRI)与椎体CT值诊断新鲜或陈旧性OVCF的一致性。比较新鲜、陈旧性骨折与邻近正常椎体的CT值差值。受试者工作特征(receiver operating characteristic,ROC)曲线分析诊断效能。结果:椎体CT值与MRI在诊断新鲜骨折与陈旧性OVCF方面具有较高的一致性(Kappa值=0.934)。邻近正常椎体与新鲜骨折椎体CT差值比较有差异(P<0.05);新鲜骨折椎体与陈旧性骨折椎体CT差值比较有差异(P<0.05)。ROC曲线分析结果显示,联合检查新鲜骨折与陈旧性骨折椎体CT值的曲线下面积(Area under the curve,AUC)为0.723,高于单独测定新鲜骨折椎体CT值和陈旧性骨折椎体CT值的0.536、0.610(Z=2.548、2.605、2.841,P<0.05)。结论:椎体CT值在辨别OVCF的新鲜骨折、陈旧性骨折与MRI显示出较高的一致性,且联合检测的诊断效能较高。
Objective:To explore the value of using computed tomography(CT)values to distinguish fresh and old fractures vertebral bodies in osteoporotic vertebral compression fractures(OVCF).Methods:Retrospective analysis of clinical data of 101 OVCF patients in our hospital from September 2022 to September 2023.Kappa test for consistency between magnetic resonance imaging(MRI)and vertebral CT values in distinguished fresh or old OVCF.The difference of CT values between fresh,old fractures and adjacent normal vertebral bodies were compared.The diagnostic efficiency was analyed by receiver operating characteristic(ROC)curve.Results:There was a high consistency between vertebral CT values and MRI in the diagnosis of OVCF in fresh and old fractures(Kappa value=0.934).There was a difference in difference of CT values between adjacent normal vertebral bodies and fresh fractures vertebral bodies(P<0.05).There was a difference in difference of CT values of fresh fractures vertebral bodies and old fractures vertebral bodies(P<0.05).The ROC curve analysis results showed that,the combined measurement of CT values of fresh and old fractured vertebral bodies has an area under the curve(AUC)of 0.723,which was higher than alone measurement of the CT values of fresh fractured vertebral bodies and old fractured vertebral bodies of 0.536 and 0.610(Z=2.548,2.605,2.841,P<0.05).Conclusion:CT values of vertebral bodies show high consistency in distinguish fresh and old fractures of OVCF compared to MRI findings,and the diagnostic efficiency of combine detection is relatively high.
作者
王凤
彭伟生
陈桂柳
邓娜
韩晓兵
蔡惠亮
陈秋香
WANG Feng;PENG Wei-sheng;CHEN Gui-liu;DENG Na;HAN Xiao-bing;CAI Hui-liang;CHEN Qiu-xiang(Department of Diagnostic Radiology,The 910th Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Quanzhou,Fujian,362000,China)
出处
《现代生物医学进展》
2025年第19期3179-3185,共7页
Progress in Modern Biomedicine
基金
泉州市科技计划项目(2018Z148)。
