Files and links (1)
Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
The Accuracy of Digital Radiography in Orthopaedic Applications
Clinical orthopaedics and related research, v 469(6), pp 1781-1784
01 Jun 2011
PMID: 20972654
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Recent advances in technology and the use of image archiving and communication systems (PACS) has led some institutions to abandon conventional plain film radiography and rely solely on digital computed radiography. The level of accuracy of digital radiography in measuring distances for orthopaedic applications is unclear.
Is it possible to accurately measure small distances using digital radiographs and PACS software?
A model for measuring articular step-off was created using a commercially produced radiographic phantom with predetermined markings at known distances. Radiographs were taken using both indirect and direct computed radiography systems, then uploaded to a PACS system. Eighteen observers measured the distance between standardized, preselected points on the radiographic phantom. The measured values were compared with the known values for each measurement.
The mean measured values differed by 0 and 0.1 mm (SD, 0.5 mm) for indirect and direct radiographs, respectively, when measuring short distances and 1.4 mm and 2.6 mm (SD, 1.0 mm) for indirect and direct radiographs, respectively, when measuring longer distances. The intraclass correlation coefficient (ICC) for interobserver reliability was 0.82 for indirect and 0.75 for direct digital radiography. The ICC for intraobserver reliability was 0.94 for indirect and 0.90 for direct digital radiography.
Although the mean measured values were very accurate (within 0.1 mm for a known distance of 3.2 mm), the SD of measurements (0.5 mm) could affect the interpretation of data, especially in clinical situations such as evaluating the quality of fracture reduction.
Metrics
Details
- Title
- The Accuracy of Digital Radiography in Orthopaedic Applications
- Creators
- John R. Fowler - Temple University HospitalAsif M. Ilyas - Temple University Hospital
- Publication Details
- Clinical orthopaedics and related research, v 469(6), pp 1781-1784
- Publisher
- Springer Nature
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000290571400036
- Scopus ID
- 2-s2.0-79959566800
- Other Identifier
- 991021838136404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Orthopedics
- Surgery