Image quality and patient satisfaction in cone-beam and multidetector computed tomography of the wrist: a randomized trial

Background Musculoskeletal cone-beam computed tomography (CBCT) is an imaging technique for wrist assessment. In this study, we compared image quality and patient satisfaction between CBCT and multidetector computed tomography (MDCT) in traumatic wrist patients in a dose-matched setting. Methods We...

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Veröffentlicht in:Egyptian Journal of Radiology and Nuclear Medicine 2024-12, Vol.55 (1), p.104-9, Article 104
Hauptverfasser: Reidelbach, Carolin S., Neubauer, Claudia, Geissler, Ann-Kristin H., Lampert, Florian, Zajonc, Horst, Simunovic, Filip, Bamberg, Fabian, Kotter, Elmar, Goerke, Sebastian M., Neubauer, Jakob
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container_title Egyptian Journal of Radiology and Nuclear Medicine
container_volume 55
creator Reidelbach, Carolin S.
Neubauer, Claudia
Geissler, Ann-Kristin H.
Lampert, Florian
Zajonc, Horst
Simunovic, Filip
Bamberg, Fabian
Kotter, Elmar
Goerke, Sebastian M.
Neubauer, Jakob
description Background Musculoskeletal cone-beam computed tomography (CBCT) is an imaging technique for wrist assessment. In this study, we compared image quality and patient satisfaction between CBCT and multidetector computed tomography (MDCT) in traumatic wrist patients in a dose-matched setting. Methods We prospectively enrolled traumatic patients who were scheduled for CT of the wrist. Patients were randomly assigned to CBCT or MDCT. Radiation dose was kept identical between both modalities. Subsequently, patients were asked to complete a questionnaire regarding the examination. Measurements of contrast-to-noise ratio (CNR) were performed. Three blinded readers independently rated image quality on Likert scales. Results A total of 125 patients (mean age 35 years [standard deviation 16]; 91 men) were included. A total of 108 patients returned the questionnaire. With equivalent dose, CNRs were higher in CBCT compared to MDCT ( p  
doi_str_mv 10.1186/s43055-024-01277-0
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In this study, we compared image quality and patient satisfaction between CBCT and multidetector computed tomography (MDCT) in traumatic wrist patients in a dose-matched setting. Methods We prospectively enrolled traumatic patients who were scheduled for CT of the wrist. Patients were randomly assigned to CBCT or MDCT. Radiation dose was kept identical between both modalities. Subsequently, patients were asked to complete a questionnaire regarding the examination. Measurements of contrast-to-noise ratio (CNR) were performed. Three blinded readers independently rated image quality on Likert scales. Results A total of 125 patients (mean age 35 years [standard deviation 16]; 91 men) were included. A total of 108 patients returned the questionnaire. With equivalent dose, CNRs were higher in CBCT compared to MDCT ( p  &lt; 0.001) and the median ratings of image quality were better for CBCT compared to MDCT ( p  ≤ 0.04). Patients only rated positioning in CBCT as more comfortable than in MDCT ( p  &lt; 0.001), while there were no further differences regarding satisfaction with both modalities. Conclusions At equivalent dose settings to MDCT, CBCT showed a high image quality for the depiction of bony structures, soft tissue and artifacts in wrist examinations of trauma patients. Overall, patients were equally satisfied with both methods. Altogether, CBCT might be a promising alternative for wrist imaging. However, further studies with more different devices are needed.</description><identifier>ISSN: 2090-4762</identifier><identifier>ISSN: 0378-603X</identifier><identifier>EISSN: 2090-4762</identifier><identifier>DOI: 10.1186/s43055-024-01277-0</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Comparative analysis ; Cone-beam computed tomography ; Contrast-to-noise ratio ; CT imaging ; Equivalent dose ; Hypotheses ; Image quality ; Imaging ; Interventional Radiology ; Likert scale ; Medicine ; Medicine &amp; Public Health ; Multidetector computed tomography ; Nuclear Medicine ; Patient satisfaction ; Questionnaires ; Radiation ; Radiology ; Scanners ; Sensors ; Tomography ; Wrist imaging</subject><ispartof>Egyptian Journal of Radiology and Nuclear Medicine, 2024-12, Vol.55 (1), p.104-9, Article 104</ispartof><rights>The Author(s) 2024</rights><rights>COPYRIGHT 2024 Springer</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c447t-61221253a91bafe4e8a5f37fefd6b209ebaa9b0d362d18d92f997dd136eb9ca23</cites><orcidid>0000-0001-9022-6000 ; 0000-0003-1755-5734 ; 0000-0003-4066-2773 ; 0000-0002-5744-7183 ; 0000-0001-9388-0219 ; 0000-0003-4052-0601</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Reidelbach, Carolin S.