CT Diagnosis of the Fracture of Anterior Nasal Spine

Objective: To study anterior nasal spine fractures, including the incidence, missed diagnosis rates, and relationship with shapes using computed tomography (CT). Methods: Two hundred cases of axial CT images performed for maxillofacial trauma were reviewed. The incidence, correct, and missed diagnosis rates of anterior nasal spine fractures were studied. The relationship between the fracture and the shape of the anterior nasal spine was also analyzed. Results: The rate of anterior nasal spine fractures was 22.00% (44 of 200). The diagnostic accuracy was 4.55% (2 of 44) and the missed diagnosis rate was 95.45% (42 of 44). The fracture rates of the double rod, single rod, triangle, and irregular anterior nasal spine were 33.85% (22 of 65), 32.26% (10 of 31), 12.24% (12 of 98), and 0.00% (0 of 6), respectively. The double and single rod types of anterior nasal spine were most likely to be fractured than the type of triangle (χ2 = 11.05, 6.67, P < .0167). No fracture was found in the irregular type of anterior nasal spine. Conclusion: Anterior nasal spine fractures are not rare and the high missed diagnostic rate results from unfamiliarity with the structure. Double and single rod types of anterior nasal spines are easy to fracture. Bony reconstruction and thin thickness of CT images are necessary for diagnosis.

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Medical Image Analysis and Correlation Between Ankle Fracture Classification and Ankle Computed Tomography

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2020.3235 ◽

2020 ◽

Vol 10 (12) ◽

pp. 2935-2939

Author(s):

Yugang Teng ◽

Yuanzhen Zhang ◽

Zhenyu Wang

Keyword(s):

Computed Tomography ◽

Cross Section ◽

Ankle Fracture ◽

Medical Image Analysis ◽

Ct Images ◽

Ankle Fractures ◽

Fracture Classification ◽

Horizontal Cross Section ◽

X Ray ◽

The Relationship

Objective: In this paper, we summarize computed tomography (CT) manifestations and characteristics of ankle fractures, and analyze the relationship between CT images and common ankle fracture classifications. Methods: A retrospective survey of 369 adult ankle fractures was performed. CT images of 1 cm horizontal cross-section above the ankle points and their characteristics were analyzed. Ankle fracture X-ray classification was performed, and the relationship between CT images and fracture X-ray classification was analyzed. Results: There is a correlation between CT images and Danis-Weber classification. The incidence of IOL fractures varies with the severity of Danis-Weber classification. After rank correlation test, the difference is statistically significant (Spearman R = 0.781,P < 0.001). CT images can detect IOL fractures that cannot be judged by X-ray fracture classification, and the incidence rate is 5.9%. Conclusions: The 1 cm horizontal cross-section CT image on the ankle point can clearly determine the combined tibiofibular IOL injury before surgery, and it has a good correlation with the Danis-Weber fracture classification, and can detect unexplainable IOL fractures in some radiographs.

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The Acetabular Sector Angle of the Adult Hip Determined by Computed Tomography

Acta Radiologica Diagnosis ◽

10.1177/028418518602700415 ◽

1986 ◽

Vol 27 (4) ◽

pp. 443-447 ◽

Cited By ~ 72

Author(s):

S. Anda ◽

S. Svenningsen ◽

L. G. Dale ◽

P. Benum

Keyword(s):

Computed Tomography ◽

Femoral Head ◽

Hip Joint ◽

Posterior Part ◽

Ct Images ◽

Joint Function ◽

Axial Ct ◽

Sector Angle

A new set of angles measured on standard axial CT images of the hip joint is defined. The angles provide information on the support of the femoral head from the anterior and the posterior part of the acetabulum. These angles have been measured in 82 adult hips, and correlated to a set of established parameters commonly measured at conventional roentgenography and on CT images of the hip joint. The defined angles may prove to be valuable in the total appreciation of hip joint function and stability.

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Should Preoperative Computed Tomography Be Routine Examination For Cervicofacial Space Infections?

