Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study
Podlipska J, Guermazi A, Lehenkari P, Niinimaki J, Roemer F, Arokoski JP, Kaukinen P, Liukkonen E, Lammentausta E, Nieminen MT, Tervonen O, Koski JM, Saarakkala S (2016)
Publication Type: Journal article
Publication year: 2016
Journal
Book Volume: 6
Pages Range: 22365
DOI: 10.1038/srep22365
Abstract
Osteoarthritis (OA) is a common degenerative musculoskeletal disease highly prevalent in aging societies worldwide. Traditionally, knee OA is diagnosed using conventional radiography. However, structural changes of articular cartilage or menisci cannot be directly evaluated using this method. On the other hand, ultrasound is a promising tool able to provide direct information on soft tissue degeneration. The aim of our study was to systematically determine the site-specific diagnostic performance of semi-quantitative ultrasound grading of knee femoral articular cartilage, osteophytes and meniscal extrusion, and of radiographic assessment of joint space narrowing and osteophytes, using MRI as a reference standard. Eighty asymptomatic and 79 symptomatic subjects with mean age of 57.7 years were included in the study. Ultrasound performed best in the assessment of femoral medial and lateral osteophytes, and medial meniscal extrusion. In comparison to radiography, ultrasound performed better or at least equally well in identification of tibio-femoral osteophytes, medial meniscal extrusion and medial femoral cartilage morphological degeneration. Ultrasound provides relevant additional diagnostic information on tissue-specific morphological changes not depicted by conventional radiography. Consequently, the use of ultrasound as a complementary imaging tool along with radiography may enable more accurate and cost-effective diagnostics of knee osteoarthritis at the primary healthcare level.
Authors with CRIS profile
Involved external institutions
Oulu University Hospital
Finland (FI)
Mikkeli Central Hospital
Finland (FI)
Oulun Yliopisto / University of Oulo
Finland (FI)
Boston University
United States (USA) (US)
University of Eastern Finland
Finland (FI)
Finland (FI)
Mikkeli Central Hospital
Finland (FI)
Oulun Yliopisto / University of Oulo
Finland (FI)
Boston University
United States (USA) (US)
University of Eastern Finland
Finland (FI)
How to cite
APA:
Podlipska, J., Guermazi, A., Lehenkari, P., Niinimaki, J., Roemer, F., Arokoski, J.P.,... Saarakkala, S. (2016). Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study. Scientific Reports, 6, 22365. https://dx.doi.org/10.1038/srep22365
MLA:
Podlipska, Jana, et al. "Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study." Scientific Reports 6 (2016): 22365.
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