Vrijednost multidetektorske kompjutorizirane tomografije orbita u određivanju stupnja protruzije bulbusa u usporedbi s Hertelovom egzoftalmometrijom
| Autor: | Igor Đorić, Miloš Žarković, Zoran Radojičić, Nikola Repac, Aleksandar Janićijević, Krešimir Rotim, Goran Tasić, Lukas Rasulić |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
fungi
Gravesova oftalmopatija – slikovna dijagnostika Orbita – slikovna dijagnostika Tomografija kompjutorizirana multidetektorska Egzoftalmus – dijagnostika Presječne studije Graves ophthalmopathy – diagnostic imaging Orbit – diagnostic imaging Multidetector computed tomography Exophthalmos – diagnosis Cross-sectional studies eye diseases |
| Zdroj: | Acta clinica Croatica Volume 56. Issue 1. |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | The use of multidetector computed tomography (MDCT) is an integral part of contemporary diagnostics of Graves‘ orbitopathy. Th e aim of this study was to assess proptosis measurement by MDCT and to compare it to the current standard, Hertel exophthalmometry. A crosssectional study was conducted at the Clinical Centre of Serbia and included 91 patients (19 male and 72 female) with verified Graves‘ orbitopathy. Globe protrusion measured by MDCT (globe protrusion, GPR) was correlated to Hertel measured protrusion (HR). Th ere was no constant or any systematic bias between the two methods. GPR significantly correlated with the best-corrected visual acuity, while HR did not. Age, body mass index and duration of the disease did not influence proptosis measurement by either method. Proptosis was significantly larger in males. According to our results, GPR compared to HR provides better assessment of the protrusion in Graves‘ disease. GPR measurement is simple and should always be part of the radiological assessment of orbits in Graves‘ disease. Korištenje multidetektorske kompjutorizirane tomografije (MDCT) je sastavni dio suvremene dijagnostike Gravesove orbitopatije. Cilj ovoga istraživanja bio je ispitati mjerenje stupnja protruzije bulbusa pomoću MDCT i to usporediti s trenutnim standardom, Hertelovom egzoftalmometrijom. Presječno istraživanje je provedeno na Kliničkom centru Srbije, a uključilo je 91 bolesnika (19 muškaraca i 72 žene) s provjerenom Gravesovom orbitopatijom. Stupanj protruzije bulbusa mjeren pomoću MDCT (globe protrusion, GPR) je povezan s izmjerenim stupnjem protruzije bulbusa prema Hertelu (HR). Nije bilo stalne ili sustavne pristranosti između dviju metoda. GPR je bio značajno povezan s najbolje korigiranom oštrinom vida, a HR nije. Dob, indeks tjelesne mase i trajanje bolesti ne utječu na mjerenje stupnja protruzije bulbusa bilo kojim postupkom. Stupanj protruzije bulbusa bio je značajno veći u muškaraca. Prema našim rezultatima, GPR u odnosu na HR omogućuje bolju procjenu stupnja protruzije bulbusa kod Gravesove orbitopatije. Mjerenje GPR je jednostavno i treba uvijek biti dio radiološke procjene orbite kod Gravesove orbitopatije. |
| Databáze: | OpenAIRE |
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