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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
Comparison of conventional radiography and MDCT in suspected scaphoid fractures
Cyrus Behzadi, Murat Karul, Frank Oliver Henes, Azien Laqmani, Gerhard Adam, Marc Regier, Center for Radiology and Endoscopy, Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Philipp Catala-Lehnen, Wolfgang Lehmann, Department of Hand-, Trauma-, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Hans-Dieter Nagel, Science and Technology for Radiology, 21244 Buchholz, Germany
Author contributions: Behzadi C and Karul M collected and analyzed the data equally; Henes FO and Laqmani A provided analytical oversight; Lehmann W and Catala-Lehnen P revised the manuscript; Adam G and Regier M designed and supervised the study; Nagel HD provided technical support, dose calculation and statistical analysis; all authors had taken part in literature research and manuscript preparation and had read and approved the final version.
Ethics approval: The study was reviewed and approved by the local ethics committee (WF-061/13).
Informed consent: Due to the retrospective study design exclusively involving data sets from past examinations taken from the local PACS system, no written informed consent was assessable.
Conflict-of-interest: None of the authors has to declare any conflict of interest in the presented study.
Data sharing: Technical appendix, statistical code, and dataset available from the corresponding author at c.behzadi@uke.de. Informed consent was not obtained but the presented data are anonymized and risk of identification is low.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Cyrus Behzadi, MD, Center for Radiology and Endoscopy, Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. c.behzadi@uke.de
Telephone: +49-40-741054029 Fax: +49-40-741053802
Received: September 24, 2014
Peer-review started: September 24, 2014
First decision: November 19, 2014
Revised: November 28, 2014
Accepted: December 29, 2014
Article in press: December 31, 2014
Published online: January 28, 2015
Peer-review started: September 24, 2014
First decision: November 19, 2014
Revised: November 28, 2014
Accepted: December 29, 2014
Article in press: December 31, 2014
Published online: January 28, 2015
Core Tip
Core tip: Correct diagnosis of acute wrist trauma with suspected scaphoid fractures is a challenging topic in every emergency department. Based on our data, conventional radiography has to be considered as insufficient for accurate scaphoid fracture detection. Regarding the high diagnostic accuracy and low effective dose of multidetector computed tomography, it should be implemented as the imaging modality of first choice in suspected fractures of the scaphoid.