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| 1 | Association between facet joint osteoarthritis and the Oswestry Disability Index显示文摘AIM:To investigate the correlation of facet joint osteoarthritis(FJOA) at lumbar levels L4/L5 and L5/S1 and the Oswestry Disability Index(ODI).METHODS:The study involved lumbar MRIs of 591 patients with a mean age of 47.3 years.The MRIs of the lumbar spine were performed on a 1.5 Tesla scanner(Magnetom Avanto,Siemens AG,Erlangen,Germany) using a dedicated receive only spine coil.After initial blinding,each dataset was evaluated by 2 board certified radiologist with more than 5 years experience in musculoskeletal imaging.In total 2364 facet joints were graded.Degenerative changes of the facet joints were evaluated according to the 4-point scale as proposed by Weishaupt et al Functional status was assessed using the ODI.The index is scored from 0 to 100 and interpreted as follows:0%-20%,minimaldisability; 20%-40%,moderate disability; 40%-60%,severe disability; 60%-80%,crippled; 80%-100%,patients are bedbound.Spearman's coefficient of rank correlation was used for statistical analysis,with significance set at P < 0.05.RESULTS:In total 2364 facet joints at lumbar levels L4/5 and L5/S1 were analysed in 591 individuals.FJOA was present in 97%(L4/L5) and 98%(L5/S1).At level L4/5(left/right) 17/15(2.9%/2.5%) were described as grade 0,146/147(24.7%/24.9%) as grade 1,290/302(49.1%/51.1%) as grade 2 and 138/127(23.4%/21.5%) as grade 3.At level L5/S1(left/right) 10/11(1.7%/1.9%) were described as grade 0,136/136(23.0%/23.0%) as grade 1,318/325(53.8%/55.0%) as grade 2 and 127/119(21.5%/20.1%) as grade 3.Regarding the ODI scores,patients' disability had a minimum of 0% and a maximum of 91.11% with an arithmetic mean of 32.77% ± 17.02%.The majority of patients(48.39%) had moderate functional disability(21%-40%).There was no significant correlation between FJOA and ODI on both sides of lumbar level L4/5 and on the left side of lumbar level L5/S1.A weak positive correlation was evaluated between ODI and FJOA on the right side of lumbar level L5/S1.CONCLUSION:The missing correlation of FJOA and ODI confirms our clinical experience that imaging alone is an insufficient approach explaining low back pain.Clinical correlation is imperative for an adequate diagnostic advance in patients with low back pain. | Adel Maataoui Thomas J Vogl Marcus Middendorp Konstantinos Kafchitsas M Fawad Khan | 2014 | World Journal of Radiology2014,6,11: | 6 |
| 2 | Correlation of lumbar lateral recess stenosis in magnetic resonance imaging and clinical symptoms显示文摘AIM To assess the correlation of lateral recess stenosis(LRS) of lumbar segments L4/5 and L5/S1 and the Oswestry Disability Index(ODI).METHODS Nine hundred and twenty-seven patients with history of low back pain were included in this uncontrolled study.On magnetic resonance images(MRI) the lateral recesses(LR) at lumbar levels L4/5 and L5/S1 were evaluated and each nerve root was classified into a 4-point grading scale(Grade 0-3) as normal,not deviated,deviated or compressed.Patient symptoms and disability were assessed using ODI.The Spearman's rank correlation coefficient was used for statistical analysis(P < 0.05).RESULTS Approximately half of the LR revealed stenosis(grade 1-3;52% at level L4/5 and 42% at level L5/S1) with 2.2% and 1.9% respectively reveal a nerve root compression.The ODI score ranged from 0%-91.11% with an arithmetic mean of 34.06% ± 16.89%.We observed a very weak statistically significant positive correlation between ODI and LRS at lumbar levels L4/5 and L5/S1,each bilaterally(L4/5 left:rho < 0.105,P < 0.01;L4/5 right:rho < 0.111,P < 0.01;L5/S1 left:rho 0.128,P < 0.01;L5/S1 right:rho < 0.157,P < 0.001).CONCLUSION Although MRI is the standard imaging tool for diagnosing lumbar spinal stenosis,this study showed only a weak correlation of LRS on MRI and clinical findings.This can be attributed to a number of reasons outlined in this study,underlining that imaging findings alone are not sufficient to establish a reliable diagnosis for patients with LRS. | Annina SplettstoBer M Fawad Khan Bernd Zimmermann Thomas J Vogl Hanns Ackermann Marcus Middendorp Adel Maataoui | 2017 | World Journal of Radiology2017,9,5: | 4 |
