多层螺旋CT后处理技术及体检信息对肋骨骨折诊断的应用效果

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1594 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of multi-slice spiral CT(MSCT) post-processing technique and physical examination information in the diagnosis of rib fracture (RF). Methods MSCT data of 400 RF patients admitted to Shandong Provincial Corps Hospital of Chinese People's Armed Police Force from January 2019 to December 2023 were randomly selected, and 97 patients who were initially examined within 7 days of injury and re-examined within 3 to 8 weeks of injury were included in this study. The initial examination was divided into group A and Group B, which were independently diagnosed by two senior physicians in the imaging department. In Group A, the physician conducted targeted diagnosis after performing a physical examination; in Group B, the diagnosing physician performed blind diagnosis. Based on the reexamination results, the performance of conventional transverse (TRA) images and post-processing techniques in diagnosing various types of RF was analyzed statistically. Results At the initial examination, the diagnostic accuracy of type Ⅰ, Ⅱ and Ⅲ RF by different methods in group A was higher than that in group B, with statistical difference (P<0.05). The diagnostic accuracy of type Ⅰ and Ⅲ RF by MPR and CPR was significantly higher than that by other methods (P<0.05). The accuracy of diagnosis of RF type Ⅱ by different methods was not significantly different between and within groups, but the post-processing technology had strong visibility and the mean diagnostic time was short (P<0.05). Type Ⅳ RF was not detected at the initial examination, 88 cases were detected at the reexamination, and the diagnostic accuracy of MIP diagnosis was significantly high that of other methods, the difference was statistically significant (P<0.05). Conclusions MSCT post-processing technique can be used in the diagnosis of different types of RF, not only the diagnosis accuracy is high, but also the diagnosis time is short, which can significantly improve the diagnosis efficiency of RF.

Key words： rib fracture post-processing technique X-ray computed tomography diagnosis disability assessment

Received: 10 January 2024

ZTFLH:

R683.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Peng
	JIAO Jian
	DU Jiquan
	SI Ying

Cite this article:

ZHANG Peng,JIAO Jian,DU Jiquan等. Application effect of MSCT post-processing technique and physical examination information in diagnosis of rib fracture[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(8): 699-702.

URL:

https://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR https://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I8/699

[1]	Henry T S, Donnelly E F, Boiselle P M, et al. ACR Appropriateness Criteria® Rib Fractures[J].J Am Coll Radiol,2019,16(5S):S227-S234.
[2]	Raab S, Grieser T, Sturm M,et al. Management der Rippenfraktur[Management of Rib Fractures][J]. Zentralbl Chir,2019,144(3):305-321.
[3]	林园园.多层螺旋CT在肋骨骨折法医学鉴定中的应用[D].青岛大学,2018.
[4]	高超,张联合,王丹丹,等.军事训练致少见或罕见部位应力性骨折的回顾性分析[J].武警医学,2024,35(2):93-97.
[5]	李伟.多层螺旋CT在肋骨骨折法医学鉴定中的应用[J].河南科技大学学报(医学版),2013,31(3):222-224.
[6]	李伟.多层螺旋CT在隐匿性肋骨骨折法医学鉴定中的应用分析[J].中国刑警学院学报,2017,13(4):101-103.
[7]	张鹏,孙百胜,都基权,等. 64层螺旋CT后处理技术对肋骨骨折的诊断价值[J].医学影像学杂志,2014,24(7):1211-1213.
[8]	范志奎,王胜林,崔志新,等.肋骨骨折MSCT隔期联合诊断法的临床应用[J].中国医学计算机成像杂志,2014,20(5):412-416.
[9]	王文元,高婷,孙文. ECT在肋骨隐匿性骨折鉴定中的应用[J].法医临床学专业理论与实践-中国法医学会·全国第二十一届法医临床学学术研讨会论文集,2018:97-99.
[10]	Knesek M, Walsh C P, Sabb B, et al. Magnetic resonance imaging diagnosis of rib fracture in a competitive collegiate rower: a case report[J]. JBJS Case Connect,2012,2(4):e56.
[11]	高越,张筠,曹军英,等.高频超声对肋骨隐匿性骨折诊断价值[J].临床军医杂志,2020,48(9):1003-1004.
[12]	Jeroukhimov I, Hershkovitz Y, Wiser I,et al. When should abdominal computed tomography be considered in patients with lower rib fractures?[J].J Emerg Med,2017,52(5):609-614.
[13]	董素萍.多层螺旋CT与MRI在肋骨骨折诊断价值对比分析[J].罕少疾病杂志,2019,26(1):91-93.
[14]	戚乐,陈小启,李跃兴,等.肋骨隐匿性骨折的多排螺旋CT诊断[J].中华创伤杂志,2012,28(12):1099-1101.
[15]	张红军,常树勋,张向锋. 64层螺旋CT对肋骨隐匿性骨折的诊断价值[J].实用医学影像杂志,2015,16(2):145-147.
[16]	林炳权,许乙凯,黄婵桃,等.闭合性肺创伤65例CT诊断分析[J].武警医学,2018,29(9):908-911.
[17]	Ringl H, Lazar M, Töpker M, et al. The ribs unfolded-a CT visualization algorithm for fast detection of rib fractures: effect on sensitivity and specificity in trauma patients[J]. Eur Radiol,2015,25(7):1865-1874.
[18]	Mauf S,Held U,Gascho D,et al. Flat chest projection in the detection and visualization of rib fractures: A cross-sectional study comparing curved and multiplanar reformation of computed tomography images in different reader groups[J]. Forensic Sci Int,2019,303:109942.
[19]	Glemser P A, Pfleiderer M, Heger A,et al. New bone post-processing tools in forensic imaging: a multi-reader feasibility study to evaluate detection time and diagnostic accuracy in rib fracture assessment[J]. Int J Legal Med,2017,131(2):489-496.
[20]	Chien C Y, Chen Y H, Han S T, et al. The number of displaced rib fractures is more predictive for complications in chest trauma patients[J]. Scand J Trauma Resusc Emerg Med,2017,25(1):19.
[21]	张铁,鞠雪,张磊,等.隐匿性肋骨骨折MSCT最佳复查时间的研究[J].中国CT和MRI杂志,2018,16(1):134-136.
[22]	林园园,杜运智,崔虹飞,等.隐匿性肋骨骨折多层螺旋CT检查的最佳时间窗[J].中国法医学杂志,2017,32(6):563-566.