Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Utvärdering av cone beam computed tomography som metod vid fraktur i övre extremiteter: - En jämförelse mellan modaliteter
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Evaluation of cone beam computed tomography as an examination method for fractures in the upper extremities : – a comparison between modalities (English)
Abstract [sv]

Bakgrund: Cone beam computed tomography (CBCT) är en form av datortomografi vanlig inom odontologi och börjar utnyttjas mer inom ortopedisk diagnostik. Frakturer i övre extremiteter är vanligt förekommande i samband med trauma. Konventionell röntgen är oftast förstahandsmetod men kan inte alltid utesluta scaphoideumfraktur, som obehandlad kan ge allvarliga konsekvenser.

Syfte: Syftet är att utvärdera CBCT som metod vid fraktur i övre extremiteter genom att jämföra med andra modaliteter.

Metod: Arbetet är en systematisk litteraturstudie. Databaserna Medline, CINAHL och PubMed användes. Endast artiklar publicerade inom de senaste 10 åren inkluderades. Kvalitetsgranskning utfördes med protokoll från Hälsohögskolan i Jönköping.

Resultat: 15 artiklar inkluderades i resultatet. Faktorer som identifierades var konkordans, stråldos, bildkvalitet, diagnostisk kvalitet samt patienttolerans och undersökningstid. CBCT hade överlägsen eller likvärdig konkordans. I åtta av nio artiklar visades CBCT ha lägre stråldos än jämförande modalitet. Generellt var bildkvaliteten god för CBCT. Skilda resultat uppkom för diagnostisk förmåga. Patienttoleransen var högre för CBCT än multidetektor-CT (MDCT) gällande tid.

Slutsats: CBCT påvisade god bildkvalitet och diagnostisk förmåga till en relativt låg stråldos, samt högre sensitivitet och specificitet än konventionell röntgen. På grund av skillnader i mätinstrument i det insamlade materialet kan ingen definitiv slutsats dras. Vidare studier inom ämnet rekommenderas.

Abstract [en]

Background: Cone beam computed tomography (CBCT) is a method commonly used in odontology and is becoming more used in orthopedic diagnostics. Fractures in upper extremities are a common occurrence in trauma. Conventional radiography is often the firsthand method but cannot always exclude scaphoid fractures, which untreated can have serious consequences.

Purpose: The purpose is to evaluate CBCT as an examination method for fractures in the upper extremities by comparing with other modalities.

Method: This study is a systematic literature review. The databases used were Medline, CINAHL and PubMed. Only articles published within the last 10 years were included. A quality audit was implemented using a protocol from Jönköping University.

Results: 15 articles were included. The factors identified were observer agreement, radiation dose, image quality, diagnostic quality, patient tolerance and image duration. CBCT had a better or equal observer agreement. In eight out of nine articles, CBCT was shown to have a lower radiation dose than its comparative modality. In general, a good image quality in CBCT was found. Differing results were found about diagnostic ability. The patient tolerance was higher for CBCT than multidetector-CT (MDCT) regarding image duration.

Conclusions: CBCT demonstrated a good image quality and diagnostic ability to a relatively low radiation dose, and a higher sensitivity and specificity than conventional radiography. Due to differences in measuring instruments used in the gathered material, no definitive conclusion could be drawn. Further studies in the subject is recommended.

Place, publisher, year, edition, pages
2019. , p. 31
Keywords [en]
CBCT, examination method, scaphoid, skeletal injury
Keywords [sv]
CBCT, scaphoideum, skelettskada, undersökningsmetod
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:hj:diva-44642ISRN: JU-HHJ-RAD-1-20190050OAI: oai:DiVA.org:hj-44642DiVA, id: diva2:1326846
Subject / course
HHJ, Radiography
Supervisors
Examiners
Available from: 2019-06-25 Created: 2019-06-18 Last updated: 2019-06-25Bibliographically approved

Open Access in DiVA

fulltext(780 kB)2 downloads
File information
File name FULLTEXT01.pdfFile size 780 kBChecksum SHA-512
60e4f1a8309258f2d27dfb3cd034d59239d9d661d51cdf76dbc71cd3b6333fb71fbc0ac8f680c18f477ce1dd6f6b173811959c614e3381d4f577255c17fa7d12
Type fulltextMimetype application/pdf

By organisation
HHJ, Dep. of Natural Science and Biomedicine
Radiology, Nuclear Medicine and Medical Imaging

Search outside of DiVA

GoogleGoogle Scholar
Total: 2 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 16 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf