Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis

Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis

Abstract Scaphoid fractures are the most common carpal fractures. Diagnosing scaphoid fractures is challenging. Recently, cone-beam computed tomography (CBCT) has been shown to be a promising strategy for diagnosing scaphoid fractures. The diagnostic performance of CBCT remains inconclusive in the l...

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Autores principales: Ta-Wei Yang, Yen-Yue Lin, Shih-Chang Hsu, Karen Chia-Wen Chu, Chih-Wei Hsiao, Chin-Wang Hsu, Chyi-Huey Bai, Cheng-Kuang Chang, Yuan-Pin Hsu
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/5f2530156b944f0da1521edad23cfe93
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spelling oai:doaj.org-article:5f2530156b944f0da1521edad23cfe932021-12-02T10:48:32ZDiagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis10.1038/s41598-021-82351-92045-2322https://doaj.org/article/5f2530156b944f0da1521edad23cfe932021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82351-9https://doaj.org/toc/2045-2322Abstract Scaphoid fractures are the most common carpal fractures. Diagnosing scaphoid fractures is challenging. Recently, cone-beam computed tomography (CBCT) has been shown to be a promising strategy for diagnosing scaphoid fractures. The diagnostic performance of CBCT remains inconclusive in the literature. Through a systematic review and meta-analysis, our study aims to determine the diagnostic performance of CBCT for diagnosing scaphoid fractures. Five databases were searched up to March 25, 2020. We included prospective and retrospective studies describing the diagnostic accuracy of CBCT for scaphoid fractures in adult patients. QUADAS-2 tool was used to assess the quality of the included studies. Four studies (n = 350) were included in the meta-analysis. Three of the four studies had high bias risk. The result showed that CBCT had a pooled sensitivity of 0.88 and a pooled specificity of 0.99 for scaphoid fracture diagnosis. The heterogeneities of sensitivity and specificity were substantial. The area under the summary receiver operating characteristic curve was 0.98. No significant publication bias was observed. The result suggested that the diagnostic performance of CBCT for scaphoid fracture was excellent. The certainty of current evidence is low. Further well-designed studies with large sample sizes are warranted to confirm this finding.Ta-Wei YangYen-Yue LinShih-Chang HsuKaren Chia-Wen ChuChih-Wei HsiaoChin-Wang HsuChyi-Huey BaiCheng-Kuang ChangYuan-Pin HsuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ta-Wei Yang
Yen-Yue Lin
Shih-Chang Hsu
Karen Chia-Wen Chu
Chih-Wei Hsiao
Chin-Wang Hsu
Chyi-Huey Bai
Cheng-Kuang Chang
Yuan-Pin Hsu
Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
description Abstract Scaphoid fractures are the most common carpal fractures. Diagnosing scaphoid fractures is challenging. Recently, cone-beam computed tomography (CBCT) has been shown to be a promising strategy for diagnosing scaphoid fractures. The diagnostic performance of CBCT remains inconclusive in the literature. Through a systematic review and meta-analysis, our study aims to determine the diagnostic performance of CBCT for diagnosing scaphoid fractures. Five databases were searched up to March 25, 2020. We included prospective and retrospective studies describing the diagnostic accuracy of CBCT for scaphoid fractures in adult patients. QUADAS-2 tool was used to assess the quality of the included studies. Four studies (n = 350) were included in the meta-analysis. Three of the four studies had high bias risk. The result showed that CBCT had a pooled sensitivity of 0.88 and a pooled specificity of 0.99 for scaphoid fracture diagnosis. The heterogeneities of sensitivity and specificity were substantial. The area under the summary receiver operating characteristic curve was 0.98. No significant publication bias was observed. The result suggested that the diagnostic performance of CBCT for scaphoid fracture was excellent. The certainty of current evidence is low. Further well-designed studies with large sample sizes are warranted to confirm this finding.
format article
author Ta-Wei Yang
Yen-Yue Lin
Shih-Chang Hsu
Karen Chia-Wen Chu
Chih-Wei Hsiao
Chin-Wang Hsu
Chyi-Huey Bai
Cheng-Kuang Chang
Yuan-Pin Hsu
author_facet Ta-Wei Yang
Yen-Yue Lin
Shih-Chang Hsu
Karen Chia-Wen Chu
Chih-Wei Hsiao
Chin-Wang Hsu
Chyi-Huey Bai
Cheng-Kuang Chang
Yuan-Pin Hsu
author_sort Ta-Wei Yang
title Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
title_short Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
title_full Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
title_fullStr Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
title_full_unstemmed Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
title_sort diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/5f2530156b944f0da1521edad23cfe93
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