Finger fractures imaging: accuracy of cone-beam computed tomography and multislice computed tomography

Faccioli, Niccolò; Foti, Giovanni; Barillari, Marco; Atzei, Andrea; Mucelli, Roberto Pozzi

doi:10.1007/s00256-010-0911-7

Cited by 59 publications

(45 citation statements)

References 25 publications

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“…Also pointing in this direction is the good inter-rater reliability of the RED-CBCT in this particular task. Our assumption would also be consistent with the literature, that has found no difference between CBCT and MDCT in the assessment of the fragment number [13,29]. …”

Section: Discussionsupporting

confidence: 91%

Comparison of Diagnostic Accuracy of Radiation Dose-Equivalent Radiography, Multidetector Computed Tomography and Cone Beam Computed Tomography for Fractures of Adult Cadaveric Wrists

et al. 2016

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PurposeTo compare the diagnostic accuracy of radiography, to radiography equivalent dose multidetector computed tomography (RED-MDCT) and to radiography equivalent dose cone beam computed tomography (RED-CBCT) for wrist fractures.MethodsAs study subjects we obtained 10 cadaveric human hands from body donors. Distal radius, distal ulna and carpal bones (n = 100) were artificially fractured in random order in a controlled experimental setting. We performed radiation dose equivalent radiography (settings as in standard clinical care), RED-MDCT in a 320 row MDCT with single shot mode and RED-CBCT in a device dedicated to musculoskeletal imaging. Three raters independently evaluated the resulting images for fractures and the level of confidence for each finding. Gold standard was evaluated by consensus reading of a high-dose MDCT.ResultsPooled sensitivity was higher in RED-MDCT with 0.89 and RED-MDCT with 0.81 compared to radiography with 0.54 (P = < .004). No significant differences were detected concerning the modalities’ specificities (with values between P = .98). Raters' confidence was higher in RED-MDCT and RED-CBCT compared to radiography (P < .001).ConclusionThe diagnostic accuracy of RED-MDCT and RED-CBCT for wrist fractures proved to be similar and in some parts even higher compared to radiography. Readers are more confident in their reporting with the cross sectional modalities. Dose equivalent cross sectional computed tomography of the wrist could replace plain radiography for fracture diagnosis in the long run.

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Section: Discussionsupporting

confidence: 91%

Comparison of Diagnostic Accuracy of Radiation Dose-Equivalent Radiography, Multidetector Computed Tomography and Cone Beam Computed Tomography for Fractures of Adult Cadaveric Wrists

et al. 2016

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“…The impact of the imaging modality on patient management could not be investigated due to differing patient populations in the two groups. In a previous comparison of CBCT and MSCT imaging for interphalangeal fractures, the CBCT scanner was found to have 100 % sensitivity and specificity for the detection of articular involvement and there was no significant difference between modalities in the number of bone fragments detected [57]. Technical studies from various applications have shown CBCT scanners to be comparable to MSCT in geometric accuracy, making them well-suited for pre-operative planning [20,[58][59][60].…”

Section: Discussionmentioning

confidence: 99%

A retrospective, semi-quantitative image quality analysis of cone beam computed tomography (CBCT) and MSCT in the diagnosis of distal radius fractures

et al. 2016

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“…the number, size and location of bone fragments. 2 We have found the use of CBCT to be extremely helpful in evaluating fractures involving the PIPJ. CBCT's are quick to perform, add greater detail than conventional X-rays and help guide appropriate management (Figures 1 and 2).…”

Section: Cone Beammentioning

confidence: 99%

Cone Beam Computed Tomography as a guide to the management of proximal interphalangeal joint fractures

Nikkhah

O’Neill

2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Finger fractures imaging: accuracy of cone-beam computed tomography and multislice computed tomography

Abstract: Cone beam CT may be considered a valuable imaging tool in the preoperative assessment of finger fractures, when MSCT is not available.

Cited by 59 publications

References 25 publications

Comparison of Diagnostic Accuracy of Radiation Dose-Equivalent Radiography, Multidetector Computed Tomography and Cone Beam Computed Tomography for Fractures of Adult Cadaveric Wrists

Comparison of Diagnostic Accuracy of Radiation Dose-Equivalent Radiography, Multidetector Computed Tomography and Cone Beam Computed Tomography for Fractures of Adult Cadaveric Wrists

A retrospective, semi-quantitative image quality analysis of cone beam computed tomography (CBCT) and MSCT in the diagnosis of distal radius fractures

Cone Beam Computed Tomography as a guide to the management of proximal interphalangeal joint fractures

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