| Autor: |
Dareez NM; Department of Radiology, SSHF Arendal, Postboks 783 Stoa, 4809, Arendal, Norway. dareez1972@hotmail.com., Dahlslett KH; Department of radiology, Haukelands universitetssjukehus, Postboks 1400, 5021, Bergen, Norway., Engesland E; Department of Radiology, SSHF Arendal, Postboks 783 Stoa, 4809, Arendal, Norway., Lindland ES; Department of Radiology, SSHF Arendal, Postboks 783 Stoa, 4809, Arendal, Norway. |
| Abstrakt: |
We aimed to determine whether bone marrow edema (BME) in acute traumatic scaphoid fracture could be demonstrated with dual-energy CT (DECT) using MRI as the gold standard. In recent years, virtual non-calcium (VNCa) images have been used to demonstrate BME in trauma cases, for example, in vertebral compression fractures, hip trauma to detect occult fractures and knee fractures. We present three cases of acute scaphoid trauma. Two patients had subtle or invisible fractures on x-ray and conventional CT images, while DECT VNCa images clearly visualized the BME, which was confirmed by MRI. One patient had negative findings on both VNCa and MRI images. The DECT VNCa algorithm is a promising technique to demonstrate BME in scaphoid fractures, with potential for increasing the diagnostic value of CT in this type of injury. |
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