Minimal Detectable Bone Fracture Gaps in CT Images and Digital Three-Dimensional (3D) Radii Models.

Knowledge of the minimal detectable bone fracture gap is essential in three-dimensional (3D) models, particularly in pre-operative planning of osteosynthesis to avoid overlooking gaps. In this study, defined incisions and bony displacements ranging from 100 to 400 µm were created in diaphyseal radii...

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Publicado en:Journal of Imaging Informatics in Medicine Vol. 38; no. 1; pp. 84 - 94
Autores principales: Bittner-Frank, Martin, Strassl, Andreas, Unger, Ewald, Hirtler, Lena, Eckhart, Barbara, Koenigshofer, Markus, Stoegner, Alexander, Staats, Kevin, Kainberger, Franz, Windhager, Reinhard, Moscato, Francesco, Benca, Emir
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Minimal Detectable Bone Fracture Gaps in CT Images and Digital Three-Dimensional (3D) Radii Models.
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          Bittner-Frank, Martin
          Strassl, Andreas
          Unger, Ewald
          Hirtler, Lena
          Eckhart, Barbara
          Koenigshofer, Markus
          Stoegner, Alexander
          Staats, Kevin
          Kainberger, Franz
          Windhager, Reinhard
          Moscato, Francesco
          Benca, Emir
        affil: https://ror.org/05n3x4p02 Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria
      sug:
        subj:
          Radius Fractures Diagnosis
          Radius Fractures Radiography
          Radius Fractures Surgery
          Radius Radiography
          Tomography, X-Ray Computed Methods
          Imaging, Three-Dimensional Methods
          Orthopedic Surgery Methods
          Microscopy Methods
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          Female
          Aged
          Aged, 80 and Over
          Pilot Studies
          Models, Anatomic
          Reproducibility of Results
          Preoperative Care
          Post Hoc Analysis
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Knowledge of the minimal detectable bone fracture gap is essential in three-dimensional (3D) models, particularly in pre-operative planning of osteosynthesis to avoid overlooking gaps. In this study, defined incisions and bony displacements ranging from 100 to 400 µm were created in diaphyseal radii in 20 paired forearm specimens and verified with light microscopy. The specimens were scanned utilizing different computed tomography (CT) technologies/scanners, specimen positionings, scan protocols, image segmentations, and processing protocols. Inter- and intra-operator variabilities were reported as coefficient kappa. In CT images, fracture gaps of 100 µm and bone lamellae of 300 µm and 400 µm width were identified at a rate of 80 to 100%, respectively, independent of the investigated settings. In contrast, only 400µm incisions and bony displacements were visible in digital 3D models, with detection rates dependent on CT technology, image segmentation, and post-processing algorithm. 3D bone models based on state-of-the-art CT imaging can reliably visualize clinically relevant bone fracture gap sizes. However, verification of fractures to be surgically addressed should be verified with the original CT image series.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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