Comparison of MRI, CT and bone scintigraphy for suspected scaphoid fractures
| Autor: | Inger B. Schipper, K. A. Bartlema, A. D. de Zwart, Frank J. P. Beeres, Steven J. Rhemrev |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Sports medicine Adolescent Radiography Scaphoid fracture Physical examination Technetium Tc 99m Medronate Critical Care and Intensive Care Medicine 030218 nuclear medicine & medical imaging Diagnostic modalities 03 medical and health sciences Fractures Bone 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Aged Scaphoid Bone 030222 orthopedics medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Occult Magnetic Resonance Imaging Casts Surgical Bone scintigraphy Positron-Emission Tomography Emergency Medicine Surgery Female Radiology Radiopharmaceuticals Nuclear medicine business Tomography X-Ray Computed MRI CT |
| Zdroj: | Europe PubMed Central European Journal of Trauma and Emergency Surgery, 42(6), 725-731 |
| DOI: | 10.1007/s00068-015-0594-9 |
| Popis: | The best diagnostic modality for confirmation of the diagnosis of a scaphoid fracture that is not visible on the initial radiograph (occult scaphoid fracture) is still subject of debate. The aim of this study was to compare the accuracy of magnetic resonance imaging (MRI), computed tomography (CT) and bone scintigraphy (BS) for the diagnosis of these occult scaphoid fractures. In a study period of 12 months, 33 consecutive patients with a clinically suspected scaphoid fracture without a fracture on the scaphoid radiographs were evaluated with MRI, CT and BS. In case of a discrepancy between the diagnostic modalities, the final diagnosis was based on standardised follow-up with clinical examination and a repeated radiograph. Three of the 33 patients had a scaphoid fracture. MRI missed one scaphoid fracture and did not over-diagnose. CT missed two scaphoid fractures and did not over-diagnose. BS missed no scaphoid fractures and over-diagnosed one scaphoid fracture in a patient with a fracture of the trapezium. This study shows that neither MRI, nor CT and BS are 100 % accurate in diagnosing occult scaphoid fractures. MRI and CT miss fractures, and BS tends to over-diagnose. The specific advantages and limitations of each diagnostic modality should be familiar to the treating physicians and taken into consideration during the diagnostic process. |
| Databáze: | OpenAIRE |
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