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Erschienen in: Skeletal Radiology 9/2007

01.09.2007 | Scientific Article

Computer-aided joint space analysis of the metacarpal-phalangeal and proximal-interphalangeal finger joint: normative age-related and gender-specific data

verfasst von: Alexander Pfeil, Joachim Böttcher, Bettina E. Seidl, Jens-Peter Heyne, Alexander Petrovitch, Torsten Eidner, Hans-Joachim Mentzel, Gunter Wolf, Gert Hein, Werner A. Kaiser

Erschienen in: Skeletal Radiology | Ausgabe 9/2007

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Abstract

Purpose

The purpose of the study was to provide reference data for computer-aided joint space analysis based on a semi-automated and computer-aided diagnostic system for the measurement of metacarpal-phalangeal and proximal-interphalangeal finger joint widths; additionally, the determination of sex differences and the investigation of changes in joint width with age were evaluated.

Patients and methods

Eighty hundred and sixty-nine patients (351 female and 518 male) received radiographs of the hand for trauma and were screened for a host of conditions known to affect the joint spaces. All participants underwent measurements of joint space distances at the metacarpal-phalangeal articulation (JSD-MCP) from the thumb to the small finger and at the proximal-interphalangeal articulation (JSD-PIP) from the index finger to the small finger using computer-aided diagnosis technology with semi-automated edge detection.

Results

The study revealed an annual narrowing of the JSD of 0.6% for the JSD-MCP and for the JSD-PIP. Furthermore, the data demonstrated a notable age-related decrease in JSD, including an accentuated age-related joint space narrowing in women for both articulations. Additionally, males showed a significantly wider JSD-MCP (+11.1%) and JSD-PIP (+15.4%) compared with the female cohort in all age groups.

Conclusion

Our data presented gender-specific and age-related normative reference values for computer-aided joint space analysis of the JSD-MCP and JSD-PIP that could be used to identify disease-related joint space narrowing, particularly in patients with osteoarthritis and rheumatoid arthritis commonly involving the peripheral small hand joints.
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Metadaten
Titel
Computer-aided joint space analysis of the metacarpal-phalangeal and proximal-interphalangeal finger joint: normative age-related and gender-specific data
verfasst von
Alexander Pfeil
Joachim Böttcher
Bettina E. Seidl
Jens-Peter Heyne
Alexander Petrovitch
Torsten Eidner
Hans-Joachim Mentzel
Gunter Wolf
Gert Hein
Werner A. Kaiser
Publikationsdatum
01.09.2007
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 9/2007
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-007-0304-8

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