Head and Neck Imaging

The Diagnostic Value of 64-row 128-slice Spiral CT Post-processing Technique in Occult Fracture of Rib

Author:LI Xiao-ting

affiliation:Department of Radiology, Gong An Hospital of Tianjin, Tianjin 300042, China

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Abstract

Objective To explore the practical value of 64-row 128-slice spiral CT and its post-processing technique in the diagnosis of the occult rib fracture. Methods 126 cases of rib occult fractures in patients with rib trauma were analysised retrospectively.All the patients were diagnosised respectively by X ray film(DR) and 64-row 128-slice spiral CT as well as its post-processing technique such as VR, MPR, CPR.The differences in occult rib fracture with different examination methods were compared. Results Among the 126 patients, 68 occult fractures were detected in all, 35 occult fractures were detected by VR, 67 by MPR, and 50 by CPR. The detection rate of occult fracture by spiral CT were obviously higher than those of X ray film. Conclusion The MPR technique and CPR technique of spiral CT are more explicit in the detection of occult rib fracture than that of VR technique. In clinical work, the combined application of MPR, CPR and VR technique of 64-row 128-slice spiral CT is helpful to improve the detection rate of the occult rib fracture.

【Keyword】Occult; Rib Fracture; 64-row 128-slice spiral CT; Post-processing Technique

【Chart number】R683.1

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2018.06.017