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  1. 福島医学会
  2. Fukushima Journal of Medical Science
  3. Vol.67 (2021)

Associations between clinical neck symptoms and various evaluations ofcervical intervertebral disc degeneration by magnetic resonance imaging

https://fmu.repo.nii.ac.jp/records/2002028
https://fmu.repo.nii.ac.jp/records/2002028
decf2531-b1ae-4c08-8c47-81acbfaf3586
名前 / ファイル ライセンス アクション
FksmJMedSci_67_p107.pdf FksmJMedSci_67_p107.pdf (495.8 KB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2021-12-23
タイトル
タイトル Associations between clinical neck symptoms and various evaluations ofcervical intervertebral disc degeneration by magnetic resonance imaging
言語 en
作成者 Otaki, Haruka

× Otaki, Haruka

en Otaki, Haruka

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Otani, Koji

× Otani, Koji

en Otani, Koji

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Watanabe, Takehiro

× Watanabe, Takehiro

en Watanabe, Takehiro

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Sekiguchi, Miho

× Sekiguchi, Miho

en Sekiguchi, Miho

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Konno, Shin-Ichi

× Konno, Shin-Ichi

en Konno, Shin-Ichi

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権利情報
権利情報Resource https://creativecommons.org/licenses/by-nc-sa/4.0/
権利情報 © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
内容記述
内容記述タイプ Abstract
内容記述 Purpose: Magnetic resonance imaging (MRI) is widely used to evaluate intervertebral disc degeneration. Recently, various evaluations of cervical disc degeneration using MRI have been conducted, but there is no gold standard. The purpose of this study was to compare the reproducibilities of previously reported classifications for evaluating cervical disc degeneration by MRI and their associations with clinical symptoms. Participants and methods: A total of 582 subjects underwent conventional MRI of the cervical spine. Disc degeneration was assessed in each intervertebral disc from C2/3 to C7/T1 using five different classifications: Matsumoto's grading system, Miyazaki's grading system, Nakashima's grading system, Jacobs' grading system, and Suzuki's grading system. MR images of 30 participants were used, and Cohen's kappa coefficient of agreement of each classification was calculated for intra-observer and inter-observer reliabilities. These five classifications of disc degeneration and changes of vertebral endplates were measured, and associations with clinical symptoms were assessed. Results: Kappa (κ) values of intra-observer agreement were higher for Jacobs' classification, whereas those of inter-observer agreement were higher for Nakashima's and Jacobs' classifications than for other classifications. The prevalences of neck pain and shoulder stiffness were 27.4% and 41.9%, respectively. There were no associations for any classifications of disc degeneration and Modic types with neck pain or shoulder stiffness. Only the presence of Schmorl's nodes was associated with neck pain. Conclusion: At present, there is no specific classification for cervical disc degeneration associated with clinical symptoms. Vertebral endplate changes might be associated with clinical symptoms. It may be necessary to create a new classification for better reproducibility of the evaluation of cervical disc degeneration.
出版者
出版者 The Fukushima Society of Medical Science
言語
言語 eng
書誌情報 en : Fukushima Journal of Medical Science

巻 67, 号 3, p. 107-118, 発行日 2021
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.5387/fms.2021-20
関連情報
識別子タイプ PMID
関連識別子 34803082
関連情報
識別子タイプ ICHUSHI
関連識別子 2023054393
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0016-2590
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2185-4610
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA0065246X
主題
主題Scheme Other
主題 cross-sectional study
主題
主題Scheme Other
主題 disc degeneration
主題
主題Scheme Other
主題 cervical spine
主題
主題Scheme Other
主題 magnetic resonance imaging (MRI)
主題
主題Scheme Other
主題 intra-observer and inter-observer agreements
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