X射线断层融合成像与全数字化X射线摄影对桡骨头骨折分型诊断价值及辐射剂量比较

doi:10.3969/j.issn.1671-7171.2026.07.011

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Abstract 【Objective】 To compare the diagnostic value and radiation dose of tomosynthesis and full digital radiography for the classification of radial head fractures. 【Methods】 The clinical data of 201 patients with radial head fractures treated in the two hospitals from February 2020 to February 2022 were retrospectively analyzed, with the final clinical diagnosis as the gold standard. Among them, there were 83 cases of Mason type Ⅰ fractures, 77 cases of Mason type Ⅱ fractures and 41 cases of Mason type Ⅲ fractures. All patients underwent tomosynthesis and full digital radiography. The two imaging modalities were compared in terms of fracture detection rate, diagnostic performance for radial head fracture classification, image quality of bone structure and surrounding soft tissues, as well as radiation exposure. 【Results】 Tomosynthesis achieved a significantly higher fracture detection rate than full digital radiography (P<0.05). The overall diagnostic sensitivity of tomosynthesis for radial head fractures was statistically superior to full digital radiography (P<0.05). For Mason type Ⅱ and Ⅲ fractures, tomosynthesis showed significantly higher diagnostic sensitivity (P<0.05). Tomosynthesis yielded a significantly higher excellent visualization rate of bone structures and a better excellent/good rate of surrounding soft tissues (P<0.05). In addition, tomosynthesis delivered significantly lower radiation dose than full digital radiography (P<0.05). 【Conclusions】 Compared with full digital radiography, tomosynthesis has higher diagnostic value for radial head fracture classification, and it can optimize image quality while reducing radiation exposure.

Key words： Radius Fractures X-Rays Radiation Dose

Received: 11 May 2024

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R683.41

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	Articles by authors
	BA Jiwei
	WANG Huaixin
	YANG Xiaohua
	ZHANG Xiaojing

Cite this article:

BA Jiwei,WANG Huaixin,YANG Xiaohua, et al. Comparative Study on Diagnostic Value and Radiation Dose of Tomosynthesis versus Full Digital Radiography in Radial Head Fracture[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(7): 1094-1097.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.07.011 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I7/1094

[1] NYPAVER C, BOZENTKA D J. Distal radius fracture and the distal radioulnar joint[J].Hand Clin,2021,37(2):293-307.
[2] CHUNG S R, CHUNG K C. Recognizing and treating unique distal radius fracture patterns that are prone to displacement[J].Hand Clin,2023,39(3):279-293.
[3] 李海波.数字化X线摄影、多层螺旋CT容积再现技术对桡骨骨折术前诊断及术后的应用价值[J].中国CT和MRI杂志, 2022,20(4):183-185.
[4] KANG Y, WU R, WU S, et al. A novel multi-view X-ray digital imaging stitching algorithm[J].J Xray Sci Technol,2023,31(1):153-166.
[5] 中国医师协会骨科医师分会肩肘外科学组. 桡骨头骨折诊疗中国专家共识(2024版)[J].中华肩肘外科电子杂志, 2024,12(2):97-102.
[6] LANZERATH F, HACKL M, WEGMANN K, et al. The treatment of isolated Mason type Ⅱ radial head fractures: a systematic review[J].J Shoulder Elbow Surg,2021,30(3):487-494.
[7] 北京医学会放射技术分会, 中华医学会影像技术分会. 数字X线摄影成像技术和影像质量综合评价专家共识[J].中华放射学杂志, 2022, 56(7):734-744.
[8] CAY P, LEUNG B, CURLEWIS K, et al. Quotation errors related to the distal radius acute fracture fixation trial paper[J].J Hand Surg Eur Vol,2021,46(6):654-658.
[9] DI GIACINTO S, PICA G, STASI A, et al. The challenge of the surgical treatment of paediatric distal radius/ forearm fracture: K wire vs plate fixation-outcomes assessment[J].Med Glas (Zenica),2021,18(1):208-215.
[10] JUNG H S, CHO H C, LEE J S. Combined approach for intra-articular distal radius fracture: a case series and literature review[J].Clin Orthop Surg,2021,13(4):529-538.
[11] SABA K N, BRASH A, STEIER M, et al. Fracture prevention clinic targeting patients with fragility fracture of the distal radius: a pilot study[J].Isr Med Assoc J,2022,24(1):42-46.
[12] 李俊,高茜,罗春燕,等. 数字化乳腺断层融合X线摄影、磁共振成像及二者联合应用对乳腺疾病的诊断效能对比[J].临床放射学杂志,2021,40(2):230-235.
[13] 李通宪,于文虎,李通华,等. X线数字断层融合技术在诊断桡骨小头骨折中的应用评价[J].河北医药,2018,40(11):1724-1726.
[14] O'DRISCOLL S, ROJAS-LIEVANO J. In mason Type-2 radial head fracture, surgical and nonsurgical treatment did not differ for functional outcomes at 12 months[J].J Bone Joint Surg Am,2022,104(4):377.
[15] 马乐,林晓佳,曾辉,等. 数字化断层融合(DBT)与全视野数字X线摄影(FFDM)引导乳腺病灶定位对比[J].放射学实践,2021,36(6):742-746.