Abstract
High-resolution multidetector computed tomography (MDCT) has played a pivotal role in assessing patients following trauma; however, recent advancements in technology including dual-energy CT, as well as multiplanar and three-dimensional (3D) capabilities, are expanding the potential clinical applications of CT to include nontraumatic pathologies. This article will review optimal technical parameters for the creation of MDCT and 3DCT images and illustrate the imaging capabilities of 3DCT imaging for demonstrating nontraumatic hand and wrist pathology.
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Welling RD, Jacobson JA, Jamadar JA, Chong S, Caoili RM, Jemson PJ (2008) MDCT and radiography of wrist fracture: radiographic sensitivity and fracture patterns. AJR 190:10–16
Harness NG, Ring D, Zurakowski D, Harris GJ, Jupiter JB (2006) The influence of three-dimensional computed tomography reconstructions on the characterization and treatment of distal radial fractures. J Bone Joint Surg Am 88:1315–1323
Cole RJ, Bindra RR, Evanoff BA, Gilula LA, Yamaguchi K, Gelberman RH (1997) Radiographic evaluation of osseous displacement following intra-articular fractures of the distal radius: reliability of plain radiography versus computed tomography. J Hand Surg [Am] 22:792–800
Rozental TD, Bozentka DJ, Katz MA, Steinberg DR, Beredjiklian PK (2001) Evaluation of the sigmoid notch with computed tomography following intra-articular distal radius fracture. J Hand Surg 26A:244–251
Kuszyk BS, Heath DG, Bliss DF, Fishman EK (1996) Skeletal 3-D CT: advantages of volume rendering over surface rendering. Skelet Radiol 25:207–214
Ney DR, Fishman EK, Kawashima A, Robertson DD Jr, Scott WW Jr (1992) Comparison of helical and serial CT with regard to three-dimensional imaging of musculoskeletal anatomy. Radiology 185:865–869
Franko OI, Abrams RA (2013) Hand infections. Orthop Clin N Am 44:625–634
Imahara SD, Friedrich JB (2010) Community-acquired methicillin-resistant Staphylococcus aureus in surgically treated hand infections. J Hand Surg [Am] 35:97–103
Fayad LM, Carrino JA, Fishman E (2007) Musculoskeletal infection: role of CT in the emergency department. RadioGraphics 27:1723–1736
Rashkoff ES, Burkhalter WE, Mann RJ (1983) Septic arthritis of the wrist. J Bone Joint Surg Am 65:824–828
Davies MA, Grainger AJ, James SJ (2013) Imaging of the hand and wrist: techniques and applications. Springer, Heidlerberg
Subhawong TK, Fishman EK, Swart JE, Carrino JA, Attar S, Fayad LM (2010) Soft-tissue masses and masslike conditions: what does CT add to diagnosis and management? AJR 194:1559–1567
Li Y, Zheng Y, Lin J, Cai A, Zhou X, Wei X, Cheng Y, Liu G (2013) Evaluation of the relationship between extremity soft tissue sarcomas and adjacent major vessels using contrast-enhanced multidetector CT and three-dimensional volume-rendered CT angiography: a preliminary study. Acta Radiol 54:966–972
Mori T, Fujii M, Akisue T, Yamamoto T, Kurosaka M, Sugimura K (2005) Three-dimensional images of contrast-enhanced MDCT for preoperative assessment of musculoskeletal masses: comparison with MRI and plain radiographs. Radiat Med 23:398–406
Desai MA, Peterson JJ, Garner JJ, Kransdorf MJ (2011) Clinical utility of dual-energy CT for evaluation of tophaceous gout. Radiographics 31:1365–1375. doi:10.1148/rg.315115510
Chen CK, Yeh LR, Pan H, Yang CF, Lu YC, Wang JS, Resnick D (1999) Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skelet Radiol 28:75–80
Canella C, Philippe P, Pansini V, Salleron J, Flipo RM, Cotten A (2011) Use of tomosynthesis for erosion evaluation in rheumatoid arthritic hands and wrists. Radiology 258:199–205
Anderson MA, Newmeyer WL, Kilgore ES (1982) Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg 144:63–67
Mester V, Kuhn F (2002) Intraocular foreign bodies. Ophthalmol Clin N Am 15:235–242
Yang XJ, Xing GF, Shi CW, Li W (2013) Value of 3-dimensional CT virtual anatomy imaging in complex foreign body retrieval from soft tissues. Korean J Radiol 14:269–277
Holten IW, Smith AW, Isaacs JI, Moore MH, David DJ (1997) Imaging of the Apert syndrome hand using three-dimensional CT and MRI. Plast Reconstr Surg 99:1657–1680
Imai Y, Miyake J, Okada K, Murase T, Yoshikawa H, Moritomo H (2013) Cylindrical corrective osteotomy for Madelung deformity using a computer simulation: case report. J Hand Surg [Am] 38:1925–1932
Grants and disclosures
Laura M. Fayad received support from SCBT/MR (2004), GERRAF (2008–2010) and Siemens Medical Systems (2011–2012) for the study of MR spectroscopy and Johns Hopkins Sarcoma Grant (2012).
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The authors declare that they have no conflict of interest.
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Ahlawat, S., Corl, F.M., Fishman, E.K. et al. MDCT of the hand and wrist: beyond trauma. Emerg Radiol 22, 307–314 (2015). https://doi.org/10.1007/s10140-014-1274-5
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DOI: https://doi.org/10.1007/s10140-014-1274-5