Comparison of polytomography and computed tomography for fracture assessment.

Abstract:

OBJECTIVE:To compare polytomography (PT) and computed tomography (CT) for visualizing fractures and arthrodeses, with and without metal hardware, to determine whether CT could adequately replace PT. DESIGN AND PATIENTS:An ex vivo bovine model containing fractures in three planes, reduced with metal hardware, was created to compare fractures using PT and CT. The radiation dose at the skin surface was calculated for both examinations. For in vivo assessment, images of 14 patients who underwent both PT and CT (15 fractures, five arthrodeses) were coded, sorted, and independently read by four musculoskeletal radiologists. They rated the degree of certainty of their assessment. Time factors for patients and personnel and financial costs were also compared. RESULTS:In the ex vivo model the fractures were well seen on both PT and CT. The radiation dose was higher for PT than for CT. In vivo, the degree of certainty in assessment of fractures and arthrodeses was higher for PT than CT in studies in which metal hardware was present, but there was no significant difference in studies without metal hardware or in the combined (with and without hardware) studies. The patient's and technologist's time required to perform a PT examination was greater than that for CT. CONCLUSION:In the assessment of fractures and arthrodeses containing metal hardware, PT is recommended. For studies without hardware, CT is equivalent and can replace PT.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Kuong SJ,Williamson DS,Baker ND,Sosman JL,Nawfel RD,Wilson MG,Weissman BN

doi

10.1007/s002560050526

keywords:

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

330-5

issue

6

eissn

0364-2348

issn

1432-2161

journal_volume

28

pub_type

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