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dc.contributor.authorSnaith, Beverly
dc.contributor.authorHarris, M.
dc.contributor.authorHughes, J.
dc.contributor.authorSpencer, N.
dc.contributor.authorShinkins, B.
dc.contributor.authorTachibana, A.
dc.contributor.authorBessant, G.
dc.contributor.authorRobertshaw, S.
dc.date.accessioned2022-04-01T14:21:35Z
dc.date.accessioned2022-04-12T07:54:11Z
dc.date.available2022-04-01T14:21:35Z
dc.date.available2022-04-12T07:54:11Z
dc.date.issued2022-03
dc.identifier.citationSnaith B, Harris M, Hughes J et al (2022) Evaluating the potential for cone beam CT to improve the suspected scaphoid fracture pathway: InSPECTED - A single-centre feasibility study. Journal of Medical Imaging and Radiation Sciences. 53(1): 35-40.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18869
dc.descriptionYesen_US
dc.description.abstractThe suspected scaphoid fracture remains a diagnostic conundrum with over-treatment a common risk-averse strategy. Cross-sectional imaging remains the gold standard with MRI recommended but CT used by some because of easier access or limited MRI availability. The aim of this feasibility study was to evaluate whether cone beam computed tomography (CBCT) could support early diagnosis, or exclusion, of scaphoid fractures. Patients with a suspected scaphoid were recruited fracture between March and July 2020. All underwent a 4-view X-ray. If this examination was normal, they were immediately referred for a CBCT scan of the wrist. Those with a normal scan were discharged to research follow-up at 2 and 6-weeks. 68 participants were recruited, 55 had a normal or equivocal X-ray and underwent CBCT. Nine additional radiocarpal fractures (16.2%) were demonstrated on CBCT, the remainder were discharged to research follow-up. Based on the 2-week and 6-week follow up three patients (4.4%) were referred for MRI to investigate persistent symptoms with no bony injuries identified. CBCT scans enabled a rapid pathway for the diagnosis or exclusion of scaphoid fractures, identifying other fractures and facilitating early treatment. The rapid pathway also enabled those with no bony injury to start rehabilitation, suggesting that patients can be safely discharged with safety-net advice following a CBCT scan.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttps://doi.org/10.1016/j.jmir.2021.10.002en_US
dc.rights© 2022 Published by Elsevier Inc. on behalf of Canadian Association of Medical Radiation Technologists.en_US
dc.subjectScaphoiden_US
dc.subjectCarpal bonesen_US
dc.subjectFracturesen_US
dc.subjectCone-beam computed tomographyen_US
dc.subjectX-rayen_US
dc.titleEvaluating the potential for cone beam CT to improve the suspected scaphoid fracture pathway: InSPECTED - A single-centre feasibility studyen_US
dc.status.refereedYesen_US
dc.date.Accepted2021-10-21
dc.date.application2021-11-18
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.rights.licenseCC-BY-NC-NDen_US
dc.date.updated2022-04-01T14:21:36Z
refterms.dateFOA2022-04-12T07:54:38Z
dc.openaccess.statusopenAccessen_US


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