ArticleSkeletal radiology2019
Single-shot CT after wrist trauma: impact on detection accuracy and treatment of fractures.
Article in Skeletal radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The use of cone-beam computed tomography (CBCT) in radiocarpal fractures: a diagnostic test accuracy meta-analysis.Skeletal radiology · 2022Pooled it
- Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.BMC musculoskeletal disorders · 2020Pooled it
- Can surgeons accurately estimate loss of threshold alignment (instability) of distal radius fractures? : the influence of imaging diagnostic accuracy of radiographs compared with CT.Bone & joint open · 2026Article
- Traditional radiography versus computed tomography to assess reduced distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Commercially-available AI algorithm improves radiologists' sensitivity for wrist and hand fracture detection on X-ray, compared to a CT-based ground truth.European radiology · 2024Article
- Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements.BMC medical imaging · 2023Article
- A Minority Class Balanced Approach Using the DCNN-LSTM Method to Detect Human Wrist Fracture.Life (Basel, Switzerland) · 2023Article
- 3D wrist imaging - Is it time for superman to retire?Journal of clinical imaging science · 2023Article
- Radiation Dose Reduction in CT Torsion Measurement of the Lower Limb: Introduction of a New Ultra-Low Dose Protocol.Diagnostics (Basel, Switzerland) · 2021Article
- Ultra-low-dose CT for extremities in an acute setting: initial experience with 203 subjects.Skeletal radiology · 2020Article
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Authors and funding
7 authors.
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Abstract
objectiveTo evaluate accuracy of fracture detection and therapeutic impact of a single-shot CT protocol as a primary imaging tool in all patients with clinical suspicion of wrist injury, and evaluate the resulting impact on therapy. MATERIALS AND
methodsWe performed a single-institution study on all patients with suspicion of fractures of the wrist and carpus. All patients underwent conventional radiography, thereafter single-shot wrist CT, and then 1-year follow-up. Physicians and radiologists prospectively scored likelihood of fracture presence on a five-point scale before and after CT. Three surgeons proposed a treatment regimen (functional, cast, reduction, or operative) based on clinical and radiological data, first with knowledge of conventional radiography, and then with knowledge of CT. The reference standard for fracture presence was based on all data. We performed receiver operating characteristic (ROC) analyses and calculated proportion of wrists with treatment changes due to CT imaging.
resultsNinety-eight patients participated (63% female, mean age 53, range, 18-87 years old) with 100 wrist CTs. Conventional radiography detected true-positive fractures in 45, and CT in 61 wrists. The areas under the curve for fracture detection were 0.85 (95% CI 0.77-0.93) for conventional radiography and 0.97 (95% CI 0.93-1.00) for CT. Treatment changed in 24 (24%, 95% CI 16-33%) - 31 (31%, 95% CI 23-41%) wrists, mostly involving a decrease in the rate of cast immobilization.
conclusionsSingle-shot CT in patients with clinical suspicion of wrist injury increases accuracy of fracture detection. This has a significant impact therapy in this population, mainly on cast immobilization.
trial registrationWe registered the study at www.clinicaltrials.gov , NL43482.091.13.
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