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03-05-2022 | Edema | Original Article

Quantification of bone marrow edema using dual-energy CT at fracture sites in trauma

Authors: Mashya Abbassi, Ashwin Jain, Donghoon Shin, Carlota Andreu Arasa, Baojun Li, Stephan W. Anderson, Christina A. LeBedis

Published in: Emergency Radiology | Issue 4/2022

Abstract

Purpose

The purpose of our study was to analyze the change in water and fat density within the bone marrow using the GE Revolution dual-energy computed tomography (DECT) platform using two-material decomposition analyses at extremity, spine, and pelvic fracture sites compared to normal bone marrow at equivalent anatomic sites in adult patients who sustained blunt trauma.

Methods

This retrospective study included 26 consecutive adults who sustained blunt torso trauma and an acute fracture of the thoracolumbar vertebral body, pelvis, or upper and lower extremities with a total of 32 fractures evaluated. Two-material decomposition images were analyzed for quantitative analysis. Statistical analysis was performed using the paired t-test and Shapiro–Wilk test for normality.

Results

There were statistically significant differences in the water and fat densities in the bone marrow at the site of an extremity, vertebral body, or pelvic fracture when compared to the normal anatomic equivalent (p < 0.01).

Conclusion

In this preliminary study, DECT basis material images, using water (calcium) and fat (calcium) decomposition illustrated significant differences in water and fat content between fracture sites and normal bone in a variety of anatomical sites.

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Title: Quantification of bone marrow edema using dual-energy CT at fracture sites in trauma
Authors: Mashya Abbassi
Ashwin Jain
Donghoon Shin
Carlota Andreu Arasa
Baojun Li
Stephan W. Anderson
Christina A. LeBedis
Publication date: 03-05-2022
Publisher: Springer International Publishing
Keyword: Edema
Published in: Emergency Radiology / Issue 4/2022
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-022-02046-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quantification of bone marrow edema using dual-energy CT at fracture sites in trauma

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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