Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements

Abstract Background The purpose of this study was to determine whether radiological measurements of radial fracture position made in cone beam computed tomography (CBCT) projection images are comparable to those made on traditional radiographs and could potentially substitute them. Methods Sixteen p...

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Main Authors: Kristian Bry, Mika Kortesniemi, Mika Koivikko, Liisa Kerttula
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Medical Imaging
Subjects:
Online Access:https://doi.org/10.1186/s12880-023-01093-4
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author Kristian Bry
Mika Kortesniemi
Mika Koivikko
Liisa Kerttula
author_facet Kristian Bry
Mika Kortesniemi
Mika Koivikko
Liisa Kerttula
author_sort Kristian Bry
collection DOAJ
description Abstract Background The purpose of this study was to determine whether radiological measurements of radial fracture position made in cone beam computed tomography (CBCT) projection images are comparable to those made on traditional radiographs and could potentially substitute them. Methods Sixteen patients with fractures of the distal radius referred for radiographs were recruited for an additional CBCT scan which was performed immediately afterwards. Projection images and volumetric data were saved from the CBCT scans. Measurements of ulnar variance, radial inclination and volar tilt were made from all three sets of images. Results Agreement of projection image based measurements with radiographs was nearly as good as as the agreement of cross sectional image measurements with radiographs. The average difference between the results for projection images and radiographs were -1.2 mm (SD 1.9 mm), for radial inclination 0.7° (SD 2.9°) and for volar tilt 1.9° (SD 5.6°). Conclusion Differences between radiological measurements between the modalities studied are small and projection images could be used for the assessment of distal radial fractures.
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spelling doaj.art-6ebf1b74d6c646bc85efc3b17f5d9c062023-11-20T11:18:55ZengBMCBMC Medical Imaging1471-23422023-09-0123111010.1186/s12880-023-01093-4Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurementsKristian Bry0Mika Kortesniemi1Mika Koivikko2Liisa Kerttula3Bridge Hospital, HUSDepartment of Radiology, Medical Imaging Center, University of Helsinki and Helsinki University Hospital, P.O.Box 263, HUSBridge Hospital, HUSBridge Hospital, HUSAbstract Background The purpose of this study was to determine whether radiological measurements of radial fracture position made in cone beam computed tomography (CBCT) projection images are comparable to those made on traditional radiographs and could potentially substitute them. Methods Sixteen patients with fractures of the distal radius referred for radiographs were recruited for an additional CBCT scan which was performed immediately afterwards. Projection images and volumetric data were saved from the CBCT scans. Measurements of ulnar variance, radial inclination and volar tilt were made from all three sets of images. Results Agreement of projection image based measurements with radiographs was nearly as good as as the agreement of cross sectional image measurements with radiographs. The average difference between the results for projection images and radiographs were -1.2 mm (SD 1.9 mm), for radial inclination 0.7° (SD 2.9°) and for volar tilt 1.9° (SD 5.6°). Conclusion Differences between radiological measurements between the modalities studied are small and projection images could be used for the assessment of distal radial fractures.https://doi.org/10.1186/s12880-023-01093-4Cone-beam computed tomographyRadiographyRadius fractures
spellingShingle Kristian Bry
Mika Kortesniemi
Mika Koivikko
Liisa Kerttula
Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
BMC Medical Imaging
Cone-beam computed tomography
Radiography
Radius fractures
title Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
title_full Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
title_fullStr Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
title_full_unstemmed Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
title_short Comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
title_sort comparison of cone beam computed tomography and plane radiographs of radial fractures as a basis for radiographical measurements
topic Cone-beam computed tomography
Radiography
Radius fractures
url https://doi.org/10.1186/s12880-023-01093-4
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