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Comparison of the diagnostic accuracy of x-ray and computed tomography in patients with wrist injury

Injury Apr 12, 2020

Etli I, et al. - In this study, CT and XR images of patients admitted to the emergency department due to wrist injuries were compared and the accuracy of XR in the diagnosis of fractures was investigated. Researchers recruited those individuals who admitted to ED with injuries due to wrist trauma and who had undergone XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018. This analysis recruited a sum of 274 patients. They estimated sensitivity, specificity, positive predictive value, negative predictive value and Kappa (κ) coefficient of XR according to CT. According to κ values, inter-rater agreement was graded. For the assessment of wrist injuries, XR was found to be the first-choice imaging modality, but CT imaging should be preferred when fractures extending to the joint space, adjacent bone fracture and carpal bone fracture are being considered.

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