scholarly journals Occult hip fracture diagnosed by MRI scan after inconclusive X-ray and CT scan

2015 ◽  
Vol 6 (7) ◽  
pp. 444
Author(s):  
Bogdan Deleanu ◽  
Radu Prejbeanu ◽  
Florin Birsasteanu ◽  
Dinu Vermesan ◽  
Liviu-Ionut Micle ◽  
...  
2018 ◽  
Vol 35 (10) ◽  
pp. 645-647 ◽  
Author(s):  
Bernard A Foex ◽  
Anna Russell

A short-cut review was carried out to establish whether CT or MRI is better at detecting an occult hip fracture. Six studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that CT is a valid first-line investigation for a suspected plain X-ray occult hip fracture. If clinical suspicion remains after a negative CT scan, then MRI should be used.


2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Yuanyuan Shi ◽  
Si Chen ◽  
Xue Chen ◽  
Pan Xue

Aim. To study the diagnostic effect of hip fracture in the elderly. In this paper, a total of 100 elderly patients with hip fracture from January 2020 to May 2021 were selected for X-ray and CT examination after admission. The operation was taken as the final criteria for determining hip fracture type, and the diagnosis of hip fracture by CT three-dimensional reconstruction was analyzed and studied. The results showed that the diagnostic rate of CT 3D reconstruction for various types of hip fracture in the elderly was higher than that of CT plain scan and X-ray ( P < 0.05 ). For the diagnosis of intra-articular small bone fragments, the rate of missed diagnosis was 2% (2/100) with CT 3D reconstruction, 10% (10/100) with conventional CT scan, and 20% (20/100) with X-ray. The rate of misdiagnosis was 5.0% (5/100) with CT 3D reconstruction. Routine CT scan was 15% (15/100), X-ray was 30% (30/100), and CT 3D reconstruction was significantly lower than other examinations ( P < 0.05 ). Conclusion. CT 3D reconstruction has high accuracy in the diagnosis of various types of hip fractures in the elderly.


2020 ◽  
Vol 3 ◽  
pp. 36-39
Author(s):  
Samson O. Paulinus ◽  
Benjamin E. Udoh ◽  
Bassey E. Archibong ◽  
Akpama E. Egong ◽  
Akwa E. Erim ◽  
...  

Objective: Physicians who often request for computed tomography (CT) scan examinations are expected to have sound knowledge of radiation exposure (risks) to patients in line with the basic radiation protection principles according to the International Commission on Radiological Protection (ICRP), the Protection of Persons Undergoing Medical Exposure or Treatment (POPUMET), and the Ionizing Radiation (Medical Exposure) Regulations (IR(ME)R). The aim is to assess the level of requesting physicians’ knowledge of ionizing radiation from CT scan examinations in two Nigerian tertiary hospitals. Materials and Methods: An 18-item-based questionnaire was distributed to 141 practicing medical doctors, excluding radiologists with work experience from 0 to >16 years in two major teaching hospitals in Nigeria with a return rate of 69%, using a voluntary sampling technique. Results: The results showed that 25% of the respondents identified CT thorax, abdomen, and pelvis examination as having the highest radiation risk, while 22% said that it was a conventional chest X-ray. Furthermore, 14% concluded that CT head had the highest risk while 9% gave their answer to be conventional abdominal X-ray. In addition, 17% inferred that magnetic resonance imaging had the highest radiation risk while 11% had no idea. Furthermore, 25.5% of the respondents have had training on ionizing radiation from CT scan examinations while 74.5% had no training. Majority (90%) of the respondents were not aware of the ICRP guidelines for requesting investigations with very little (<3%) or no knowledge (0%) on the POPUMET and the IR(ME)R respectively. Conclusion: There is low level of knowledge of ionizing radiation from CT scan examinations among requesting physicians in the study locations.


2021 ◽  
Vol 198 ◽  
pp. 108242
Author(s):  
Badr S. Bageri ◽  
Abdulrauf R. Adebayo ◽  
Jaber Al Jaberi ◽  
Shirish Patil ◽  
Rahul B. Salin

Author(s):  
Vinayakumar Ravi ◽  
Harini Narasimhan ◽  
Chinmay Chakraborty ◽  
Tuan D. Pham
Keyword(s):  
Ct Scan ◽  
X Ray ◽  

2010 ◽  
Vol 146-147 ◽  
pp. 1402-1405 ◽  
Author(s):  
Che Lah Nur Azida ◽  
Azman Jalar ◽  
Norinsan Kamil Othman ◽  
Nasrizal Mohd Rashdi ◽  
Md Zaukah Ibel

AA6061 Aluminum alloy welded joint using two different filler metals were studied by using X-ray CT-Scan. The filler metals ER 4043 and ER 5356 were used in this present work in order to investigate the effect of using different filler metals on the welded joint quality of AA 6061 aluminum alloy in welded zone microstructure. Gas metal arc welding (GMAW) technique and V grove butt joint with four layers and five passes welded joint were performed. From this investigation, it is found that AA6061 with ER 4043 showed less distribution of porosity compared to AA6061 with ER 5356 welded joint confirmed by X-ray Ct-Scan. The decreasing of porosities and presence of very fine grains in weld region area with ER 5356 compared to ER 4043 will be discussed in term of microstructure analysis.


2013 ◽  
Vol 37 (5) ◽  
pp. 978 ◽  
Author(s):  
Mohsen Sokouti ◽  
Babak Sokouti ◽  
Massoud Sokouti

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