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Published in: Journal of Digital Imaging 1/2008

01-10-2008

Normative Reference Values of Joint Space Width Estimated by Computer-aided Joint Space Analysis (CAJSA): The Distal Interphalangeal Joint

Authors: Alexander Pfeil, Joachim Böttcher, Max L. Schäfer, Bettina E. Seidl, Mirco Schmidt, Alexander Petrovitch, Jens-Peter Heyne, Gabriele Lehmann, Peter Oelzner, Gert Hein, Gunter Wolf, Werner A. Kaiser

Published in: Journal of Imaging Informatics in Medicine | Special Issue 1/2008

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Abstract

Purpose

The study introduces reference data for a computer-aided analysis. The semiautomated computer-aided diagnostic system provides the estimation of joint space width at the distal interphalangeal joints, considering gender-specific and age-related changes.

Patients and methods

869 subjects (351 female/518 male) with hand x-rays were included and underwent measurements of joint space distances at the distal interphalangeal articulation (JSD-DIP) of the second to the fifth finger using computer-aided joint space analysis (CAJSA).

Results

Data showed a notable age-related decrease of CAJSA parameters, and an accentuated age-related joint space narrowing in women. Males showed a significantly wider JSD-DIP (+ 16.7%) compared to the female cohort for all age groups. Both men and women revealed an accentuated decrease of JSD-DIP (total) in the age group from 10 to 15 years (for men 10.5% and for women 17.6%). After the age of 21 years a continuous decline of the JSD-DIP (total) is observed.

Conclusion

Our data present gender-specific and age-related normative reference data for computer-aided joint space analysis, which provide a valid and reliable differentiation between disease-related joint space narrowing and age-related joint space narrowing, particularly in patients with osteoarthritis of the fingers.
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Metadata
Title
Normative Reference Values of Joint Space Width Estimated by Computer-aided Joint Space Analysis (CAJSA): The Distal Interphalangeal Joint
Authors
Alexander Pfeil
Joachim Böttcher
Max L. Schäfer
Bettina E. Seidl
Mirco Schmidt
Alexander Petrovitch
Jens-Peter Heyne
Gabriele Lehmann
Peter Oelzner
Gert Hein
Gunter Wolf
Werner A. Kaiser
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Journal of Imaging Informatics in Medicine / Issue Special Issue 1/2008
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-007-9031-x

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