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Verfasst von:Grünewald, Leon David [VerfasserIn]   i
 Booz, Christian [VerfasserIn]   i
 Martin, Simon [VerfasserIn]   i
 Mahmoudi, Scherwin [VerfasserIn]   i
 Yel, Ibrahim [VerfasserIn]   i
 Eichler, Katrin [VerfasserIn]   i
 Alizadeh, Leona Soraja [VerfasserIn]   i
 Bernatz, Simon [VerfasserIn]   i
 Gotta, Jennifer [VerfasserIn]   i
 Reschke, Philipp [VerfasserIn]   i
 Weber, Christophe [VerfasserIn]   i
 Sommer, Christof-Matthias [VerfasserIn]   i
 D'Angelo, Tommaso [VerfasserIn]   i
 Bucolo, Giuseppe [VerfasserIn]   i
 Leistner, David [VerfasserIn]   i
 Vogl, Thomas J. [VerfasserIn]   i
 Koch, Vitali [VerfasserIn]   i
Titel:Diagnostic performance of modern computed tomography in cruciate ligament injury detection
Titelzusatz:a comprehensive study
Verf.angabe:Leon D. Gruenewald, Christian Booz, Simon S. Martin, Scherwin Mahmoudi, Ibrahim Yel, Katrin Eichler, Leona S. Alizadeh, Simon Bernatz, Jennifer Gotta, Philipp Reschke, Christophe Weber, Christof M. Sommer, Tommaso D'Angelo, Giuseppe Bucolo, David M. Leistner, Thomas J. Vogl, Vitali Koch
E-Jahr:2024
Jahr:January 2024
Umfang:8 S.
Illustrationen:Illustrationen
Fussnoten:Online verfügbar: 30. November 2023, Artikelversion: 9. Dezember 2023 ; Gesehen am 02.04.2024
Titel Quelle:Enthalten in: European journal of radiology
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1990
Jahr Quelle:2024
Band/Heft Quelle:170(2024), Artikel-ID 111235, Seite 1-8
ISSN Quelle:1872-7727
Abstract:Background - This study aimed to evaluate the clinical utility of modern single and dual-energy computed tomography (CT) for assessing the integrity of the cruciate ligaments in patients that sustained acute trauma. - Methods - Patients who underwent single- or dual-energy CT followed by 3 Tesla magnetic resonance imaging (MRI) or knee joint arthroscopy between 01/2016 and 12/2022 were included in this retrospective, monocentric study. Three radiologists specialized in musculoskeletal imaging independently evaluated all CT images for the presence of injury to the cruciate ligaments. An MRI consensus reading of two experienced readers and arthroscopy provided the reference standard. Diagnostic accuracy parameters and area under the receiver operator characteristic curve (AUC) were the primary metrics for diagnostic performance. - Results - CT images of 204 patients (median age, 49 years; IQR 36 - 64; 113 males) were evaluated. Dual-energy CT yielded significantly higher diagnostic accuracy and AUC for the detection of injury to the anterior (94% [240/255] vs 75% [266/357] and 0.89 vs 0.66) and posterior cruciate ligaments (95% [243/255] vs 87% [311/357] and 0.90 vs 0.61) compared to single-energy CT (all parameters, p <.005). Diagnostic confidence and image quality were significantly higher in dual-energy CT compared to single-energy CT (all parameters, p <.005). - Conclusions - Modern dual-energy CT is readily available and can serve as a screening tool for detecting or excluding cruciate ligament injuries in patients with acute trauma. Accurate diagnosis of cruciate ligament injuries is crucial to prevent adverse outcomes, including delayed treatment, chronic instability, or long-term functional limitations.
DOI:doi:10.1016/j.ejrad.2023.111235
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1016/j.ejrad.2023.111235
 kostenfrei: Volltext: https://www.sciencedirect.com/science/article/pii/S0720048X23005491
 DOI: https://doi.org/10.1016/j.ejrad.2023.111235
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Anterior cruciate ligament
 Knee joint
 Magnetic resonance Imaging
 Multidetector computed tomography
 Posterior cruciate ligament
K10plus-PPN:1884707548
Verknüpfungen:→ Zeitschrift

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