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首页> 外文期刊>Clinical rheumatology >Diagnostic test accuracy of magnetic resonance imaging and ultrasound for detecting bone erosion in patients with rheumatoid arthritis
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Diagnostic test accuracy of magnetic resonance imaging and ultrasound for detecting bone erosion in patients with rheumatoid arthritis

机译：磁共振成像的诊断试验精度和超声波检测类风湿性关节炎患者骨腐蚀

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摘要

Objective To evaluate and compare the diagnostic test accuracy of magnetic resonance imaging (MRI) and ultrasound (US) for bone erosion in rheumatoid arthritis (RA) patients for a specific and efficient diagnostic recommendation. Method To evaluate the diagnostic accuracy, the sensitivity, specificity, area under the summary receiver operating characteristic curve, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio of MRI and US for detecting bone erosion were calculated. Subgroup analyses were conducted to evaluate the performance of these values with different standard references when compared with types of machines and scanning positions. Results Data from 26 articles were extracted for calculation. The comprehensive values of sensitivity and specificity were 0.77 (95% CI 0.63, 0.87)/0.89 (95% CI 0.80, 0.95) and 0.61 (95% CI 0.43, 0.77)/0.95 (95% CI 0.88, 0.98) for MRI and US, respectively. The 1.5-T Signa MRI system, General Electric (c) (sensitivity 0.66; specificity 0.90), and different models of LOGIQ US units and General Electric (c) (sensitivity 0.66; specificity 0.91) had better diagnostic capability to detect bone erosion, while the 2nd metacarpophalangeal joint (sensitivity 0.70; specificity 0.98) showed the best diagnostic performance among the hand joints with US. Conclusions Neither MRI nor US showed satisfactory diagnostic test accuracy in detecting bone erosion. However, the 1.5-T Signa MRI system, General Electric (c), and different models of LOGIQ US units and General Electric (c) showed similarly good performance in detecting bone erosion in RA patients, while the 2nd metacarpophalangeal joint is the best recommended scanning position during US.
机译：目的探讨磁共振成像（MRI）和超声（US）对类风湿性关节炎（RA）患者骨质腐蚀的诊断测试精度进行特定高效的诊断推荐。计算方法以评估诊断准确性，概述接收器操作特征曲线，阳性似然比，负似然比和MRI和US诊断比率检测骨腐蚀的诊断精度，阳性似然比，负似然比和诊断比率。与机器类型和扫描位置相比，进行亚组分析以评估不同标准参考的这些值的性能。结果提取来自26篇论文的数据进行计算。敏感性和特异性的综合值为0.77（95％CI 0.63,0.87）/ 0.89（95％CI 0.80,0.95）和0.61（95％CI 0.43,0.77）/ 0.95（95％CI 0.88,0.98）用于MRI和我们分别。 1.5-T Signa MRI系统，通用电气（C）（灵敏度0.66;特异性0.90），以及不同型号的Logiq US单位和通用电气（C）（灵敏度0.66;特异性0.91）具有更好的诊断能力来检测骨侵蚀，虽然第二个metacarpalangeal关节（敏感度为0.70;特异性0.98）在与我们的手表中显示出最佳诊断性能。结论MRI和US在检测骨侵蚀方面都没有表现出令人满意的诊断测试准确性。然而，1.5-T Signa MRI系统，通用电气（C）和不同型号的Logiq US单位和通用电气（C）在检测RA患者的骨腐蚀方面表现出类似的良好性能，而第二款Metacarpalangeal关节是最适合推荐的在我们期间扫描位置。

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