Evidence map›Paper›PMID 35438566›Full record

ArticleRadiology2022

Dual-Energy CT and Cinematic Rendering to Improve Assessment of Pelvic Fracture Instability.

Theresa J Yu, Abdulai Bangura, Uttam Bodanapally, Jason Nascone, Robert O'Toole, Yuanyuan Liang, David Dreizin

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Dual-energy CT applications in musculoskeletal disorders.The British journal of radiology · 2024
    Article
  6. 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.

Theresa J YuFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).ORCID 0000-0003-0494-9400
Abdulai BanguraFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).
Uttam BodanapallyFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).
Jason NasconeFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).
Robert O'TooleFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).ORCID 0000-0002-5628-6584
Yuanyuan LiangFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).
David DreizinFrom the Department of Diagnostic Radiology and Nuclear Medicine (T.J.Y., U.B., D.D.) and Division of Orthopaedic Traumatology (A.B., J.N., R.O.), R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201; and Department of Epidemiology and Public Health, University of Maryland School of Medicine (Y.L.).ORCID 0000-0002-0176-0912
University of Maryland, Baltimore · US

Funding

Machine learning-based segmentation and risk modeling for real-time prediction of major arterial bleeding after pelvic fracturesK08EB027141 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI DREIZIN, DAVID · 2019 to 2022
$745k
NIBIB NIH HHS K08 EB027141
6 · The paper itself

Abstract

Background Grading of pelvic fracture instability is challenging in patients with pelvic binders. Dual-energy CT (DECT) and cinematic rendering can provide ancillary information regarding osteoligamentous integrity, but the utility of these tools remains unknown. Purpose To assess the added diagnostic value of DECT and cinematic rendering, with respect to single-energy CT (SECT), for discriminating any instability and translational instability in patients with pelvic binders. Materials and Methods In this retrospective analysis, consecutive adult patients (age ≥18 years) were stabilized with pelvic binders and scanned in dual-energy mode using a 128-section CT scanner at one level I trauma center between August 2016 and January 2019. Young-Burgess grading by orthopedists served as the reference standard. Two radiologists performed blinded consensus grading with the Young-Burgess system in three reading sessions (session 1, SECT; session 2, SECT plus DECT; session 3, SECT plus DECT and cinematic rendering). Lateral compression (LC) type 1 (LC-1) and anteroposterior compression (APC) type 1 (APC-1) injuries were considered stable; LC type 2 and APC type 2, rotationally unstable; and LC type 3, APC type 3, and vertical shear, translationally unstable. Diagnostic performance for any instability and translational instability was compared between reading sessions using the McNemar and DeLong tests. Radiologist agreement with the orthopedic reference standard was calculated with the weighted κ statistic. Results Fifty-four patients (mean age, 41 years ± 16 [SD]; 41 men) were analyzed. Diagnostic performance was greater with SECT plus DECT and cinematic rendering compared with SECT alone for any instability, with an area under the receiver operating characteristic curve (AUC) of 0.67 for SECT alone and 0.82 for SECT plus DECT and cinematic rendering (

Indexed as

Fractures, BonePelvic BonesRadiography, Dual-Energy Scanned ProjectionAdolescentAdultHumansMaleRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID35438566
PMCPMC9340240
OpenAlexW4224248233

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.