| Diagnostic accuracy of multidetector computed tomography for patients with suspected scaphoid fractures and negative radiographic examinations. | |
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MedLine Citation:
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PMID: 21359934 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: The aim of this prospective study was to evaluate the diagnostic accuracy of multidetector computed tomography (MDCT) in detecting occult scaphoid fractures. MATERIALS AND METHODS: A total of 54 patients with a clinically suspected scaphoid fracture and negative initial conventional radiographs were evaluated with 64-row MDCT wrist examinations within 1 week of the trauma. The gold standard used was the diagnosis on MRI done within 1 week after MDCT. The sensitivity, specifi city, positive predictive value (PPV), and negative predictive value (NPV) of MDCT were calculated. RESULTS: MRI showed a total of 22 fractures in 20 of 55 (36%) wrists. Fractures included 14 scaphoid and 8 other carpal bones. MDCT showed a total of 19 fractures in 17 of 55 (30%) wrists. Two isolated scaphoid fractures and one trapezium fracture were missed on MDCT. The sensitivity, specificity, PPV, and NPV of MDCT were 86%, 100%, 100%, and 91%, respectively. CONCLUSION: MDCT offers highly accurate results, especially concerning cortical involvement, and is a useful alternative in facilities lacking MRI. |
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Authors:
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Ahmet Turan Ilica; Selahattin Ozyurek; Ozkan Kose; Murat Durusu |
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Publication Detail:
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Type: Journal Article Date: 2011-02-27 |
Journal Detail:
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Title: Japanese journal of radiology Volume: 29 ISSN: 1867-108X ISO Abbreviation: Jpn J Radiol Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-03-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101490689 Medline TA: Jpn J Radiol Country: Japan |
Other Details:
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Languages: eng Pagination: 98-103 Citation Subset: IM |
Affiliation:
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Department of Radiology, Gulhane Military Medical Academy, Ankara, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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