Facet arthropathy evaluation: CT or MRI?

European Radiology
Linda BergAnsgar Espeland

Abstract

To assess the reliability of lumbar facet arthropathy evaluation with computed tomography (CT) or magnetic resonance imaging (MRI) in patients with and without lumbar disc prosthesis and to estimate the reliability for individual CT and MRI findings indicating facet arthropathy. Metal-artifact reducing CT and MRI protocols were performed at follow-up of 114 chronic back pain patients treated with (n = 66) or without (n = 48) lumbar disc prosthesis. Three experienced radiologists independently rated facet joint space narrowing, osteophyte/hypertrophy, erosions, subchondral cysts, and total grade facet arthropathy at each of the three lower lumbar levels on both CT and MRI, using Weishaupt et al's rating system. CT and MRI examinations were randomly mixed and rated independently. Findings were dichotomized before analysis. Overall kappa and (due to low prevalence) prevalence- and bias-adjusted kappa were calculated to assess interobserver agreement. Interobserver agreement on total grade facet arthropathy was moderate at all levels with CT (kappa 0.47-0.48) and poor to fair with MRI (kappa 0.20-0.32). Mean prevalence- and bias-adjusted kappa was lower for osteophyte/hypertrophy versus other individual findings (CT 0.58 versus 0.7...Continue Reading

References

Jun 29, 1999·Skeletal Radiology·D WeishauptJ Hodler
Nov 7, 1999·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·A FujiwaraA Kurihashi
Sep 21, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Annette Kettler, Hans-Joachim Wilke
Oct 29, 2008·Radiology·John A CarrinoRichard Herzog
Dec 19, 2008·Radiology·Jeffrey G Jarvik, Richard A Deyo
Jan 27, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ryan D MurtaghEvelyn L Sklar
May 14, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·P StradiottiA Zerbi
May 21, 2011·BMJ : British Medical Journal·Christian HellumUNKNOWN Norwegian Spine Study Group
Sep 29, 2011·Neuroradiology·Linda BergAnsgar Espeland
Jan 27, 2012·Diagnostic and Interventional Imaging·N AmorettiO Hauger
Nov 14, 2012·Nature Reviews. Rheumatology·Alfred C GellhornPradeep Suri
Jan 12, 2013·Current Rheumatology Reports·Adam P GoodeJoanne M Jordan
Mar 23, 2017·Current Reviews in Musculoskeletal Medicine·Stephan N SalzmannFederico P Girardi

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Citations

Aug 21, 2020·Journal of Orthopaedic Surgery and Research·Jun YinZongmiao Wan
Mar 14, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nityanand MiskinJacob C Mandell
Jan 12, 2022·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Bowen HouXiaoming Li

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