Comparison of Multidetector Computed Tomography and Flat-Panel Computed Tomography Regarding Visualization of Cortical Fractures, Cortical Defects, and Orthopedic Screws: A Phantom Study

To compare the visualization of cortical fractures, cortical defects, and orthopedic screws in a dedicated extremity flat-panel computed tomography (FPCT) scanner and a multidetector computed tomography (MDCT) scanner.We used feet of European roe deer as phantoms for cortical fractures, cortical def...

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Veröffentlicht in:Medicine (Baltimore) 2015-08, Vol.94 (31), p.e1231-e1231
Hauptverfasser: Neubauer, Jakob, Benndorf, Matthias, Lang, Hannah, Lampert, Florian, Kemna, Lars, Konstantinidis, Lukas, Neubauer, Claudia, Reising, Kilian, Zajonc, Horst, Kotter, Elmar, Langer, Mathias, Goerke, Sebastian M.
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container_issue 31
container_start_page e1231
container_title Medicine (Baltimore)
container_volume 94
creator Neubauer, Jakob
Benndorf, Matthias
Lang, Hannah
Lampert, Florian
Kemna, Lars
Konstantinidis, Lukas
Neubauer, Claudia
Reising, Kilian
Zajonc, Horst
Kotter, Elmar
Langer, Mathias
Goerke, Sebastian M.
description To compare the visualization of cortical fractures, cortical defects, and orthopedic screws in a dedicated extremity flat-panel computed tomography (FPCT) scanner and a multidetector computed tomography (MDCT) scanner.We used feet of European roe deer as phantoms for cortical fractures, cortical defects, and implanted orthopedic screws. FPCT and MDCT scans were performed with equivalent dose settings. Six observers rated the scans according to number of fragments, size of defects, size of defects opposite orthopedic screws, and the length of different screws. The image quality regarding depiction of the cortical bone was assessed. The gold standard (real number of fragments) was evaluated by autopsy.The correlation of reader assessment of fragments, cortical defects, and screws with the gold standard was similar for FPCT and MDCT. Three readers rated the subjective image quality of the MDCT to be higher, whereas the others showed no preferences.Although the image quality was rated higher in the MDCT than in the FPCT by 3 out of 6 observers, both modalities proved to be comparable regarding the visualization of cortical fractures, cortical defects, and orthopedic screws and of use to musculoskeletal radiology regarding fracture detection and postsurgical evaluation in our experimental setting.
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All rights reserved</publisher><subject>Animals ; Bone Screws ; Deer ; Fractures, Bone - diagnostic imaging ; Metatarsal Bones - diagnostic imaging ; Metatarsal Bones - injuries ; Multidetector Computed Tomography ; Observer Variation ; Quality Improvement Study ; Random Allocation ; Tomography, X-Ray Computed - methods</subject><ispartof>Medicine (Baltimore), 2015-08, Vol.94 (31), p.e1231-e1231</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2015 Wolters Kluwer Health, Inc. 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FPCT and MDCT scans were performed with equivalent dose settings. Six observers rated the scans according to number of fragments, size of defects, size of defects opposite orthopedic screws, and the length of different screws. The image quality regarding depiction of the cortical bone was assessed. The gold standard (real number of fragments) was evaluated by autopsy.The correlation of reader assessment of fragments, cortical defects, and screws with the gold standard was similar for FPCT and MDCT. Three readers rated the subjective image quality of the MDCT to be higher, whereas the others showed no preferences.Although the image quality was rated higher in the MDCT than in the FPCT by 3 out of 6 observers, both modalities proved to be comparable regarding the visualization of cortical fractures, cortical defects, and orthopedic screws and of use to musculoskeletal radiology regarding fracture detection and postsurgical evaluation in our experimental setting.</description><subject>Animals</subject><subject>Bone Screws</subject><subject>Deer</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Metatarsal Bones - diagnostic imaging</subject><subject>Metatarsal Bones - injuries</subject><subject>Multidetector Computed Tomography</subject><subject>Observer Variation</subject><subject>Quality Improvement Study</subject><subject>Random Allocation</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkd1u1DAQhSMEotvCEyAhX3JBin_iOOECqdplAamrVrRwazn2ZGNw4sV2WG0fjacjy5ZSEL4ZaebMd6w5WfaM4FOCa_FqtTjF9x6hjDzIZoSzMud1WTzMZhhTnotaFEfZcYxfJg0TtHicHdGSckorMst-zH2_UcFGPyDfotXokjWQQCcf0H42JjDo2vd-HdSm2yE1GLR0KuWXagD3X8lHWKtg7LBGn20clbM3KtkDf-5Dslo5tAxKpzFAfPmnt4B28p06e4-LkDq_AWM1utIBtvE1OkOXnRqS79FVGs3uSfaoVS7C09t6kn1avr2ev8_PL959mJ-d55pxznPCgAhSNK2gGnCtWsNEi-uiAdEowWpop6s0mvPCUKJxZcqGVtAyznRZmKmcZG8O3M3Y9GA0DCkoJzfB9irspFdW_j0ZbCfX_rssSlKWuJoAL24BwX8bISbZ26jBuemCfoySCExLTgktJyk7SHXwMQZo72wIlvvU5Woh_0192np-_4d3O79jngTFQbD1LkGIX924hSA7UC51v3hc1DSnmHBcYYLzPZmzn9SgvD4</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Neubauer, Jakob</creator><creator>Benndorf, Matthias</creator><creator>Lang, Hannah</creator><creator>Lampert, Florian</creator><creator>Kemna, Lars</creator><creator>Konstantinidis, Lukas</creator><creator>Neubauer, Claudia</creator><creator>Reising, Kilian</creator><creator>Zajonc, Horst</creator><creator>Kotter, Elmar</creator><creator>Langer, Mathias</creator><creator>Goerke, Sebastian M.</creator><general>Wolters Kluwer Health, Inc. 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FPCT and MDCT scans were performed with equivalent dose settings. Six observers rated the scans according to number of fragments, size of defects, size of defects opposite orthopedic screws, and the length of different screws. The image quality regarding depiction of the cortical bone was assessed. The gold standard (real number of fragments) was evaluated by autopsy.The correlation of reader assessment of fragments, cortical defects, and screws with the gold standard was similar for FPCT and MDCT. Three readers rated the subjective image quality of the MDCT to be higher, whereas the others showed no preferences.Although the image quality was rated higher in the MDCT than in the FPCT by 3 out of 6 observers, both modalities proved to be comparable regarding the visualization of cortical fractures, cortical defects, and orthopedic screws and of use to musculoskeletal radiology regarding fracture detection and postsurgical evaluation in our experimental setting.</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>26252281</pmid><doi>10.1097/MD.0000000000001231</doi><oa>free_for_read</oa></addata></record>
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subjects Animals
Bone Screws
Deer
Fractures, Bone - diagnostic imaging
Metatarsal Bones - diagnostic imaging
Metatarsal Bones - injuries
Multidetector Computed Tomography
Observer Variation
Quality Improvement Study
Random Allocation
Tomography, X-Ray Computed - methods
title Comparison of Multidetector Computed Tomography and Flat-Panel Computed Tomography Regarding Visualization of Cortical Fractures, Cortical Defects, and Orthopedic Screws: A Phantom Study
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