Evidence map›Paper›PMID 29745761›Full record

Trial reportDento maxillo facial radiology2018

Diagnostic reliability of low dose multidetector CT and cone beam CT in maxillofacial trauma-an experimental blinded and randomized study.

Romke Rozema, Michiel Hj Doff, Peter Ma van Ooijen, Douwe Postmus, Henriëtte E Westerlaan, Martijn F Boomsma, Baucke van Minnen

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Dento maxillo facial radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Structural similarity analysis of midfacial fractures-a feasibility study.Quantitative imaging in medicine and surgery · 2022
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Romke Rozema1 Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.ORCID 0000-0003-0594-8012
Michiel Hj Doff
Peter Ma van Ooijen2 Center for Medical Imaging - North East Netherlands (CMI-NEN2), University Medical Center Groningen, University of Groningen, Groningen , Groningen , The Netherlands.
Douwe Postmus4 Department of Epidemiology, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
Henriëtte E Westerlaan3 Department of Radiology, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
Martijn F Boomsma5 Department of Radiology, Isala Hospital , Zwolle , The Netherlands.
Baucke van Minnen1 Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the diagnostic reliability of low dose multidetector CT (MDCT) and cone beam CT (CBCT) for zygomaticomaxillary fracture diagnosis.

methodsUnilateral zygomaticomaxillary fractures were inflicted on four out of six fresh frozen human cadaver head specimens. All specimens were scanned using four MDCT and two CBCT imaging protocols of which the radiation exposure was systematically reduced. A blinded diagnostic routine was simulated at which 16 radiologists and 8 oral and maxillofacial (OMF) surgeons performed randomized image assessments. We considered the findings during an open operative approach of the zygomatic region as the gold standard.

resultsZygomaticomaxillary fractures were correctly diagnosed in 90.3% (n = 130) of the image assessments. The zygomatic arch was most often correctly diagnosed (91.0%). The zygomatic alveolar crest showed the lowest degree of correct diagnosis (65.3%). Dose reduction did not significantly affect the objective visualization of fractures of the zygomaticomaxillary complex. The sensitivity and specificity also remained consistent among the low dose scan protocols. Dose reduction did not decrease the ability to assess dislocation, comminution, orbital volume, volume rendering and soft tissues. OMF surgeons considered the low dose protocols sufficient for treatment planning.

conclusionsDose reduction did not decrease the diagnostic reliability of MDCT and CBCT for the diagnosis of zygomaticomaxillary fractures.

Indexed as

Cone-Beam Computed TomographyMaxillary FracturesMultidetector Computed TomographyZygomatic FracturesAgedAged, 80 and overHeadHumansMiddle AgedRadiation DosageReproducibility of Results

Identifiers

PMID29745761
PMCPMC6326392
OpenAlexW2801128734

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.