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{"title"=>"Imaging non-specific wrist pain: Interobserver agreement and diagnostic accuracy of SPECT/CT, MRI, CT, bone scan and plain radiographs", "type"=>"journal", "authors"=>[{"first_name"=>"Martin W.", "last_name"=>"Huellner", "scopus_author_id"=>"24461743300"}, {"first_name"=>"Alexander", "last_name"=>"Bur̈kert", "scopus_author_id"=>"54886288800"}, {"first_name"=>"Klaus", "last_name"=>"Strobel", "scopus_author_id"=>"55228443400"}, {"first_name"=>"María Del Sol", "last_name"=>"Pérez Lago", "scopus_author_id"=>"21234229900"}, {"first_name"=>"Lennart", "last_name"=>"Werner", "scopus_author_id"=>"56027422500"}, {"first_name"=>"Urs", "last_name"=>"Hug", "scopus_author_id"=>"55908343200"}, {"first_name"=>"Urs", "last_name"=>"Von Wartburg", "scopus_author_id"=>"6602476286"}, {"first_name"=>"Burkhardt", "last_name"=>"Seifert", "scopus_author_id"=>"35433051300"}, {"first_name"=>"Patrick", "last_name"=>"Veit-Haibach", "scopus_author_id"=>"16418097000"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24386468", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0085359", "issn"=>"19326203", "scopus"=>"2-s2.0-84893572331", "pui"=>"372325110", "sgr"=>"84893572331"}, "id"=>"c0f94678-619f-3e5f-8da3-2dbf4cad3040", "abstract"=>"PURPOSE: Chronic hand and wrist pain is a common clinical issue for orthopaedic surgeons and rheumatologists. The purpose of this study was 1. To analyze the interobserver agreement of SPECT/CT, MRI, CT, bone scan and plain radiographs in patients with non-specific pain of the hand and wrist, and 2. to assess the diagnostic accuracy of these imaging methods in this selected patient population.\\n\\nMATERIALS AND METHODS: Thirty-two consecutive patients with non-specific pain of the hand or wrist were evaluated retrospectively. All patients had been imaged by plain radiographs, planar early-phase imaging (bone scan), late-phase imaging (SPECT/CT including bone scan and CT), and MRI. Two experienced and two inexperienced readers analyzed the images with a standardized read-out protocol. Reading criteria were lesion detection and localisation, type and etiology of the underlying pathology. Diagnostic accuracy and interobserver agreement were determined for all readers and imaging modalities.\\n\\nRESULTS: The most accurate modality for experienced readers was SPECT/CT (accuracy 77%), followed by MRI (56%). The best performing, though little accurate modality for inexperienced readers was also SPECT/CT (44%), followed by MRI and bone scan (38% each). The interobserver agreement of experienced readers was generally high in SPECT/CT concerning lesion detection (kappa 0.93, MRI 0.72), localisation (kappa 0.91, MRI 0.75) and etiology (kappa 0.85, MRI 0.74), while MRI yielded better results on typification of lesions (kappa 0.75, SPECT/CT 0.69). There was poor agreement between experienced and inexperienced readers in SPECT/CT and MRI.\\n\\nCONCLUSIONS: SPECT/CT proved to be the most helpful imaging modality in patients with non-specific wrist pain. The method was found reliable, providing high interobserver agreement, being outperformed by MRI only concerning the typification of lesions. We believe it is beneficial to integrate SPECT/CT into the diagnostic imaging algorithm of chronic wrist pain.", "link"=>"http://www.mendeley.com/research/imaging-nonspecific-wrist-pain-interobserver-agreement-diagnostic-accuracy-spectct-mri-ct-bone-scan", "reader_count"=>17, "reader_count_by_academic_status"=>{"Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1, "Student > Postgraduate"=>1}, "reader_count_by_user_role"=>{"Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1, "Student > Postgraduate"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Medicine and Dentistry"=>14, "Agricultural and Biological Sciences"=>1, "Sports and Recreations"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>4}

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• http://doi.org/10.1007/s00259-019-04404-6
• http://doi.org/10.1007/s00259-016-3415-4
• http://doi.org/10.1177/1558944716677538
• http://doi.org/10.1177/1558944717695752
• http://doi.org/10.1259/bjr.20170635
• http://doi.org/10.1186/s41824-017-0020-0
• http://doi.org/10.1371/journal.pone.0117583
• http://doi.org/10.1007/s00259-015-3151-1
• http://doi.org/10.1186/s13550-018-0367-7
• http://doi.org/10.2174/1874434601711010211

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Figshare

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Relative Metric

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F1000Prime