3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures

Gordon McCauley; Sanjeet Singh; Sudeep Das De; Alan Kirk

doi:doi:10.11648/j.ijcts.20170305.12

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3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures

Gordon McCauley, Sanjeet Singh, Sudeep Das De, Alan Kirk

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 5)

Received: 22 February 2017 Accepted: 22 March 2017 Published: 23 October 2017

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Abstract

Introduction: Rib fractures are common presentations at emergency departments across the UK. 21% of emergency admissions are related to rib fractures, resulting from up to 39% of all blunt-trauma to the chest. Imaging is essential for identification of rib fractures but also for planning potential surgical intervention. The introduction of 3D imaging has enhanced the pre-surgical planning in many fields of medicine. We compared 3D CT in the identification of rib fractures to conventional 2D radiology. Methods: A retrospective cohort study of 22 patients was conducted at a district general hospital between Novembers 2014-2016. Chest X-ray, 2D CT and 3D CT findings were compared for the number of rib fractures and identification of displacement of rib fractures. Statistical analysis was performed using a 3-way ANOVA, with Cohen’s kappa statistic (κ) to identify agreement. There were 22 patients (20M: 2F) patients in this study. The mean age of patients was 50.2 ±21.7 (range 10-94). Chest X-rays had the poorest identification rate with slight agreement with 3D CT (κ=0.018). There was also a slight agreement for identification of displacement between 2D and 3D CT imaging (κ=0.127) Conclusion: Chest X-ray on its own is inferior to 2D and 3D CT. 3D CT adds to the value of 2D imaging as it gives an enhanced view of any possible fracture displacement.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 5)
DOI	10.11648/j.ijcts.20170305.12
Page(s)	41-52
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Rib Fractures, 3D Imaging, Chest X-ray

References

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[17]	Slobogean, G., MacPherson C., Sun T., Pelletier M., Hameed S. (2013). "Surgical Fixation Vs Nonoperative Management Of Flail Chest: A Meta-Analysis". Journal of the American College of Surgeons 216.2, 302-311.
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APA Style

Gordon McCauley, Sanjeet Singh, Sudeep Das De, Alan Kirk. (2017). 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. International Journal of Cardiovascular and Thoracic Surgery, 3(5), 41-52. https://doi.org/10.11648/j.ijcts.20170305.12

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ACS Style

Gordon McCauley; Sanjeet Singh; Sudeep Das De; Alan Kirk. 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(5), 41-52. doi: 10.11648/j.ijcts.20170305.12

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AMA Style

Gordon McCauley, Sanjeet Singh, Sudeep Das De, Alan Kirk. 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. Int J Cardiovasc Thorac Surg. 2017;3(5):41-52. doi: 10.11648/j.ijcts.20170305.12

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@article{10.11648/j.ijcts.20170305.12,
  author = {Gordon McCauley and Sanjeet Singh and Sudeep Das De and Alan Kirk},
  title = {3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {3},
  number = {5},
  pages = {41-52},
  doi = {10.11648/j.ijcts.20170305.12},
  url = {https://doi.org/10.11648/j.ijcts.20170305.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170305.12},
  abstract = {Introduction: Rib fractures are common presentations at emergency departments across the UK. 21% of emergency admissions are related to rib fractures, resulting from up to 39% of all blunt-trauma to the chest. Imaging is essential for identification of rib fractures but also for planning potential surgical intervention. The introduction of 3D imaging has enhanced the pre-surgical planning in many fields of medicine. We compared 3D CT in the identification of rib fractures to conventional 2D radiology. Methods: A retrospective cohort study of 22 patients was conducted at a district general hospital between Novembers 2014-2016. Chest X-ray, 2D CT and 3D CT findings were compared for the number of rib fractures and identification of displacement of rib fractures. Statistical analysis was performed using a 3-way ANOVA, with Cohen’s kappa statistic (κ) to identify agreement. There were 22 patients (20M: 2F) patients in this study. The mean age of patients was 50.2 ±21.7 (range 10-94). Chest X-rays had the poorest identification rate with slight agreement with 3D CT (κ=0.018). There was also a slight agreement for identification of displacement between 2D and 3D CT imaging (κ=0.127) Conclusion: Chest X-ray on its own is inferior to 2D and 3D CT. 3D CT adds to the value of 2D imaging as it gives an enhanced view of any possible fracture displacement.},
 year = {2017}
}

