The Accuracy of SPECT/CT for Diagnosing Lumbar Zygapophyseal Joint Pain: a Systematic Review
| Autor: | Ryan Spiker, Rebecca A. Speckman, Taylor Burnham, Byron J Schneider, Dustin Randall, Quinn Tate, Zachary L McCormick, Raquel Reisinger, Aaron Conger, Daniel M. Cushman |
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| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.diagnostic_test business.industry Rehabilitation Zygapophyseal Joint Medicine (miscellaneous) Physical Therapy Sports Therapy and Rehabilitation Diagnostic accuracy Single-photon emission computed tomography 03 medical and health sciences 0302 clinical medicine Lumbar medicine Orthopedics and Sports Medicine 0305 other medical science business Nuclear medicine Prospective cohort study Reference standards 030217 neurology & neurosurgery |
| Zdroj: | Current Physical Medicine and Rehabilitation Reports. 7:362-370 |
| ISSN: | 2167-4833 |
| Popis: | To determine the accuracy of Tc-99m methylenediphosphonate single photon emission computed tomography (SPECT/CT) for the diagnosis of lumbar zygapophyseal joint-related pain with dual medial branch block (> 70% threshold) as the reference standard. To date, the accuracy of SPECT/CT for the diagnosis of lumbar zygapophyseal joint pain has not been systematically reviewed. One study met inclusion criteria. A prospective cohort study of 35 patients reported a prevalence of 24% (95% CI 9.0–40.0%) using dual medial branch blocks (MBBs) as the means of diagnosis and found that SPECT/CT had a sensitivity of 0.57 (95% CI 0.18–0.90), specificity of 0.77 (95% CI 0.55–0.92), LR+ of 2.51 (95% CI 0.92–6.85), and LR− of 0.55 (95% CI 0.23–1.34). According to OCEBM 2011 guidelines, the evidence is rated as level 3. More research is needed to determine the accuracy of SPECT/CT for the diagnosis of Z-joint pain, as technological improvement and interpretation could potentially improve overall diagnostic accuracy and reduce associated costs. |
| Databáze: | OpenAIRE |
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