| 3 | Magnetic resonance imaging-based interpretation of degenerative changes in the lower lumbar segments and therapeutic consequences显示文摘Intervertebral disc degeneration and facet joint osteoarthritis of the lumbar spine are, among others, wellknown as a cause of low back and lower extremity pain. Together with their secondary disorders they set a big burden on health care systems and economics worldwide. Despite modern imaging modalities, such as magnetic resonance imaging, for a large proportion of patients with low back pain(LBP) it remains difficult to provide a specific diagnosis. The fact that nearly all the lumbar structures are possible sources of LBP, may serve as a possible explanation. Furthermore, our clinical experience confirms, that imaging alone is not a sufficient approach explaining LBP. Here, the Oswestry Disability Index, as the most commonly used measure to quantify disability for LBP, may serve as an easy-toapply questionnaire to evaluate the patient's ability to cope with everyday life. For therapeutic purposes, among the different options, the lumbar facet joint intraarticular injection of corticosteroids in combination with an anaesthetic solution is one of the most frequently performed interventional procedures. Although widely used the clinical benefit of intra-articular steroid injections remains controversial. Therefore, prior to therapy, standardized diagnostic algorithms for an accurate assessment, classification and correlation of degenerative changes of the lumbar spine are needed. | Adel Maataoui Thomas J Vogl M Fawad Khan | 2015 | World Journal of Radiology2015,7,8: | 4 |
| 4 | Automated detection of lung nodules in multidetector CT:influence of different reconstruction protocols on performance of a software prototype显示文摘 | GURUNG J MAATAOUI A KHAN M | 2006 | Rofo2006,178,1: | 1 |
| 5 | Virtual endoscopy of the tracheo-bronchial system: sub-millimeter collimation with the 16-row multidetector scanner显示文摘 | M. Fawad Khan Christopher Herzog Hanns Ackermann Thomas O. F. Wagner Adel Maataoui Marc Harth Nasreddin D. Abolmaali Volkmar Jacobi Thomas J. Vogl | 2004 | European Radiology2004,,: | 1 |
| 6 | Transarterial chemoembolization alone and in combination with other therapies:a comparative study in an animal HCC model显示文摘 | Maataoui A Qian J Vossoughi D | 2005 | Eur Radiol2005,15,1: | 1 |
| 7 | Valorization of citrus by-products using microwave steam distillation(MSD)显示文摘 | SAHRAOUI N VIAN M A MAATAOUI M E | 2011 | Innovative Food Science and Emerging Technologies2011,12,2: | 1 |
| 8 | Microwave steam diffusion for extraction of essential oil from orange peel:Kinetic data,extract’s global yield and mechanism显示文摘 | FARHAT A FABIANO-TIXIER A S MAATAOUI M E | 2011 | Food Chemistry2011,125,1: | 1 |
| 9 | Diagnostic accuracy of CT readings on coin lesions in the lung as compared with transthoracic CT-guided needle biopsy results显示文摘 | Maataoui A Vogl TJ Jacobi V | | 0,,: | 1 |
| 10 | Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy显示文摘 | M. F. Khan R. Straub S. R. Moghaddam A. Maataoui J. Gurung T. O. F. Wagner H. Ackermann A. Thalhammer T. J. Vogl V. Jacobi | 2008 | European Radiology2008,,7: | 1 |
