Diagnostic Accuracy and Clinical Utility of Thermography for Lumbar RadiculopathyA Meta‐Analysis
作者:
RICHARD HOFFMAN,
DANIEL KENT,
RICHARD DEYO,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 6
页码: 623-628
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: thermography;lumbar radiculopathy;sciatica;technology assessment;meta-analysis
数据来源: OVID
摘要:
The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and meta-analysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore meaningful pooled summary statistics could not be reported. Twenty-seven studies had major methodologic flaws including biased test interpretations, faulty cohort assembly, poor clinical descriptions, and small sample size. The only study of reasonably high quality found no discriminant value for liquid-crystal thermography. The role of thermography remains unclear. Rigorous clinical research is required to establish its diagnostic accuracy and clinical utility. Thermography cannot be recommended currently for routine clinical use in evaluating low-back pain.
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