Valor diagnóstico de la SPECT/TAC cuantitativa en la evaluación de la sacroilitis activa de pacientes con espondilartritis axial y/o dolor lumbar inflamatorio

  1. Ornilla, E. 1
  2. Sancho, L. 2
  3. Beorlegui, C.
  4. Ribelles, M.J. 2
  5. Aquerreta, D. 3
  6. Prieto, E. 2
  7. Bondia, J.M. 3
  8. Cuadrado, M.J. 1
  9. Richter, J.Á. 2
  1. 1 Servicio de Reumatología. Clínica Universidad de Navarra. Pamplona. España.
  2. 2 Servicio de Medicina Nuclear. Clínica Universidad de Navarra. Pamplona. España.
  3. 3 Servicio de Radiología. Clínica Universidad de Navarra. Pamplona. España.
Erakutsi afiliazioak +
Aldizkaria:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Argitalpen urtea: 2022

Alea: 45

Zenbakia: 1

Orrialdeak: 8-8

Mota: Artikulua

DOI: 10.23938/ASSN.0953 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Anales del sistema sanitario de Navarra

Garapen Iraunkorreko Helburuak

Laburpena

Fundamento. La precisión diagnóstica de la gammagrafía ósea (GO) aumenta con las imágenes SPECT/TAC haciendo conveniente reevaluar su utilidad diagnóstica en la sacroilitis de la espondiloartritis axial (EA). El objetivo fue comparar el rendimiento diagnóstico de la resonancia magnética (RM), la SPECT/TC y ambas pruebas combinadas, y evaluar la correlación entre los índices cuantitativos de ambas técnicas. Métodos. A 31 pacientes con EA activa y 22 con lumbalgia inflamatoria se les realizó una RM y una SPECT/TC de las articulaciones sacroilíacas y se calculó la precisión diagnóstica de ambas técnicas respecto al diagnóstico clínico. La correlación entre ambas pruebas se calculó comparando los índices de actividad del SPECT/TC con los sistemas de puntuación Berlín y SPARCC de RM. Resultados. Los valores de sensibilidad y especificidad de la SPECT/TC cuantitativa, tomando como punto de corte el cociente sacroilíaca/promontorio >1,36, fueron similares a los publicados para la RM. La combinación de ambas técnicas aumentó la sensibilidad manteniendo una alta especificidad. La correlación entre las escalas totales de RM y SPECT/TC fue moderada y mejoraba al utilizar únicamente las escalas de inflamación.

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