RT Journal Article
T1 Semi-quantitative grading and extended semi-quantitative grading for osteoporotic vertebral deformity: a radiographic image database for education and calibration.
A1 Wáng, Yì Xiáng J
A1 Diacinti, Daniele
A1 Yu, Wei
A1 Cheng, Xiao-Guang
A1 Nogueira-Barbosa, Marcello H
A1 Che-Nordin, Nazmi
A1 Guglielmi, Giuseppe
A1 Ruiz Santiago, Fernando
K1 Osteoporosis
K1 grading
K1 osteoporotic vertebral deformity (OVD)
K1 osteoporotic vertebral fracture
K1 spine
AB The Genant's semi-quantitative (GSQ) criteria is currently the most used approach in epidemiology studies and clinical trials for osteoporotic vertebral deformity (OVD) evaluation with radiograph. The qualitative diagnosis with radiological knowledge helps to minimize false positive readings. However, unless there is a face-to-face training with experienced readers, it can be difficult to apply GSQ criteria by only reading the text description of Genant et al. (in 1993), even for a musculoskeletal radiologist. We propose an expanded semi-quantitative (eSQ) OVD classification with the following features: (I) GSQ grade-0.5 is noted as minimal grade (eSQ grade-1) for OVDs with height loss 25%-1/3 height loss) and eSQ grade-4 (moderately-severe, >1/3-40% height loss); (IV) GSQ severe grade is subdivided into eSQ grade-5 (severe, >40%-2/3 height loss) and eSQ grade-6 (collapsed, with >2/3 height loss). We advocate to estimate vertebral height loss with adjacent vertebral heights as the reference (rather than using individual vertebra's posterior height as the reference). This article presents radiographs of 36 cases with OVD, together with gradings using GSQ criteria and eSQ criteria. The examples in this article can serve as teaching material or calibration database for readers who will use GSQ criteria or eSQ criteria. Our approach for quantitative measurement is explained graphically.
SN 2305-5839
YR 2020
FD 2020
LK https://hdl.handle.net/10668/26473
UL https://hdl.handle.net/10668/26473
LA en
DS RISalud
RD Apr 17, 2025