Abstract:
OBJECTIVE:This prospective study investigated the sensitivity of cone beam computed tomography (CBCT), a low dose technique recently made available for extremity examinations, in detecting scaphoid fractures. Magnetic resonance imaging (MRI) was used as gold standard for scaphoid fractures. MATERIALS AND METHODS:A total of 95 patients with a clinically suspected scaphoid fracture were examined with radiography and CBCT in the acute setting. A negative CBCT exam was followed by an MRI within 2 weeks. When a scaphoid fracture was detected on MRI a new CBCT was performed. RESULTS:Radiography depicted seven scaphoid fractures, all of which were also seen with CBCT. CBCT detected another four scaphoid fractures. With MRI another five scaphoid fractures were identified that were not seen with radiography or with CBCT. These were also not visible on the reexamination CBCT. Sensitivity for radiography was 44, 95 % confidence interval 21-69 %, and for CBCT 69 %, 95 % confidence interval 41-88 % (p = 0.12). Several non-scaphoid fractures in the carpal region were identified, radiography and CBCT depicted 7 and 34, respectively (p < 0.0001). CONCLUSION:CBCT is a superior alternative to radiography, entailing more accurate diagnoses of carpal region fractures, and thereby requiring fewer follow-up MRI examinations. However, CBCT cannot be used to exclude scaphoid fractures, since MRI identified additional occult scaphoid fractures.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Edlund R,Skorpil M,Lapidus G,Bäcklund Jdoi
10.1007/s00256-015-2290-6subject
Has Abstractpub_date
2016-02-01 00:00:00pages
197-204issue
2eissn
0364-2348issn
1432-2161pii
10.1007/s00256-015-2290-6journal_volume
45pub_type
杂志文章abstract::Benign fibrous histiocytoma is an extremely rare spinal tumor with ten reported cases in the literature. Benign fibrous histiocytoma constitutes a diagnostic challenge because it shares common clinical symptoms, radiological characteristics, and histological features with other benign lesions involving the spine. We p...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-008-0597-2
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:Postdiscography infection is an uncommon complication. Magnetic resonance (MR) imaging is often the modality of choice for evaluating spinal infection. Discography entails disc access and fluid injection that could alter the baseline MR imaging appearance of the spine and be confounded for infection. Our purp...
journal_title:Skeletal radiology
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journal_title:Skeletal radiology
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doi:10.1007/s002560050267
更新日期:1997-08-01 00:00:00
abstract::Rosai-Dorfman disease is a rare entity predominantly affecting children and young adults, characterized in 83-95% of cases by painless bilateral cervical lymphadenopathy. We report the unusual case of a 41-year-old woman with Rosai-Dorfman disease that presented as a solitary lesion of the radius without other clinica...
journal_title:Skeletal radiology
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doi:10.1007/s00256-002-0613-x
更新日期:2003-04-01 00:00:00
abstract::We present a case of a hibernoma arising from the left axilla in a 24-year-old woman. The imaging characteristics on both contrast-enhanced CT (attenuation similar to surrounding skeletal muscle) and T1-weighted MR imaging (signal intensity intermediate between those of skeletal muscle and subcutaneous fat) were incon...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0533-9
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abstract::The spectrum of radiographic abnormalities accompanying bone and joint infection that results from human bites of the hand is presented in an analysis of 13 patients. Features include mono-articular involvement, predilection for a metacarpophalangeal joint, soft tissue swelling, joint space narrowing, bone erosions an...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00352616
更新日期:1985-01-01 00:00:00
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
pub_type: 杂志文章,多中心研究
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更新日期:2016-05-01 00:00:00
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
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更新日期:2012-09-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
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更新日期:2010-03-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:1999-08-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:2013-10-01 00:00:00
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更新日期:2019-08-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:1998-05-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000213
更新日期:2000-06-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00366761
更新日期:1989-01-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
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更新日期:2017-02-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:2000-02-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:2012-09-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
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更新日期:2013-10-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:1995-04-01 00:00:00