10.21203/rs.3.rs-1162178/v1 ◽

2022 ◽

Author(s):

Jiayu Liang ◽

Linli Jiang ◽

Maoye Li ◽

Lei Liu ◽

Hui Li

Keyword(s):

Computed Tomography ◽

Length Of Stay ◽

Symptom Relief ◽

Routine Examination ◽

Ct Examination ◽

Operation Rate ◽

Duration Of Surgery ◽

Diagnosis Rate ◽

Preoperative Ct ◽

Missed Diagnosis

Abstract Background: Cervicofacial space infections are potentially life-threatening, which require accurate diagnosis, early incision, and adequate drainage. The utilization of computed tomography (CT) in cervicofacial space infections has significantly increased. However, the clinical value of preoperative CT imaging in cervicofacial space infections remains controversial. We, therefore, investigated whether CT examination should be used as a routine examination in the treatment of patients with cervicofacial space infections.Methods: A retrospective study of all patients affected by cervicofacial space infections that received incision and drainage surgery from Jan 2016 to Dec 2020 was performed. Patients were divided into 2 groups: the group with preoperative CT and the group without preoperative CT. Outcomes, including re-operation rate, missed diagnosis rate, days of symptom relief, length of stay, duration of surgery, and total cost of hospitalization, were analyzed.Results: Of 153 patients, 108 patients underwent surgery with preoperative CT and 45 patients without preoperative CT. The re-operation rate in the preoperative CT group (6/108, 5.6%) was significantly lower (P<0.05) than that in the group without preoperative CT (10/45, 22.2%). Significant reduction of missed diagnosis rate, days of symptom relief, length of stay, and duration of surgery (P<0.05) were detected in the preoperative CT group. Conclusions: Preoperative CT examination should be recommended as a routine examination in the treatment of cervicofacial space infections for its usefulness in reducing the missed diagnosis rate and repeated surgery complication.

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Relationship between solitary pulmonary nodule lung cancer and CT image features based on gradual clustering

Open Physics ◽

10.1515/phys-2017-0044 ◽

2017 ◽

Vol 15 (1) ◽

pp. 400-404

Author(s):

Weipeng Zhang

Keyword(s):

Lung Cancer ◽

Pulmonary Nodule ◽

Solitary Pulmonary Nodule ◽

Ct Images ◽

Image Features ◽

Ct Image ◽

Lung Cancers ◽

Diagnosis Rate ◽

Malignant Lesions ◽

The Relationship

Abstract Background The relationship between the medical characteristics of lung cancers and computer tomography (CT) images are explored so as to improve the early diagnosis rate of lung cancers. Methods This research collected CT images of patients with solitary pulmonary nodule lung cancer, and used gradual clustering methodology to classify them. Preliminary classifications were made, followed by continuous modification and iteration to determine the optimal condensation point, until iteration stability was achieved. Reasonable classification results were obtained. Results the clustering results fell into 3 categories. The first type of patients was mostly female, with ages between 50 and 65 years. CT images of solitary pulmonary nodule lung cancer for this group contain complete lobulation and burr, with pleural indentation; The second type of patients was mostly male with ages between 50 and 80 years. CT images of solitary pulmonary nodule lung cancer for this group contain complete lobulation and burr, but with no pleural indentation; The third type of patients was also mostly male with ages between 50 and 80 years. CT images for this group showed no abnormalities. Conclusions the application of gradual clustering methodology can scientifically classify CT image features of patients with lung cancer in the initial lesion stage. These findings provide the basis for early detection and treatment of malignant lesions in patients with lung cancer.

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Medical Image Diagnostic Value of Computed Tomography for Bladder Tumors

Computational and Mathematical Methods in Medicine ◽

10.1155/2021/3781028 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Lin Li ◽

Risu Na ◽

Tao Mi ◽

Hao Cheng ◽

Lili Ma ◽

...

