CT-generated radiographs in patients with pelvic ring injury: can they be used in lieu of plain radiographs?

Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for...

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Published inJournal of orthopaedic surgery and research Vol. 11; no. 26; p. 26
Main Authors Abdelfattah, Adham A, Moed, Berton R
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 22.02.2016
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Abstract Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type. CT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other. Overall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05). CT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views.
AbstractList Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type. CT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other. Overall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05). CT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views.
BACKGROUNDPelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type.METHODSCT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other.RESULTSOverall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05).CONCLUSIONSCT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views.
Background Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type. Methods CT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other. Results Overall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05). Conclusions CT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views. Keywords: Pelvic ring injury, CT-generated radiographs, Pelvic fractures
Background Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type. Methods CT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other. Results Overall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05). Conclusions CT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views.
Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have higher diagnostic accuracy than plain films for the classification of acetabular fractures. However, similar studies have not been performed for pelvic ring injuries. The purpose of this study was to compare CT-generated and plain radiographs in terms of the ability of surgeons at different experience levels to identify pelvic injury type. CT-generated and plain radiograph image sets were created from 15 pelvic ring injury patients with known classification morphology. Three groups, each consisting of three orthopaedic surgeons representing different levels of expertise, viewed these image sets and recorded their diagnoses. These diagnoses were compared to the gold standard findings of the treating physician and to each other. Overall, there was a significantly improved ability to correctly classify pelvic ring injury type by CT-generated radiographs as compared to plain radiographs (p < 0.01). However, analysis of the groups revealed that this difference was limited to the less experienced groups (p < 0.05). CT-generated radiographs are diagnostically beneficial for less experienced surgeons and at least as good as conventional plain radiographs for experienced surgeons in classifying pelvic ring injuries. Therefore, CT-generated radiographs may be clinically valuable: sparing the patient additional radiation exposure and discomfort by avoiding the reordering of plain radiographs when the initial studies are of poor quality, as well as serving as a possible alternative for supplemental initial injury plain radiographic views.
ArticleNumber 26
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Author Abdelfattah, Adham A
Moed, Berton R
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Cites_doi 10.1148/radiographics.12.2.1561413
10.1016/0001-4575(90)90040-R
10.1097/00003086-199608000-00003
10.1097/00005131-200711101-00001
10.1097/BOT.0b013e3181c83bc0
10.1097/BOT.0b013e31802ea951
10.1097/00005373-199612000-00009
10.1007/s002560050066
10.1097/00005373-198907000-00012
10.1097/00003086-199608000-00022
10.1148/radiology.165.2.3659379
10.1097/BOT.0b013e318188d6c3
10.1148/radiol.2412050960
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References 20418733 - J Orthop Trauma. 2010 May;24(5):284-90
3659379 - Radiology. 1987 Nov;165(2):537-9
8769431 - Clin Orthop Relat Res. 1996 Aug;(329):6-14
18277234 - J Orthop Trauma. 2007 Nov-Dec;21(10 Suppl):S1-133
18827587 - J Orthop Trauma. 2008 Oct;22(9):589-94
8970552 - J Trauma. 1996 Dec;41(6):994-8
2222708 - Accid Anal Prev. 1990 Oct;22(5):457-66
2746708 - J Trauma. 1989 Jul;29(7):981-1000; discussion 1000-2
1561413 - Radiographics. 1992 Mar;12(2):227-42
17005769 - Radiology. 2006 Nov;241(2):386-91
17211266 - J Orthop Trauma. 2007 Jan;21(1):31-7
8769450 - Clin Orthop Relat Res. 1996 Aug;(329):186-93
