Volume 20 Issue 7
Jul.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1186-1189
SUN Da-yong, MA Xiao-kai, CHEN Liu-cheng, LIU Hao, YANG Bo, GUO Jun-ning. Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1186-1189. doi: 10.16766/j.cnki.issn.1674-4152.002554
Citation: SUN Da-yong, MA Xiao-kai, CHEN Liu-cheng, LIU Hao, YANG Bo, GUO Jun-ning. Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1186-1189. doi: 10.16766/j.cnki.issn.1674-4152.002554
shu

Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures

doi: 10.16766/j.cnki.issn.1674-4152.002554
  • 1.

    Department of Radiology, the Third People's Hospital of Bengbu, Bengbu, Anhui 233000, China

Funds:

 KJ2019A0347

  • Received Date: 2021-09-25
    Available Online: 2022-09-23
    Abstract
  •   Objective  To investigate the value of 64-slice spiral CT multiplanar reconstruction (MPR) and volume rendering (VR) technique in the diagnosis, classification and treatment plan of tibial plateau fractures.  Methods  The clinical data of 69 suspected patients with tibial plateau fracture in the Third people's Hospital of Bengbu from June 2020 to December 2021 were selected. The relevant data of tibial fracture were obtained by CT scanning, and the data were reconstructed and volume reconstructed by ADW4.4 workstation to diagnose the patient's condition. Compared with diagnostic of X-ray, the diagnostic coincidence rate and typing accuracy were analyzed and studied.  Results  A total of 65 patients with tibial plateau fractures were diagnosed, including 35 males and 30 females, the average age was (49.69±15.91) years. In this study, patients aged 50-59 years accounted for the highest proportion (26.2%), followed with patients aged 40-49 years (23.1%). Schatzker type Ⅰ tibial plateau fracture was the most common type, with 19 cases (29.2%), followed by Schatzker type Ⅱ(26.2%), Schatzker type Ⅲ(13.8%) and Schatzker type Ⅳ(13.8%). There was no significant difference in Schatzker classification between Sexes (P > 0.05). Compared with the standard of surgical classification, the accuracy of X-ray diagnosis was 81.5% (53/65), and the accuracy of CT MPR+VR was 98.5% (64/65), with statistically significant difference (χ2 =10.342, P < 0.01).  Conclusion  64-slice spiral CT multiplanar reconstruction and volume reconstruction technology can well identify and diagnose the true situation of tibial fracture, and deeply explore the hidden damage around the joint, which can provide a powerful basis for clinical treatment.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    王力, 苏雪娟, 魏红霞, 等. CT三维重建影像技术在胫骨平台骨折分型中的应用价值[J]. 包头医学院学报, 2019, 35(6): 49-50. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX201906019.htm

    WANG L, SU X J, WEI H X, et al. Application value of CT three -dimensional reconstruction in classification of tibial plateau fractures[J]. Journal of Baotou Medical College, 2019, 35(6): 49-50. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX201906019.htm
    [2]
    KFURI M, SCHATZKER J. Revisiting the Schatzker classification of tibial plateau fractures[J]. Injury, 2018, 49(12): 2252-2263. doi: 10.1016/j.injury.2018.11.010
    [3]
    GICQUEL T, NAJIHI N, VENDEUVRE T, et al. Tibial plateau fractures: reproducibility of three classifications (Schatzker, AO, Duparc) and a revised Duparc classification[J]. Orthop Traumatol Surg Res, 2013, 99(7): 805-816. doi: 10.1016/j.otsr.2013.06.007
    [4]
    梁军, 刘安民. 多层螺旋CT及三维重建影像在胫骨平台骨折诊断和分型中的应用价值[J]. 中国CT和MRI杂志, 2017, 15(7): 150-152. doi: 10.3969/j.issn.1672-5131.2017.07.047

    LIANG J, LIU A M. Application Value of Multi-slice Spiral CT and 3D Reconstruction in the Diagnosis and Typing of Tibial Plateau Fractures[J]. Chinese Journal of CT and MRI, 2017, 15(7): 150-152. doi: 10.3969/j.issn.1672-5131.2017.07.047
    [5]
    张毅杰, 陈雁西, 张坤, 等. 基于CT三维重建图像的胫骨平台形态学研究及其临床意义[J]. 中华创伤杂志, 2017, 33(1): 63-68. doi: 10.3760/cma.j.issn.1001-8050.2017.01.014

    ZHANG Y JCHEN Y X, ZHANG K, et al. Morphological study of tibial plateau based on three-dimensional computed tomography image and its clinical significance[J]. Chinese Journal of Trauma, 2017, 33(1): 63-68. doi: 10.3760/cma.j.issn.1001-8050.2017.01.014
    [6]
    高翔, 李杭, 郑强, 等. 胫骨后外侧平台骨折的CT形态学研究[J]. 中华骨科杂志, 2014, 34(7): 709-716. doi: 10.3760/cma.j.issn.0253-2352.2014.07.003

    GAO X, LI H, ZHENG Q, et al. A CT study on the morphology characteristics of posterolateral tibial plateau fractures[J]. Chinese Journal of Orthopaedics, 2014, 34(7): 709-716. doi: 10.3760/cma.j.issn.0253-2352.2014.07.003
    [7]
    孙广江, 姚啸生, 李洪久, 等. X线平片与三维CT检查在胫骨平台骨折评估中的应用价值[J]. CT理论与应用研究, 2016, 25(4): 485-491. https://www.cnki.com.cn/Article/CJFDTOTAL-CTLL201604017.htm

