Acta clinica Croatica, Vol. 56. No. 1., 2017.
Original scientific paper
https://doi.org/10.20471/acc.2017.56.01.04
The Value of Multidetector Computed Tomography of Orbits in Globe Protrusion in Comparison to Hertel Exophthalmometry
Igor Đorić
; Department of Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Belgrade, Serbia
Miloš Žarković
; School of Medicine, University of Belgrade; Clinical Department of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
Zoran Radojičić
; Institute for Statistics, Faculty of Organizational Sciences, University of Belgrade, Belgrade, Serbia
Nikola Repac
; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Aleksandar Janićijević
; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Krešimir Rotim
; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Goran Tasić
; School of Medicine, University of Belgrade; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Lukas Rasulić
; School of Medicine, University of Belgrade; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Abstract
The use of multidetector computed tomography (MDCT) is an integral part of contemporary diagnostics of Graves‘ orbitopathy. Th e aim of this study was to assess proptosis measurement by MDCT and to compare it to the current standard, Hertel exophthalmometry. A crosssectional study was conducted at the Clinical Centre of Serbia and included 91 patients (19 male and 72 female) with verified Graves‘ orbitopathy. Globe protrusion measured by MDCT (globe protrusion, GPR) was correlated to Hertel measured protrusion (HR). Th ere was no constant or any systematic bias between the two methods. GPR significantly correlated with the best-corrected visual acuity, while HR did not. Age, body mass index and duration of the disease did not influence proptosis measurement by either method. Proptosis was significantly larger in males. According to our results, GPR compared to HR provides better assessment of the protrusion in Graves‘ disease. GPR measurement is simple and should always be part of the radiological assessment of orbits in Graves‘ disease.
Keywords
Graves ophthalmopathy – diagnostic imaging; Orbit – diagnostic imaging; Multidetector computed tomography; Exophthalmos – diagnosis; Cross-sectional studies
Hrčak ID:
184246
URI
Publication date:
1.3.2017.
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