Lôbo Carlos Felipe Teixeira, Bordalo-Rodrigues Marcelo
Universidade de São Paulo, Medical School, Hospital das Clínicas, Orthopedics and Traumatology Institute, São Paulo, SP, Brazil.
Acta Ortop Bras. 2021 Mar-Apr;29(2):105-110. doi: 10.1590/1413-785220212902236939.
Imaging plays a key role in the preoperative diagnosis, surgical planning, and postsurgical assessment of the foot, ankle, and knee pathologies. Interpreting diagnostic imaging accurately is crucial for the clinical practice of orthopedic surgeons. Although among the most used imaging modalities, radiographic assessments are amenable to errors for various technical reasons and superposition of bones. Computed tomography (CT) is a conventional imaging procedure that provides high-resolution images, but fails in considering a truly weight-bearing (WB) condition. In an attempt to overcome this limitation, WB cone beam CT technology has being successfully employed in the clinical practice for the past decade. Besides economically viable and safe, the WB cone beam CT considers WB conditions and provides high-quality scans, thus allowing an equitable and correct interpretation. This review aims to address extensive description and discussion on WBCT, including imaging quality; costs; time consumption; and its applicability in common foot, ankle, and knee, conditions. With this technology increasing popularity, and considering the extensive literature on medical research, radiologists and orthopedic surgeons need to understand its potential applications and use it optimally.
影像学在足、踝及膝关节疾病的术前诊断、手术规划和术后评估中发挥着关键作用。准确解读诊断性影像学检查结果对于骨科医生的临床实践至关重要。尽管X线评估是最常用的影像学检查方式之一,但由于各种技术原因和骨骼重叠,其容易出现误差。计算机断层扫描(CT)是一种传统的成像检查,能提供高分辨率图像,但无法考虑到真正的负重(WB)情况。为克服这一局限性,负重锥形束CT技术在过去十年中已成功应用于临床实践。负重锥形束CT不仅经济可行且安全,还能考虑到负重情况并提供高质量扫描,从而实现公平且正确的解读。本综述旨在对负重CT进行广泛描述和讨论,包括成像质量、成本、耗时及其在常见足、踝及膝关节疾病中的适用性。随着这项技术越来越普及,考虑到医学研究的大量文献,放射科医生和骨科医生需要了解其潜在应用并加以优化利用。