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Four-dimensional computed tomography scan for dynamic elbow disorders: recommendations for clinical utility
Renyi Benjamin Seah1, Wai-Keong Mak1, Kimberley Bryant2
1Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore.
JSES International
|February 10, 2022
Summary
Four-dimensional computed tomography (4D CT) significantly aids in diagnosing dynamic elbow disorders, changing diagnoses in over half of cases. This advanced imaging improves understanding of pathological anatomy and alters patient management plans.
Area of Science:
- Orthopedics
- Radiology
- Medical Imaging
Background:
- Dynamic elbow pathologies present diagnostic challenges.
- Current imaging modalities have limitations for these conditions.
- Four-dimensional computed tomography (4D CT) is an emerging diagnostic tool.
Purpose of the Study:
- To evaluate the clinical utility of 4D CT.
- To assess 4D CT's effectiveness in detecting dynamic elbow disorders.
Main Methods:
- 28 elbow joints from 26 patients with dynamic elbow pathology symptoms were studied.
- Siemens Force Dual Source CT scanner used to acquire static and dynamic 4D CT images.
- Clinical assessments were compared before and after 4D CT scans.
Main Results:
- 4D CT led to a change in diagnosis in 57.14% of cases.
- Pathological anatomy was better understood in 89.29% of cases.
- Management plans were altered in 53.57% of cases.
Conclusions:
- 4D CT shows promise as a diagnostic tool for dynamic elbow disorders.
- 4D CT may be considered for clinical practice.
- Further research comparing 4D CT with 3D CT is warranted.
Keywords:
4D CTDynamic CTDynamic elbow disordersElbow instabilityFour-dimensional computed tomographyMore Related Videos
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