Evidence map›Paper›PMID 30170388›Full record

ArticleMedicine2018

Clinical interest of quantitative bone SPECT-CT in the preoperative assessment of knee osteoarthritis.

Romain De Laroche, Erwan Simon, Nicolas Suignard, Thomas Williams, Marc-Pierre Henry, Philippe Robin, Ronan Abgral, David Bourhis, Pierre-Yves Salaun, Frédéric Dubrana and 1 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. EANM practice guideline for quantitative SPECT-CT.European journal of nuclear medicine and molecular imaging · 2023
    Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Quantification of [EJNMMI research · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Feasibility of dual-phaseQuantitative imaging in medicine and surgery · 2021
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Romain De LarocheNuclear Medicine Department, University Hospital Morvan, Brest Cedex Orthopedic Surgery Department, Private Hospital of "La Baie", La vierge noire, Morlaix Orthopedic Surgery Department, University Hospital Cavale Blanche, Boulevard Tanguy Prigent, Brest Cedex EA 3878 GETBO IFR 148, Brest University of Bretagne Occidentale, France.
Erwan Simon
Nicolas Suignard
Thomas Williams
Marc-Pierre Henry
Philippe Robin
Ronan Abgral
David Bourhis
Pierre-Yves Salaun
Frédéric Dubrana
Solène Querellou
Université de Bretagne Occidentale · FRHôpital Maison Blanche · FRCentre Hospitalier des Pays de Morlaix · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to evaluate the interest of quantitative bone SPECT-CT in the preoperative assessment of knee osteoarthritis (OA) before unicompartmental knee arthroplasty (UKA).Patients eligible for UKA were prospectively included in 2 centers and underwent a preoperative SPECT-CT. Images were reconstructed with an OSEM, an OSCGM (allowing SUV quantification) and an enhanced OSCGM (containing uptakes to bones) algorithms. Visual analysis and quantification (SUVmax) were performed for each compartment (medial compartment [MC], lateral compartment [LC], and patellofemoral compartment [PFC]). Clinical data were preoperatively assessed. The gold standard was the per-operative OA staging (International Cartilage Repair Society [ICRS] scale). Spearman's correlation coefficient was used for correlations. Sensitivity (Se), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), and accuracy of SPECT-CT were assessed.One hundred three patients (50 women, 53 men, mean age = 64.5 ± 10.3 y/o, 120 preoperative knees) were analyzed. There was no correlation between SUVmax and clinical data. There was a correlation between ICRS staging and SUVmax with both OSCGM (MC [rs = 0.25], LC [rs = 0.51], and PFC [rs = 0.27]), and enhanced OSCGM, except in the PFC (MC [rs = 0.22], LC [rs = 0.62], and PFC [rs = 0.03]). The Se, Sp, PPV, NPV, and accuracy of SPECT-CT were, respectively, 0.99, 0.67, 0.98, 0.80, 0.97 for the MC; 0.50, 0.85, 0.42, 0.89, 0.79 for the LC; and 0.23, 0.86, 0.50, 0.64, 0.62 for the PFC.Bone SPECT-CT SUVmax is correlated with per-operative OA staging. Despite the low sensitivity of SPECT-CT in the LC, its high specificity in the LC should prompt the surgeon to be vigilant before UKA surgery.

Indexed as

AgedArthroplasty, Replacement, KneeCartilage, ArticularFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneePredictive Value of TestsPreoperative CarePreoperative PeriodSensitivity and SpecificitySingle Photon Emission Computed Tomography Computed TomographyStatistics, Nonparametric

Identifiers

PMID30170388
PMCPMC6393116
OpenAlexW2889528229

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.