ArticleEuropean radiology2016
A retrospective, semi-quantitative image quality analysis of cone beam computed tomography (CBCT) and MSCT in the diagnosis of distal radius fractures.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- The use of cone-beam computed tomography (CBCT) in radiocarpal fractures: a diagnostic test accuracy meta-analysis.Skeletal radiology · 2022Pooled it
- Radiation dose in non-dental cone beam CT applications: a systematic review.La Radiologia medica · 2018Pooled it
- Single-sequence low-field 3D T1-weighted MRI for scaphoid fracture detection compared to radiography: prospective diagnostic accuracy pilot study.Emergency radiology · 2026Article
- Effect of Additional Aluminum Filtration on the Image Quality in Cone Beam Computed Tomographic Studies of Equine Distal Limbs Using Visual Grading Characteristics Analysis: A Pilot Study.Veterinary sciences · 2025Article
- Cone beam CT in the imaging of musculoskeletal trauma: a scoping review.Skeletal radiology · 2025Article
- Comparison of image quality assessments between interventional radiographers and interventional radiologists using digital subtraction angiography.Journal of medical imaging (Bellingham, Wash.) · 2023Article
- Flat-panel conebeam CT in the clinic: history and current state.Journal of medical imaging (Bellingham, Wash.) · 2021Article
- Comparison of 3D X-ray tomography with computed tomography in patients with distal extremity fractures.Skeletal radiology · 2020Article
- Motion compensation in extremity cone-beam computed tomography.Skeletal radiology · 2019Article
- Does radiography still have a significant diagnostic role in evaluation of acute traumatic wrist injuries? A prospective comparative study.Emergency radiology · 2018Article
- Comparison of the diagnostic accuracy of cone beam computed tomography and radiography for scaphoid fractures.Scientific reports · 2018Article
- Image quality of cone beam computed tomography for evaluation of extremity fractures in the presence of metal hardware: visual grading characteristics analysis.The British journal of radiology · 2017Article
- C-arm flat-panel CT arthrography of the shoulder: Radiation dose considerations and preliminary data on diagnostic performance.European radiology · 2017Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare image quality and diagnostic validity of CBCT and MSCT for distal radius fractures.
methods35 CBCT and 33 MSCT scans were retrospectively reviewed with a visual grading scale regarding the depiction of cortical bone, trabecular bone, articular surfaces, and soft tissue. The extent and type of artefacts was analyzed. Agreement on AO classification and measurement of cortical disruption and length of the fracture gap was determined. Fracture reduction was evaluated in post-treatment x-rays. Statistical analysis was performed with visual grading characteristics (VGC), chi square tests, and Kendall's coefficient of concordance.
resultsCBCT performed significantly worse for cortical bone, articular surfaces, and especially soft tissue. Trabecular bone showed no significant difference. Significantly more CBCT images showed artefacts. Physics-based artefacts were the most common. CBCT scans also showed motion artefacts. There was no significant difference in agreement on AO classification. The agreement on measurements was substantial for both modalities. Slightly more fractures that had undergone MSCT imaging showed adequate reduction.
conclusionThis initial study of an orthopaedic extremity CBCT scanner showed that the image quality of a CBCT scanner remains inferior for most structures at standard settings. Diagnostic validity of both modalities for distal radius fractures seems similar. KEY POINTS: • Subjectively, CBCT remains inferior to MSCT in depicting most structures. • Similar diagnostic validity for CBCT and MSCT imaging of distal radius fractures. • CBCT is a possible alternative to MSCT in musculoskeletal imaging. • Visual grading characteristics (VGC) analysis proves useful in analyzing visual grading scales.
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