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TY - JOUR
T1 - 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures
AU - Gordon McCauley
AU - Sanjeet Singh
AU - Sudeep Das De
AU - Alan Kirk
Y1 - 2017/10/23
PY - 2017
N1 - https://doi.org/10.11648/j.ijcts.20170305.12
DO - 10.11648/j.ijcts.20170305.12
T2 - International Journal of Cardiovascular and Thoracic Surgery
JF - International Journal of Cardiovascular and Thoracic Surgery
JO - International Journal of Cardiovascular and Thoracic Surgery
SP - 41
EP - 52
PB - Science Publishing Group
SN - 2575-4882
UR - https://doi.org/10.11648/j.ijcts.20170305.12
AB - Introduction: Rib fractures are common presentations at emergency departments across the UK. 21% of emergency admissions are related to rib fractures, resulting from up to 39% of all blunt-trauma to the chest. Imaging is essential for identification of rib fractures but also for planning potential surgical intervention. The introduction of 3D imaging has enhanced the pre-surgical planning in many fields of medicine. We compared 3D CT in the identification of rib fractures to conventional 2D radiology. Methods: A retrospective cohort study of 22 patients was conducted at a district general hospital between Novembers 2014-2016. Chest X-ray, 2D CT and 3D CT findings were compared for the number of rib fractures and identification of displacement of rib fractures. Statistical analysis was performed using a 3-way ANOVA, with Cohen’s kappa statistic (κ) to identify agreement. There were 22 patients (20M: 2F) patients in this study. The mean age of patients was 50.2 ±21.7 (range 10-94). Chest X-rays had the poorest identification rate with slight agreement with 3D CT (κ=0.018). There was also a slight agreement for identification of displacement between 2D and 3D CT imaging (κ=0.127) Conclusion: Chest X-ray on its own is inferior to 2D and 3D CT. 3D CT adds to the value of 2D imaging as it gives an enhanced view of any possible fracture displacement.
VL - 3
IS - 5
ER -

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Author Information

Gordon McCauley

College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
Sanjeet Singh

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, United Kingdom
Sudeep Das De

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, United Kingdom
Alan Kirk

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, United Kingdom

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APA Style

Gordon McCauley, Sanjeet Singh, Sudeep Das De, Alan Kirk. (2017). 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. International Journal of Cardiovascular and Thoracic Surgery, 3(5), 41-52. https://doi.org/10.11648/j.ijcts.20170305.12

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ACS Style

Gordon McCauley; Sanjeet Singh; Sudeep Das De; Alan Kirk. 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(5), 41-52. doi: 10.11648/j.ijcts.20170305.12

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AMA Style

Gordon McCauley, Sanjeet Singh, Sudeep Das De, Alan Kirk. 3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures. Int J Cardiovasc Thorac Surg. 2017;3(5):41-52. doi: 10.11648/j.ijcts.20170305.12

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@article{10.11648/j.ijcts.20170305.12,
  author = {Gordon McCauley and Sanjeet Singh and Sudeep Das De and Alan Kirk},
  title = {3D A Retrospective Cohort Study Examining 3D Reconstruction to 2D Radiology in Identifying Rib Fractures},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {3},
  number = {5},
  pages = {41-52},
  doi = {10.11648/j.ijcts.20170305.12},
  url = {https://doi.org/10.11648/j.ijcts.20170305.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170305.12},
  abstract = {Introduction: Rib fractures are common presentations at emergency departments across the UK. 21% of emergency admissions are related to rib fractures, resulting from up to 39% of all blunt-trauma to the chest. Imaging is essential for identification of rib fractures but also for planning potential surgical intervention. The introduction of 3D imaging has enhanced the pre-surgical planning in many fields of medicine. We compared 3D CT in the identification of rib fractures to conventional 2D radiology. Methods: A retrospective cohort study of 22 patients was conducted at a district general hospital between Novembers 2014-2016. Chest X-ray, 2D CT and 3D CT findings were compared for the number of rib fractures and identification of displacement of rib fractures. Statistical analysis was performed using a 3-way ANOVA, with Cohen’s kappa statistic (κ) to identify agreement. There were 22 patients (20M: 2F) patients in this study. The mean age of patients was 50.2 ±21.7 (range 10-94). Chest X-rays had the poorest identification rate with slight agreement with 3D CT (κ=0.018). There was also a slight agreement for identification of displacement between 2D and 3D CT imaging (κ=0.127) Conclusion: Chest X-ray on its own is inferior to 2D and 3D CT. 3D CT adds to the value of 2D imaging as it gives an enhanced view of any possible fracture displacement.},
 year = {2017}
}

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