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Vol. 63. Issue 2.
Pages 127-144 (March - April 2021)
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Vol. 63. Issue 2.
Pages 127-144 (March - April 2021)
Update in Radiology
DOI: 10.1016/j.rxeng.2020.10.008
The use of digital tomosynthesis in rheumatology: A systematic review of the literature focused on four diseases
Uso de la tomosíntesis digital en reumatología: revisión sistemática de la literatura en cuatro patologías
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J. Cajamarca-Barona,
Corresponding author
jairocajamarca@hotmail.com

Corresponding author.
, E. Calvo Páramob, J.L. Morales Manriquec, L.V. Vanegas Jiménezc, J.C. Sarmiento-Monroyd, A. Rojas-Villarragae
a Fundación Universitaria de Ciencias de la Salud (FUCS), Hospital San José, Bogotá, Colombia
b Universidad Nacional de Colombia, Hospital Universitario Nacional, Bogotá, Colombia
c Universidad Nacional de Colombia, Bogotá, Colombia
d Hospital Clínic, Barcelona, Spain
e Instituto de Investigaciones, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
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Tables (3)
Table 1. Summary of data from the studies included by pathology.
Table 2. Summary of the data from the studies excluded following evaluation with QUADAS-2.
Table 3. Methodological quality of the studies included according to the QUADAS-2 guidelines.
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Abstract
Background and aims

Digital tomosynthesis has proven useful in the evaluation of damage to joints. This study aims to describe the most common digital tomosynthesis findings for four rheumatological entities and to compare the usefulness of this technique with that of other imaging techniques.

Materials and methods

Following the PRISMA guidelines, we systematically searched the literature for articles about the use of digital tomosynthesis in rheumatoid arthritis, osteoarthritis, spondyloarthritis, and gout. We used the QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) criteria to evaluate the quality of the articles included.

Results

We included 13 articles. For rheumatoid arthritis, osteoarthritis, and spondyloarthritis, digital tomosynthesis detected bone abnormalities better than plain-film X-rays; however, for gout, the results were variable.

Conclusions

Digital tomosynthesis can play an important role in the evaluation of skeletal abnormalities in rheumatological disease, especially compared to plain-film X-rays.

Keywords:
Digital tomosynthesis
Gout
Spondyloarthritis
Rheumatoid arthritis
Osteoarthritis
Resumen
Antecedentes y objetivo

La tomosíntesis digital ha mostrado beneficio en la evaluación del daño articular. El objetivo del estudio es describir los hallazgos frecuentes a través de la tomosíntesis digital en cuatro patologías reumatológicas y comparar su utilidad con otras técnicas de imagen.

Materiales y métodos

Se realizó una búsqueda sistemática de la literatura siguiendo las guías PRISMA. La evaluación de la calidad se realizó con los criterios QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies).

Resultados

Se incluyeron 13 artículos. Para la artritis reumatoide, la artrosis y la espondiloartritis, la tomosíntesis digital en comparación con la radiografía simple mostró mayor capacidad de detección de alteraciones óseas; para la artritis gotosa, los resultados fueron variables.

Conclusiones

La tomosíntesis digital puede tener un papel importante en la evaluación de las alteraciones esqueléticas de las enfermedades reumatológicas, especialmente en comparación con la radiografía simple.

Palabras clave:
Tomosíntesis digital
Artritis gotosa
Espondiloartritis
Artritis reumatoide
Artrosis

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