7418324 - Clin Orthop Relat Res. 1980 Sep;(151):56-64
8741053 - Skeletal Radiol. 1996 Apr;25(3):207-14
HR Mostafavi (361_CR10) 1996; 329
JWR Young (361_CR3) 1987
BS Kuszyk (361_CR14) 1996; 25
RV O’Toole (361_CR16) 2010; 24
EE Berg (361_CR11) 1996; 41
MLC Routt Jr (361_CR18) 2010
SA Dalal (361_CR6) 1989; 29
K Ohashi (361_CR17) 2006; 241
JL Marsh (361_CR5) 2007; 21
M Tile (361_CR4) 1995
PIII Tornetta (361_CR9) 1996; 329
JH Siegel (361_CR1) 1990; 22
W Smith (361_CR2) 2007; 21
SE Porter (361_CR12) 2008; 22
WW Scott (361_CR13) 1987; 165
HC Sagi (361_CR7) 2010
M Tile (361_CR8) 1980; 151
CR Martinez (361_CR15) 1992; 12
References_xml – volume: 12
  start-page: 227
  year: 1992
  ident: 361_CR15
  publication-title: Radiographics
  doi: 10.1148/radiographics.12.2.1561413
  contributor:
    fullname: CR Martinez
– start-page: 323
  volume-title: Orthopaedic knowledge update: trauma 4
  year: 2010
  ident: 361_CR18
  contributor:
    fullname: MLC Routt Jr
– volume: 22
  start-page: 457
  issue: 5
  year: 1990
  ident: 361_CR1
  publication-title: Accid Anal Prev
  doi: 10.1016/0001-4575(90)90040-R
  contributor:
    fullname: JH Siegel
– volume: 329
  start-page: 6
  year: 1996
  ident: 361_CR10
  publication-title: Clin Orthop Relat Res
  doi: 10.1097/00003086-199608000-00003
  contributor:
    fullname: HR Mostafavi
– volume: 21
  start-page: S1
  issue: Suppl 10
  year: 2007
  ident: 361_CR5
  publication-title: J Orthop Trauma
  doi: 10.1097/00005131-200711101-00001
  contributor:
    fullname: JL Marsh
– start-page: 1415
  volume-title: Rockwood and Green’s fractures in adults
  year: 2010
  ident: 361_CR7
  contributor:
    fullname: HC Sagi
– volume: 151
  start-page: 56
  year: 1980
  ident: 361_CR8
  publication-title: Clin Orthop Relat Res
  contributor:
    fullname: M Tile
– volume: 24
  start-page: 284
  year: 2010
  ident: 361_CR16
  publication-title: J Orthop Trauma
  doi: 10.1097/BOT.0b013e3181c83bc0
  contributor:
    fullname: RV O’Toole
– volume: 21
  start-page: 31
  year: 2007
  ident: 361_CR2
  publication-title: J Orthop Trauma
  doi: 10.1097/BOT.0b013e31802ea951
  contributor:
    fullname: W Smith
– volume: 41
  start-page: 994
  year: 1996
  ident: 361_CR11
  publication-title: J Trauma
  doi: 10.1097/00005373-199612000-00009
  contributor:
    fullname: EE Berg
– volume: 25
  start-page: 207
  year: 1996
  ident: 361_CR14
  publication-title: Skeletal Radiol
  doi: 10.1007/s002560050066
  contributor:
    fullname: BS Kuszyk
– volume: 29
  start-page: 981
  year: 1989
  ident: 361_CR6
  publication-title: J Trauma
  doi: 10.1097/00005373-198907000-00012
  contributor:
    fullname: SA Dalal
– volume: 329
  start-page: 186
  year: 1996
  ident: 361_CR9
  publication-title: Clin Orthop Relat Res
  doi: 10.1097/00003086-199608000-00022
  contributor:
    fullname: PIII Tornetta
– volume: 165
  start-page: 537
  year: 1987
  ident: 361_CR13
  publication-title: Radiology
  doi: 10.1148/radiology.165.2.3659379
  contributor:
    fullname: WW Scott
– volume: 22
  start-page: 589
  year: 2008
  ident: 361_CR12
  publication-title: J Orthop Trauma
  doi: 10.1097/BOT.0b013e318188d6c3
  contributor:
    fullname: SE Porter
– volume-title: Radiologic management of pelvic ring fractures: systematic radiographic diagnosis
  year: 1987
  ident: 361_CR3
  contributor:
    fullname: JWR Young
– volume-title: Fractures of the pelvis and acetabulum
  year: 1995
  ident: 361_CR4
  contributor:
    fullname: M Tile
– volume: 241
  start-page: 386
  year: 2006
  ident: 361_CR17
  publication-title: Radiology
  doi: 10.1148/radiol.2412050960
  contributor:
    fullname: K Ohashi
SSID ssj0050584
Score 2.1125083
Snippet Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated images have...
Background Pelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated...
BACKGROUNDPelvic ring injury classification traditionally is made using plain radiographs. Recent studies suggest that computed tomography (CT)-generated...
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StartPage 26
SubjectTerms Analysis
Clinical Competence
CT imaging
Diagnostic imaging
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Observer Variation
Orthopedics
Pelvic Bones - diagnostic imaging
Pelvic Bones - injuries
Retrospective Studies
Tomography, X-Ray Computed - methods
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Title CT-generated radiographs in patients with pelvic ring injury: can they be used in lieu of plain radiographs?
URI https://www.ncbi.nlm.nih.gov/pubmed/26898717
https://www.proquest.com/docview/1798414105
https://search.proquest.com/docview/1767624140
https://pubmed.ncbi.nlm.nih.gov/PMC4762161
Volume 11
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