DIAGNOSTIC-ACCURACY AND CLINICAL UTILITY OF THERMOGRAPHY FOR LUMBAR RADICULOPATHY - A METAANALYSIS

被引：33

作者：

HOFFMAN, RM

KENT, DL

DEYO, RA

机构：

[1] Medical Service, Health Services Research, Seattle Veterans Affairs Medical Center, Seattle, WA

[2] Departments of Medicine and Health Services, University of Washington, Seattle, WA

来源：

SPINE | 1991年 / 16卷 / 06期

关键词：

THERMOGRAPHY; LUMBAR RADICULOPATHY; SCIATICA; TECHNOLOGY ASSESSMENT; METAANALYSIS;

D O I：

10.1097/00007632-199106000-00005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and metanalysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore meaningful pooled summary statistics could not be reported. Twenty-seven studies had major methodologic flaws including biased test interpretations, faulty cohort assembly, poor clinical descriptions, and small sample size. The only study of reasonably high quality found no discriminant value for liquid-crystal thermography. The role of thermography remains unclear. Rigorous clinical research is required to establish its diagnostic accuracy and clinical utility. Thermography cannot be recommended currently for routine clinical use in evaluating low-back pain.

引用

页码：623 / 628

页数：6

共 118 条

[1]

Abernathy M., Abernathy T.B., International bibliography of medical thermology, Thermology, 2, pp. 234-259, (1987)

[2]

Abernathy M., Dagi T., Haberman J., Luessenhop A., Uematsu S., The evaluation of low back pain by infrared imaging: A prospective, multicenter study, Thermology, 2, (1986)

[3]

Abraham E.A., Thermography: Uses and abuses, Contemp Orthop, 8, pp. 95-99, (1984)

[4]

Standards for neuromuscular thermography, J Acad Neuromuscular Thermogr, 1, pp. 9-11, (1989)

[5]

Guidelines and indications for neuromuscular thermography, J Acad Neuromuscular Thermogr, 1, pp. 7-8, (1989)

[6]

Adams W.J., Lloyd J.T., Empirical Evaluation of the Chronic Pain Diagnosis, pp. 86-89, (1986)

[7]

Adatto K.N., Phillips S.I., Manale B.L., Et al., CT and thermogram, a comparison of 91 patients, Orthop Trans, 9, pp. 215-216, (1985)

[8]

Adatto K.N., Phillips S.I., Manale B.L., Et al., Thermography & Computed Tomography in Evaluation of Lumbar Disc Disease, Medical Thermology, pp. 170-174, (1986)

[9]

Albert S.M., Glickman M., Kallish M., Thermography in orthopedics, Ann N Y Acad Sci, 121, pp. 157-170, (1964)

[10]

Assessment: Thermography in neurological practice, Neurology, 40, pp. 523-525, (1990)

← 1 2 3 4 5 6 7 8 9 10 →