Inflammatory sacroiliac joint pathology: evaluation of radiologic assessment techniques.
Humans; Sensitivity and Specificity; False Positive Reactions; Tomography; Osteoarthritis/diagnosis/diagnostic imaging/*pathology; Sacroiliac Joint/*diagnostic imaging/*pathology; X-Ray Computed; X-Ray
Recognition of sacroiliac disease has been integral to arthritis diagnostic approaches. However, intra- and inter-observer variation have been recognized as limiting factors in radiologic assessment of the sacroiliac joint. The assumption that such irregularly shaped joints can be radiologically assessed of the sacroiliac joint. The assumption that such irregularly shaped joints can be radiologically assessed has not actually been rigorously evaluated. Direct arthroscopic visualization of the joints was therefore used as a standard against which to assess the validity of routine radiologic views, stereo-radiology, tomography and computed tomography, in the analysis of a group of sacroiliac joints drawn from the Todd Collection (Cleveland Museum of Natural History). The most sensitive techniques for the recognition of erosions or fusion are 15 degree angulation and stereo, but the frequency of false positives makes the technique of questionable clinical utility. While sensitivity for joint space narrowing is high with several techniques (30 degree anterior-posterior or posterior-anterior projections and tomograms), specificity is still poor, with a high rate of false positives. Fulfillment of the New York Criteria for sacroiliac disease is especially insensitive and non-specific. Radiologic techniques therefore have major limitations for the assessment of sacroiliac disease and greater reliance on clinical acumen is required for patient categorization.
Rothschild B M; Poteat G B; Williams E; Crawford W L
Clinical and experimental rheumatology
1994
1994-06
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SONOGRAPHY IN ACUTE PELVIC INFLAMMATORY DISEASE
Obstetrics & Gynecology
Spirtos N J; Bernstine R L; Crawford W L; Fayle J
Journal of Reproductive Medicine
1982
1982
Journal Article
n/a
SONOGRAPHIC EVALUATION OF THE INCOMPETENT CERVIX
Acoustics; Radiology; Nuclear Medicine & Medical Imaging
Bernstine R L; Lee S H; Crawford W L; Shimek M P
Journal of Clinical Ultrasound
1981
1981
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1002/jcu.1870090804" target="_blank" rel="noreferrer noopener">10.1002/jcu.1870090804</a>
Ultrasonic Sonography In The Management Of Incomplete Abortion
Obstetrics & Gynecology
Jeong W G; Kim C H; Bernstine R L; Crawford W L
Journal of Reproductive Medicine
1981
1981
Journal Article or Conference Abstract Publication
n/a