Document Detail

Diagnostic accuracy of multidetector computed tomography for patients with suspected scaphoid fractures and negative radiographic examinations.
MedLine Citation:
PMID:  21359934     Owner:  NLM     Status:  In-Data-Review    
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.
Ahmet Turan Ilica; Selahattin Ozyurek; Ozkan Kose; Murat Durusu
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Publication Detail:
Type:  Journal Article     Date:  2011-02-27
Journal Detail:
Title:  Japanese journal of radiology     Volume:  29     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  98-103     Citation Subset:  IM    
Department of Radiology, Gulhane Military Medical Academy, Ankara, Turkey.
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