Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Patellar Tendon Yüksekliğini Değerlendirmede Insall-Salvati İndeksini Kullanarak Radyografi, Bilgisayarlı Tomografi ve Manyetik Rezonans Görüntülemenin Etkinliğinin Araştırılması: Retrospektif Çalışma
Investigation of the Effectiveness of Radiography, Computer Tomography and Magnetic Resonance Imaging Using the Insall-Salvati Index in Evaluation of Patellar Tendon Height: A Retrospective Study
Zeynep KESKİNa, Muhammet Zeki GÜLTEKİNb, Suat KESKİNc
aKonya Şehir Hastanesi, Radyoloji Kliniği, Konya, Türkiye
bKonya Şehir Hastanesi, Ortopedi Kliniği, Konya, Türkiye
cKTO Karatay Üniversitesi Tıp Fakültesi, Radyoloji ABD, Konya, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(1):90-5
doi: 10.5336/medsci.2022-92158
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, patellar uzunluk oranını değerlendirmede Insall-Salvati indeksini kullanarak radyografi, bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRG) gibi radyolojik modalitelerin etkinliği ve aralarındaki korelasyonun derecesini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Konya Şehir Hastanesi Radyoloji Kliniğinin otomasyon veri bankasında mevcut olan diğer kliniklerden Ocak-Aralık 2021 tarihleri arasında herhangi bir nedenle gönderilmiş hastaların diz radyografisi, BT'si ve MRG'leri retrospektif olarak incelendi. Çalışmaya 53'ü kadın ve 44'ü erkek olmak üzere 97 hastada toplam 100 diz incelemesi dâhil edildi. Birbirinden bağımsız 2 farklı radyolog tarafından lateral radyografiler, BT ve MR görüntüleri ayrı ayrı değerlendirildi. Her iki radyolog birbirlerinin ölçümlerinden haberdar değildi ve farklı zamanlarda ölçümler gerçekleştirildi. Her üç modalitede ölçümler görüntü arşivleme ve iletişim sistemleri içerisindeki cm cinsinden ölçüm cetveli kullanılarak yapıldı. Elde olunan parametreler Insall-Salvati indeksini belirlemek için kullanıldı. Bu indeksi hesaplamak için patellar uzunluk ve patellar tendon yüksekliği ölçüldü. Bulgular: Çalışmamızda radyografi/BT, radyografi/MRG ve BT/MRG karşılaştırmalarında anlamlı sonuçlar elde olundu (p <0,001, p=0,023, p=0,001). Çalışmamızda radyografi, BT ve MRG ölçümlerinde interobserver sınıf içi korelasyon katsayısı [intra-class correlation coefficient (ICC)] güvenilirlilik değeri yüksek olarak bulunmuştur (0,968, 0,973, 0,963). Sonuç: Sonuç olarak bu çalışmada, patellar uzunluk oranını değerlendirmede Insall-Slavati oranı kullanılarak inter-observer ve intra-observer/inter-metot karşılaştırması yapılarak tüm karşılaştırmalarda yüksek ICC güvenilirlilik değerleri elde olunmuştur.

Anahtar Kelimeler: Insall-Salvati indeks; radyografi; bilgisayarlı tomografi; manyetik rezonans görüntüleme
ABSTRACT
 Objective: In this study, we aimed to evaluate the effectiveness of radiological modalities such as radiography, computed tomography (CT) and magnetic resonance imaging (MRI) and the degree of correlation between them by using the Insall-Salvati index to evaluate patellar height ratio. Material and Methods: Knee radiography, CT and MRI of the patients who were sent for any reason from other clinics available in the automation database of the Konya City Hospital Radiology Clinic between January and December 2021 were retrospectively analyzed. A total of 100 knee examinations in 97 patients, 53 female and 44 male, were included in the study. Lateral radiographs, CT and MRI were evaluated separately by 2 independent radiologists. Both radiologists were unaware of each other's measurements and measurements were performed at different times. Measurements in all three modalities were made using the measurement ruler in centimeters in the picture archiving and communication system system. Obtained parameters were used to determine the Insall-Salvati index. Patellar height and Patellar tendon height were measured to calculate this index. Results: In our study, significant results were obtained in radiography/CT, radiography/MRI, and CT/MRI comparisons (p<0.001, p=0.023, p=0.001). In our study, the reliability of the interobserver intra-class correlation coefficient (ICC) in radiography, CT and MRI measurements was found to be excellent (0.968, 0.973, 0.963). Conclusion: As a result, in this study, excellent ICC reliability values were obtained in all comparisons by comparing the inter-observer andintra-observer/inter-methods by using the Insall-Salvati ratio to evaluate the patellar height ratio.

Keywords: Insall-Salvati index; radiography; computed tomography; magnetic resonance imaging
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