| 11 | Valorization of citrus by-products using microwave steam distillation (MSD) 显示文摘 | Sahraoui N Vian M A E1 Maataoui M Boutekedjiret C Chemat F | 2011 | Innovative Food Science & Emerging Technologies2011,12,2: | 1 |
| 12 | Multi-slice CT of the pelvis:dose reduction with regard to image quality using 16-row CT显示文摘 | Gurung J Khan M F Maataoui A | 2005 | Eur Radiol2005,15,9: | 1 |
| 13 | Automated detection of lung nodules in muhidetector CT: influence of differentrecon struction protocols on performance of assoftware prototype显示文摘 | Gurung J Maataoui A Khan M | 2006 | J Rofo2006,1781,: | 1 |
| 14 | Flow cytometric evidenee for multiple ploidy levels in the endosperm of some gynmosperm species 显示文摘 | PICHOT C MAATAOUI M E L | 1997 | Theoretical and Applied Genetics1997,94,67: | 1 |
| 15 | Physicochemical characterization of actinomycetes isolated from decayed cedar wood: contact angle measurement显示文摘 | Maataoui H Barkai H Sadiki M | 2014 | Journal of Adhesion Science and Technology2014,28,20: | 1 |
| 16 | Microwave steam diffusion for extraction of essential oil from orange peel: Kinetic data, extract's global yield and mechanism显示文摘 | Farhat A Fabiano-Tixier AS Maataoui ME | 2011 | Food Chemistry2011,125,1: | 1 |
| 17 | Liver metastases in rats:chemoembolization combined with interstitial laser ablation for treatment显示文摘 | Maataoui A Qian J Mack MG | 2005 | Radiology2005,237,2: | 1 |
| 18 | Automated detection of lung nodules in multidetector CT: influence of different recon- struction protocols on performance of a software prototype显示文摘 | Gurung J Maataoui A Khan M etal | 2006 | Rofo2006,178,1: | 1 |
| 19 | Microwave steam diffusion fou extraction of essential oil from orange peel: Kinetic da- ta,extract's global yield and mechanism 显示文摘 | Farhat A Fabiano-Tixier A Maataoui M E | 2011 | Food Chemistry2011,125,1: | 1 |
| 20 | Does therapist's attitude affect clinical outcome of lumbar facet joint injections?显示文摘AIM: To investigate if the clinical outcome of intraarticular lumbar facet joint injections is affected by the therapist's attitude. METHODS: A total of 40 patients with facet jointassociated chronic low back pain were randomly divided into two groups. All patients received computed tomography-guided, monosegmental intra-articular facet joint injections. Following the therapeutic procedure, the patients of the experimental group(EG) held a conversation with the radiologist in a comfortable atmosphere. During the dialog, the patients were encouraged to ask questions and were shown four images. The patients of the control group(CG) left the clinic without any further contact with the radiologist. Outcome was assessed using a pain-based Verbal Numeric Scale at baseline, at 1 wk and at 1, 3, and 6 mo after first treatment. RESULTS: The patient demographics showed no differences between the groups. The patients of the EG received 57 interventional procedures in total, while the patients of the CG received 70 interventional procedures. In both groups, the pain scores decreased significantly over the entire observation period. Compared to the CG, the EG showed a statistically significant reduction of pain at 1 wk and 1 mo post-treatment, while at 3 and 6 mo after treatment, there were no significant differences between both groups. CONCLUSION: Our results show a significant effect on pain relief during the early post-interventional period in the EG as compared to the CG. The basic principle behind the higher efficacy might be the phenomenon of hetero-suggestion. | Marcus Middendorp Konstantinos Kollias Hanns Ackermann Annina Splettstoβer Thomas J Vogl M Fawad Khan Adel Maataoui | 2016 | World Journal of Radiology2016,8,6: | 1 |