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The new ultralow dose CT protocol for the diagnosis of fractures of the ankle: A prospective comparative study with conventional CT

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dc.contributor.authorTuncer, Kutsi
dc.contributor.authorTopal, Murat
dc.contributor.authorTekin, Erdal
dc.contributor.authorSade, Recep
dc.contributor.authorPirimoglu, Rüstem Berhan
dc.contributor.authorPolat, Gokhan
dc.date.accessioned2026-01-04T14:31:11Z
dc.date.issued2020-09-01
dc.description.abstractPurpose: Computerized tomography (CT) imaging is increasingly being used to evaluate patients with ankle trauma. However, conventional CT (C CT) has a significantly higher radiation dose (RD) than plain radiography. This study aimed to evaluate the diagnostic accuracy and reliability of ultra-low-dose CT (ULDCT) protocol for ankle fractures. Methods: Ninety-eight consecutive patients who had ankle CT for suspected ankle fracture were included in our prospective study. C CT and ULDCT protocols were simultaneously performed on these 98 patients. Two observers independently evaluated ULDCT and C CT images. The effective RD of the ULDCT and C CT groups was calculated. Results: The interobserver agreement was 1 (perfect). ULDCT and C CT group images showed no significant difference in image quality. The effective RD of the ULDCT was significantly lower than the C CT ( p < 0.001). Conclusions: By evaluating the results of this study, ULDCT proved to be a reliable diagnostic imaging method for fractures of the ankle. The satisfactory diagnostic image quality of the ULDCT protocol provides promising results. Level of Evidence: Level II/lesser quality RCT or prospective comparative study
dc.description.urihttps://doi.org/10.1177/2309499020960238
dc.description.urihttps://pubmed.ncbi.nlm.nih.gov/32985384
dc.description.urihttps://doaj.org/article/569823fcca854f05be0f14e5c407466f
dc.description.urihttps://dx.doi.org/10.1177/2309499020960238
dc.description.urihttps://avesis.atauni.edu.tr/publication/details/acd615a5-9663-4517-b888-e33a8502c0b0/oai
dc.identifier.doi10.1177/2309499020960238
dc.identifier.eissn2309-4990
dc.identifier.issn1022-5536
dc.identifier.openairedoi_dedup___::d963a316806cc7e3b88eb9f8289ea888
dc.identifier.orcid0000-0002-7544-2554
dc.identifier.orcid0000-0002-5114-4691
dc.identifier.orcid0000-0002-9184-8730
dc.identifier.pubmed32985384
dc.identifier.scopus2-s2.0-85091719687
dc.identifier.urihttps://hdl.handle.net/20.500.12597/38231
dc.identifier.volume28
dc.identifier.wos000574707400001
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofJournal of Orthopaedic Surgery
dc.rightsOPEN
dc.subjectOrthopedic surgery
dc.subjectAdult
dc.subjectMale
dc.subjectReproducibility of Results
dc.subjectMiddle Aged
dc.subjectAnkle Fractures
dc.subjectRadiation Dosage
dc.subjectMultidetector Computed Tomography
dc.subjectHumans
dc.subjectRadiographic Image Interpretation, Computer-Assisted
dc.subjectFemale
dc.subjectProspective Studies
dc.subjectRD701-811
dc.subjectAnkle Joint
dc.subject.sdg2. Zero hunger
dc.titleThe new ultralow dose CT protocol for the diagnosis of fractures of the ankle: A prospective comparative study with conventional CT
dc.typeArticle
dspace.entity.typePublication
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However, conventional CT (C CT) has a significantly higher radiation dose (RD) than plain radiography. This study aimed to evaluate the diagnostic accuracy and reliability of ultra-low-dose CT (ULDCT) protocol for ankle fractures. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Ninety-eight consecutive patients who had ankle CT for suspected ankle fracture were included in our prospective study. C CT and ULDCT protocols were simultaneously performed on these 98 patients. Two observers independently evaluated ULDCT and C CT images. The effective RD of the ULDCT and C CT groups was calculated. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> The interobserver agreement was 1 (perfect). ULDCT and C CT group images showed no significant difference in image quality. 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