A Comparison of Intra-Observer and Inter-Observer Reliability of Plain Radiographs, Standard Computed Tomography Scans and Mobile Computed Tomography Scans in the Assessment of Distal Radius Fractures: A Cadaveric Study
Journal Title: Journal of Health Science and Medical Research (JHSMR) - Year 2020, Vol 38, Issue 1
Abstract
Objective: Diagnosis of a distal end radius fracture relies on various imaging studies. However, the relative usefulness of these studies is still a matter of some controversy. The aim of this study was to compare the intra-observer and inter-observer reliability of plain radiographs, standard computed tomography (CT) scans and mobile CT scans in the assessment of distal radius fractures as categorized by the Fernandez classification method. The secondary objective was to compare the dosages of radiation between the different imaging modalities. Material and Methods: Sixteen fresh cadaveric wrist bones were used in this experimental study. The desired fractures were created in the bones to mimic Fernandez types I-V fractures and plain radiographs were taken in 4 views. Standard CT and mobile CT scans were also taken with the fractured bones in the same four positions. Interobserver reliability was assessed using Kappa statistics to determine the diagnostic consistency among the nine observers. Inter-observer agreement was assessed based on the Fernandez classification system diagnoses. Results: Overall, the inter-observer agreement was substantial for the Fernandez classifications (Kappa range 0.636 0.727) in all types of imaging. For intra-observer agreement, the analysis found higher agreement for both standard CT scans and mobile CT scans. The standard CT images imparted a higher average dose of radiation than both the mobile CT scans and the plain radiographs. Conclusion: The mobile CT scan can provide an alternative imaging method for precise diagnosis of distal end radius fractures, with the additional benefits of mobility and lower radiation exposure. KEYWORDS
Authors and Affiliations
Sitthiphong Suwannaphisit, Saowapar Yoykaew, Chitchaya Suwanraksa, Varah Yuenyongviwat, Porames Suwanno, Sittichoke Anuntaseree
Keywords
Related Articles
- EP ID EP677973
- DOI http://dx.doi.org/10.31584/jhsmr.202078
- Views 290
- Downloads 0
Effects of Trehalose and Sucrose on Human Sperm Motility, Vitality and Morphology after Cryopreservation
Objective: To compare human sperm motility, vitality and morphology after cryopreservation among sucrose, and different trehalose concentrations. Material and Methods: A total number of 124 normozoospermic semen samples...
Cutaneous Manifestations in Chikungunya Disease
No abstract
Multiple Cranial Neuropathies Caused by Lymphoma-Associated Central Nervous System Involvement in an Immunodeficiency Virus Patient
Human immunodeficiency virus (HIV) infections increase the risk of malignant lymphoma. Although, lymphoma is a rare cause of central nervous system involvement, it can present as an initial HIV symptom. We report the cas...
A Study of Entrance Surface Air Kerma for Patients Undergoing Chest and Abdomen from Digital Radiography at Chulabhorn Hospital
Objective: The main purpose of this study was to investigate the typical dose for standard-sized patients in chest (posteroanterior; PA) and abdomen (anteroposterior; AP) digital radiography. Material and Methods: The a...
Roxithromycin as Anti-Inflammatory Drug Improves Clinical Outcomes in Adult Patients with Bronchiectasis: A Double- Blinded Randomized, Placebo-Controlled Pilot Clinical Trial
Objective: Macrolides are anti-inflammatory agents that have been reported to improve symptoms in bronchiectasis. The objectives of this study were roxithromycin 300 milligrams (mg) once daily for 8 weeks in patients wit...