Jiaan Zhu1, Bing Li1, Li Qiu2, Hongmei Liu3, Mi Zhang1, Yuexiang Wang4, Ping Wang5, Dan Jiao6, Tao Chen7, Xueling Liu8, Ligang Cui9, Yong Shan10, Baoming Luo11, Ning Lin12, Xing Hua13, Zhenlong Hu14, Yue Hu1, Bin Tu15, Yuanyi Zheng16, Shuqiang Chen17, Shiliang Xu18, Jianying Mao19, Weiyong Liu20, Minghui Xiang21, Jia Li22, Jian Chen23, Yuanjiao Tang2, Siming Chen4, Yanni He3, Ting Dai6, Shumin Zhang7, Yuanyuan Zhang9, Mingdi Fang10, Shaoyun Hao11, Xiaoyan Lin12, Xiuzhen He15, Bo Bao18, Zhanguo Xi24, Xiaojing Peng25, Qunxia Zhang26, Guoqing Du27. 1. Department of Ultrasound, Peking University People's Hospital, Beijing 100044, China. 2. Department of Ultrasound, Sichuan University West China Hospital, Chengdu 610041, China. 3. Department of Ultrasound, Guangdong Second Provincial General Hospital, Guangzhou 510317, China. 4. Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing 100853, China. 5. Department of Ultrasound, Third Affiliated Hospital of Southern Medical University, Guangzhou 510000, China. 6. Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun 130033, China. 7. Department of Ultrasound, Beijing Jishuitan Hospital, Beijing 100009, China. 8. Department of Ultrasound, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China. 9. Department of Ultrasound, Peking University Third Hospital, Beijing 100191, China. 10. Department of Ultrasound, The Second Hospital of Anhui Medical University, Hefei 230601, China. 11. Department of Ultrasound, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China. 12. Department of Ultrasound, Fujian Provincial Hospital, Fuzhou 350001, China. 13. Department of Ultrasound, The First Hospital Affiliated to Army Medical University (Southwest Hospital), Chongqing 400038, China. 14. Department of Ultrasound, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 210620, China. 15. Department of Ultrasound, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China. 16. Department of Ultrasound, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China. 17. Department of Ultrasound, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China. 18. Department of Ultrasound, Haikou People's Hospital, Haikou 570208, China. 19. Department of Ultrasound, Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 200052, China. 20. Department of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230036, China. 21. Department of Ultrasound, Central Hospital Affiliated to Shenyang Medical College, Shenyang 110027, China. 22. Department of Ultrasound, Zhongda Hospital Southeast University, Nanjing 210009, China. 23. Department of Ultrasound, Yan'an Hospital of Kunming City, Kunming 650051, China. 24. Department of Ultrasound, Luoyang Orthopedic-Traumatological Hospital of Henan Province, Luoyang 471000, China. 25. Department of Ultrasound, Jiangsu Province Hospital, Nanjing 210029, China. 26. Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400065, China. 27. Department of Ultrasound, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
Abstract
BACKGROUND: Although plain radiology is the primary method for assessing joint space width (JSW), it has poor sensitivity to change over time in regards to determining longitudinal progression. We, therefore, developed a new ultrasound (US) measurement method of knee JSW and aimed to provide a monitoring method for the change of JSW in the future. METHODS: A multicenter study was promoted by the Professional Committee of Musculoskeletal Ultrasound, the Ultrasound Society, and the Chinese Medical Doctor Association. US study of knee specimens determined the landmarks for ultrasonic measurement of knee JSW. The US of 1,272 participants from 27 centers was performed to discuss the feasibility and possible influencing factors of knee JSW. The landmarks for US measurement of knee JS, the inflection point of medial femoral epicondyle and the proximal end of the tibia, were determined. RESULTS: The mean knee JSW1 (medial knee JSW) was 8.57±1.95 mm in females and 9.52±2.31 mm in males. The mean knee JSW2 (the near medial knee JSW) was 9.07±2.24 mm in females and 10.17±2.35 mm in males. The JSW values of males were significantly higher than those of females, with a statistical difference. JSW values were negatively correlated with age and body mass index (BMI) to different degrees and positively correlated with height. CONCLUSIONS: The novel US measurement method can be used to measure knee JSW. 2020 Quantitative Imaging in Medicine and Surgery. All rights reserved.
BACKGROUND: Although plain radiology is the primary method for assessing joint space width (JSW), it has poor sensitivity to change over time in regards to determining longitudinal progression. We, therefore, developed a new ultrasound (US) measurement method of knee JSW and aimed to provide a monitoring method for the change of JSW in the future. METHODS: A multicenter study was promoted by the Professional Committee of Musculoskeletal Ultrasound, the Ultrasound Society, and the Chinese Medical Doctor Association. US study of knee specimens determined the landmarks for ultrasonic measurement of knee JSW. The US of 1,272 participants from 27 centers was performed to discuss the feasibility and possible influencing factors of knee JSW. The landmarks for US measurement of knee JS, the inflection point of medial femoral epicondyle and the proximal end of the tibia, were determined. RESULTS: The mean knee JSW1 (medial knee JSW) was 8.57±1.95 mm in females and 9.52±2.31 mm in males. The mean knee JSW2 (the near medial knee JSW) was 9.07±2.24 mm in females and 10.17±2.35 mm in males. The JSW values of males were significantly higher than those of females, with a statistical difference. JSW values were negatively correlated with age and body mass index (BMI) to different degrees and positively correlated with height. CONCLUSIONS: The novel US measurement method can be used to measure knee JSW. 2020 Quantitative Imaging in Medicine and Surgery. All rights reserved.
Entities:
Keywords:
Ultrasound (US); joint space width (JSW); knee
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