Application of Musculoskeletal Ultrasound in Real-Time Dynamic Detection of Luschka Joint Hyperplasia of Cervical Vertebrae

Abstract

In order to explore the application of musculoskeletal ultrasound (MSKUS) in real-time dynamic detection of Luschka joint hyperplasia of cervical vertebrae, a total of 80 patients who were diagnosed as cervical spondylosis of vertebral artery type and underwent musculoskeletal ultrasound and three-dimensional computed tomography angiograph (3D-CTA) examination at a designated hospital by this study from December 2016 to December 2018 were selected as study subjects. Taking 3D-CTA as gold standard, the results of MSKUS and 3D-CTA were compared and their correlation and consistency analysis were performed; the sensitivity, specificity, false positive rate, false negative rate and diagnostic compliance rate of MSKUS were calculated for evaluating the lateral hyperplasia of Luschka joint; the Kappa values were used to compare the test results' consistency, which were divided into three categories of high consistency, general consistency, and poor consistency to evaluate the lateral hyperplasia of Luschka joint. The results show that the sensitivity, specificity, false positive rate, false negative rate, positive predictive value, negative predictive value and diagnostic coincidence rate of MSKUS in evaluating the lateral hyperplasia of Luschka joint were 87.34%, 95.78%, 2.49%, 12.45%, 93.02%, 92.18%, and 94.67%, respectively; there was no significantly statistical difference between the MSKUS and 3D-CTA evaluation results (χ2 = 0.34, P > 0.05) and they have higher correlation (K = 0.82) and excellent consistency (K = 0.769). Therefore, it is concluded that the MSKUS has a good validity in evaluating the lateral hyperplasia of cervical vertebrae joints. The study results of this paper provide a reference for further research on the application of MSKUS in real-time dynamic detection of Luschka joint hyperplasia of cervical vertebrae.