Academic Journal

Diagnostic accuracy of dual energy CT in the assessment of traumatic bone marrow edema of lower limb and its correlation with MRI

التفاصيل البيبلوغرافية
العنوان: Diagnostic accuracy of dual energy CT in the assessment of traumatic bone marrow edema of lower limb and its correlation with MRI
المؤلفون: Harsh Yadav, Sachin Khanduri, Poonam Yadav, Sushma Pandey, Vivek Kumar Yadav, Shahla Khan
المصدر: Indian Journal of Radiology and Imaging, Vol 30, Iss 01, Pp 59-63 (2020)
بيانات النشر: Thieme Medical and Scientific Publishers Pvt. Ltd., 2020.
سنة النشر: 2020
المجموعة: LCC:Medical physics. Medical radiology. Nuclear medicine
مصطلحات موضوعية: bone marrow edema, dect, lower limb, trauma, mri, Medical physics. Medical radiology. Nuclear medicine, R895-920
الوصف: Background: Bone marrow edema is assumed to be caused as a result of trabecular microfractures that are detected by MRI. As MRI is not widely available in countries like India, this study aims to encourage the use of DECT in detection of bone edema as evidence with comparable efficiency to MRI. Aim: To assess the diagnostic accuracy of dual-energy CT in detecting bone marrow edema in patients of trauma of lower limb and correlate it with MRI. Setting and Design: It is a cross-sectional study. Materials and Methods: The study included 40 patients of age 15–70 years irrespective of sex. All the patients of lower extremity trauma underwent DECT and MRI evaluation after clinical evaluation. All the images were postprocessed on a work station and were further evaluated by a radiologist. Results: Mean attenuation at fractured site observed by Dual energy CT was found to be significantly higher as compared to that at adjacent site (170.75 ± 33.99 vs. 19.73 ± 22.50 HU). The sensitivity and specificity of dual energy CT as compared to MRI in detecting bone marrow edema were 94.1% and 91.3%, respectively. Of the 40 cases enrolled in the study, agreement of MRI and Dual energy CT was observed in 37 (92.5%). Conclusion: Dual energy CT can be an effective alternative to MRI in the detection of bone marrow edema in patients of lower limb trauma. Dual energy CT can also be used in patients in whom MRI is contraindicated.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0971-3026
1998-3808
Relation: https://doaj.org/toc/0971-3026; https://doaj.org/toc/1998-3808
DOI: 10.4103/ijri.IJRI_59_19
URL الوصول: https://doaj.org/article/a881ae3ee9ea4428a8074af9e1b6d585
رقم الانضمام: edsdoj.881ae3ee9ea4428a8074af9e1b6d585
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:09713026
19983808
DOI:10.4103/ijri.IJRI_59_19