</creatorcontrib><creatorcontrib>Neubauer, Claudia</creatorcontrib><creatorcontrib>Geissler, Ann-Kristin H.</creatorcontrib><creatorcontrib>Lampert, Florian</creatorcontrib><creatorcontrib>Zajonc, Horst</creatorcontrib><creatorcontrib>Simunovic, Filip</creatorcontrib><creatorcontrib>Bamberg, Fabian</creatorcontrib><creatorcontrib>Kotter, Elmar</creatorcontrib><creatorcontrib>Goerke, Sebastian M.</creatorcontrib><creatorcontrib>Neubauer, Jakob</creatorcontrib><title>Image quality and patient satisfaction in cone-beam and multidetector computed tomography of the wrist: a randomized trial</title><title>Egyptian Journal of Radiology and Nuclear Medicine</title><addtitle>Egypt J Radiol Nucl Med</addtitle><description>Background Musculoskeletal cone-beam computed tomography (CBCT) is an imaging technique for wrist assessment. In this study, we compared image quality and patient satisfaction between CBCT and multidetector computed tomography (MDCT) in traumatic wrist patients in a dose-matched setting. Methods We prospectively enrolled traumatic patients who were scheduled for CT of the wrist. Patients were randomly assigned to CBCT or MDCT. Radiation dose was kept identical between both modalities. Subsequently, patients were asked to complete a questionnaire regarding the examination. Measurements of contrast-to-noise ratio (CNR) were performed. Three blinded readers independently rated image quality on Likert scales. Results A total of 125 patients (mean age 35 years [standard deviation 16]; 91 men) were included. A total of 108 patients returned the questionnaire. With equivalent dose, CNRs were higher in CBCT compared to MDCT ( p  &lt; 0.001) and the median ratings of image quality were better for CBCT compared to MDCT ( p  ≤ 0.04). Patients only rated positioning in CBCT as more comfortable than in MDCT ( p  &lt; 0.001), while there were no further differences regarding satisfaction with both modalities. Conclusions At equivalent dose settings to MDCT, CBCT showed a high image quality for the depiction of bony structures, soft tissue and artifacts in wrist examinations of trauma patients. Overall, patients were equally satisfied with both methods. Altogether, CBCT might be a promising alternative for wrist imaging. 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In this study, we compared image quality and patient satisfaction between CBCT and multidetector computed tomography (MDCT) in traumatic wrist patients in a dose-matched setting. Methods We prospectively enrolled traumatic patients who were scheduled for CT of the wrist. Patients were randomly assigned to CBCT or MDCT. Radiation dose was kept identical between both modalities. Subsequently, patients were asked to complete a questionnaire regarding the examination. Measurements of contrast-to-noise ratio (CNR) were performed. Three blinded readers independently rated image quality on Likert scales. Results A total of 125 patients (mean age 35 years [standard deviation 16]; 91 men) were included. A total of 108 patients returned the questionnaire. With equivalent dose, CNRs were higher in CBCT compared to MDCT ( p  &lt; 0.001) and the median ratings of image quality were better for CBCT compared to MDCT ( p  ≤ 0.04). Patients only rated positioning in CBCT as more comfortable than in MDCT ( p  &lt; 0.001), while there were no further differences regarding satisfaction with both modalities. Conclusions At equivalent dose settings to MDCT, CBCT showed a high image quality for the depiction of bony structures, soft tissue and artifacts in wrist examinations of trauma patients. Overall, patients were equally satisfied with both methods. Altogether, CBCT might be a promising alternative for wrist imaging. However, further studies with more different devices are needed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s43055-024-01277-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9022-6000</orcidid><orcidid>https://orcid.org/0000-0003-1755-5734</orcidid><orcidid>https://orcid.org/0000-0003-4066-2773</orcidid><orcidid>https://orcid.org/0000-0002-5744-7183</orcidid><orcidid>https://orcid.org/0000-0001-9388-0219</orcidid><orcidid>https://orcid.org/0000-0003-4052-0601</orcidid><oa>free_for_read</oa></addata></record>
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subjects Comparative analysis
Cone-beam computed tomography
Contrast-to-noise ratio
CT imaging
Equivalent dose
Hypotheses
Image quality
Imaging
Interventional Radiology
Likert scale
Medicine
Medicine & Public Health
Multidetector computed tomography
Nuclear Medicine
Patient satisfaction
Questionnaires
Radiation
Radiology
Scanners
Sensors
Tomography
Wrist imaging
title Image quality and patient satisfaction in cone-beam and multidetector computed tomography of the wrist: a randomized trial
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