    SUN G J, YAO X S, LI H J, et al. The Application of X-ray and 3D CT Imaging in Evaluation of Tibial Plateau Fracture[J]. CT Theory and Applied Research, 2016, 25(4): 485-491. https://www.cnki.com.cn/Article/CJFDTOTAL-CTLL201604017.htm
    [8]
    CHO J W, KIM J, CHO W T, et al. Approaches and fixation of the posterolateral fracture fragment in tibial plateau fractures: A review with an emphasis on rim plating via modified anterolateral approach[J]. Int Orthop, 2017, 41(9): 1887-1897. doi: 10.1007/s00264-017-3563-6
    [9]
    朱寅, 吴骏, 吴建强. 多层螺旋CT及三维重建影像在胫骨平台骨折诊断、分型中的应用价值[J]. 影像研究与医学应用, 2019, 3(24): 99-100. https://www.cnki.com.cn/Article/CJFDTOTAL-CTMR201707047.htm

    ZHU Y, WU J, WU J Q. pplication value of multilayer spiral CT and 3D reconstruction images in the diagnosis and classification of tibial plateau fractures[J]. Journal of Imaging Research and Medical Applications, 2019, 3(24): 99-100. https://www.cnki.com.cn/Article/CJFDTOTAL-CTMR201707047.htm
    [10]
    孙毅, 耿磊, 陈瑶, 等. 隐匿性胫骨平台骨折计算机断层扫描及磁共振成像诊断价值探讨[J]. 中华创伤骨科杂志, 2016, 18(10): 880-884. doi: 10.3760/cma.j.issn.1671-7600.2016.10.010

    SUN Y, GENG L, CHEN Y, et al. CT versus MRI images in diagnosis of tibial plateau occult fractures[J]. Chinese Journal of Orthopaedic Trauma, 2016, 18(10): 880-884. doi: 10.3760/cma.j.issn.1671-7600.2016.10.010
    [11]
    朱林, 卢冉, 郭飞, 等. 多层螺旋CT多参数对急性肺动脉栓塞危险分层的效果评估[J]. 中华全科医学, 2021, 19(12): 2093-2097. doi: 10.16766/j.cnki.issn.1674-4152.002245

    ZHU L, LU R, GUO F, et al. Assessment of the effectiveness of multi-slice spiral CT multiparameter for risk stratification of acute pulmonary embolism[J]. Chinese Journal of General Practice, 2021, 19(12): 2093-2097. doi: 10.16766/j.cnki.issn.1674-4152.002245
    [12]
    姚文君, 张涛, 王龙胜, 等. Bosniak分级系统在肾脏囊性病变MSCT诊断中的应用价值[J]. 中华全科医学, 2018, 16(9): 1515-1517, 1529. doi: 10.16766/j.cnki.issn.1674-4152.000414

    YAO W J, ZHANG T, WANG L S, et al. Application value of Bosniak classification system in multislice CT diagnosis of renal cystic lesion[J]. Chinese Journal of General Practice, 2018, 16(9): 1515-1517, 1529. doi: 10.16766/j.cnki.issn.1674-4152.000414
    [13]
    彭明, 石永久, 张佳文, 等. 多层螺旋CT扫描三维重建在颌面部骨折诊断和治疗中的应用价值[J]. 医学影像学杂志, 2017, 27(4): 608-610. https://www.cnki.com.cn/Article/CJFDTOTAL-XYXZ201704009.htm

    PENG M, SHI Y J, ZHANG J W, et al. The application value of multi-slice spiral CT scan 3D reconstruction in the diagnosis and treatment of maxillofacial fractures[J]. Journal of Medical Imaging, 2017, 27(4): 608-610. https://www.cnki.com.cn/Article/CJFDTOTAL-XYXZ201704009.htm
    [14]
    SHAH A K, NAIR S, VIJAY N. Assessment of the accuracy of a three-dimensional modeling technique in maxillofacial reconstruction: A prospective study[J]. Int J Oral Maxillofac Surg, 2017, 46(1): 191-197.
    [15]
    陈生林. 多层螺旋CT三维影像重建技术在颌面部骨折患者中的临床应用[J]. 中国药物与临床, 2018, 18(12): 43-44. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201812019.htm

    CHEN S L. Clinical application of multi-layer spiral CT 3D imaging reconstruction in patients with maxillofacial fractures[J]. Chinese Remedies & Clinics, 2018, 18(12): 43-44. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201812019.htm
    [16]
    冯战友, 区俊兴, 梁建荣. 螺旋CT三维重建诊断胫骨平台骨折临床价值[J]. 现代医用影像学, 2017, 26(3): 688-690. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY201703056.htm

    FENG Z Y, QU J X, LIANG J R. Clinical value of spiral CT 3D reconstruction for the diagnosis of tibial plateau fracture[J]. Modern Medical Imagelogy, 2017, 26(3): 688-690. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY201703056.htm
    [17]
    CABALAG M S, WASIAK J, ANDREW N E, et al. Epidemiology and management of maxillofacial fractures in an Australian trauma centre[J]. JPRAS, 2014, 67(2): 183-189.
    [18]
    DODD A, PAOLUCCI E O, KORLEY R. The effect of three-dimensional computed tomography reconstructions on pre-operative planning of tibial plateau fractures: A case-control series[J]. BMC, 2015, 16(1): 1-6.
    [19]
    黄洪, 徐旭, 严钦, 等. MSCT三维重建与MRI对下颌骨髁突骨折的诊断效果比较[J]. 中华全科医学, 2022, 20(3): 461-463. doi: 10.16766/j.cnki.issn.1674-4152.002378

    HUANG H, XU X, YAN Q, et al. Comparison of MSCT three-dimensional reconstruction and MRI in the diagnosis of mandibular condylar fracture[J]. Chinese Journal of General Practice, 2022, 20(3): 461-463. doi: 10.16766/j.cnki.issn.1674-4152.002378
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (277) PDF downloads(1) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return