Keyword(s):

Computed Tomography ◽

Urothelial Carcinoma ◽

Bladder Wall ◽

Ct Imaging ◽

Imaging Features ◽

Bladder Tumors ◽

Ct Value ◽

Imaging Characteristics ◽

Diagnosis Rate ◽

Missed Diagnosis

Objective. To study computed tomography (CT) imaging characteristics of bladder tumors, to explore the value of CT in tumor diagnosis, and to identify the relevant factors of CT missed diagnosis so that medical staff can be more accurate in the diagnosis of bladder tumors. Methods. To retrospectively analyze the CT manifestations of 153 bladder tumor cases confirmed by paraffin pathology in our hospital and to study the difference between the benign and CT imaging features. CT indicators mainly include the number, location, morphology, calcification, bladder wall smoothness, CT value, degree of enhancement, and invasion of surrounding tissues and organs. Then, we retrospectively analyze 17 cases of CT missed diagnosis of bladder tumors, analyze related factors, and discuss the role of CT in the diagnosis of bladder tumors. Results. This study has shown that with the help of CT images, the diagnosis rate of bladder tumors has been greatly improved. Of the 153 patients studied, noninvasive urothelial carcinoma accounted for 18.95% of all benign and malignant bladder tumors, invasive urothelial carcinoma accounted for 67.93%, prostatic metastatic carcinoma and inflammatory myofibroblastoma accounted for 8.47%, pheochromocytoma accounted for 1.31%, inverted papilloma accounted for 1.31%, tubular choriocarcinoma accounted for 0.63%, and endocystitis accounted for 1.31%. In addition, the blood supply level, CT index bladder wall smoothness, and CT value are also statistically significant ( P < 0.05 ). Conclusions. CT is of high value in the diagnosis of bladder tumors, and benign and malignant bladder tumors have CT and CT imaging features. The size of bladder tumors is related to the missed diagnosis rate of CT. The application of CT examination technology can improve the accuracy of diagnosis of bladder tumors.

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Noninvasive Evaluation of Coronary Artery Bypass Grafts with 16-Slice Multidetector Computed Tomography

The Heart Surgery Forum ◽

10.1532/hsf98.20111075 ◽

2012 ◽

Vol 15 (1) ◽

pp. 12 ◽

Cited By ~ 1

Author(s):

Levent Sahiner ◽

Ali Oto ◽

Kudret Aytemir ◽

Tuncay Hazirolan ◽

Musturay Karcaaltincaba ◽

...

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Diagnostic Accuracy ◽

Multidetector Computed Tomography ◽

Coronary Artery Bypass ◽

Predictive Value ◽

Artery Bypass ◽

Time Interval ◽

Mdct Angiography ◽

Sensitivity Specificity

Background: The aim of this study was to investigate the diagnostic accuracy of 16-slice multislice, multidetector computed tomography (MDCT) angiography for the evaluation of grafts in patients with coronary artery bypass grafting (CABG).Methods: Fifty-eight consecutive patients with CABG who underwent both MDCT and conventional invasive coronary angiography were included. The median time interval between the 2 procedures was 10 days (range, 1-32 days). The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of MDCT for the detection of occluded grafts were calculated. The accuracy of MDCT angiography for detecting significant stenoses in patent grafts and the evaluability of proximal and distal anastomoses were also investigated.Results: Optimal diagnostic images could not be obtained for only 3 (2%) of 153 grafts. Evaluation of the remaining 150 grafts revealed values for sensitivity, specificity, PPV, NPV, and diagnostic accuracy of the MDCT angiography procedure for the diagnosis of occluded grafts of 87%, 97%, 94%, 93%, and 92%, respectively. All of the proximal anastomoses were optimally visualized. In 4 (8%) of 50 patent arterial grafts, however, the distal anastomotic region could not be evaluated because of motion and surgical-clip artifacts. The accuracy of MDCT angiography for the detection of significant stenotic lesions was relatively low (the sensitivity, specificity, PPV, and NPV were 67%, 98%, 50%, and 99%, respectively). The number of significant lesions was insufficient to reach a reliable conclusion, however.Conclusion: Our study showed that MDCT angiography with 16-slice systems has acceptable diagnostic performance for the evaluation of coronary artery bypass graft patency.

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