Smith Jessica R, Bharath Balvinder K, Mallinson Martine A, Mason Kim, Snaith Beverly
Mid Yorkshire Teaching NHS Trust, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, UK.
Keele University, Staffordshire, ST5 5BG, UK.
Skeletal Radiol. 2025 May 14. doi: 10.1007/s00256-025-04947-w.
Cone beam computed tomography (CBCT) is an emerging technology in musculoskeletal (MSK) imaging. The objective of this scoping review was to provide an overview of the research surrounding CBCT utility in bony injury assessment as an alternative to other imaging modalities and investigate any gaps in the current evidence base.
MEDLINE, CINAHL, and PubMed were searched up to January 2025 for articles including CBCT studies on human participants following trauma. An online literature review tool was used to manage and streamline the review process.
The search yielded 23 studies. The image quality and diagnostic accuracy of CBCT were high overall, and a number of studies confirmed the radiation dose to be lower than multislice CT. Studies examined CBCT for extremity trauma, with half the studies focused solely on the wrist. The utility appears greatest in the identification of radiographically occult fractures. Limited cost-effectiveness analysis has been undertaken.
Overall, the literature suggests CBCT can be an effective tool in the diagnosis of bony injuries with greater sensitivity than radiography at a lower radiation dose than multi-slice computed tomography. However, evaluation of wider patient and economic impacts of adopting CBCT in MSK trauma pathways is recommended.
锥形束计算机断层扫描（CBCT）是肌肉骨骼（MSK）成像领域的一项新兴技术。本综述的目的是概述围绕CBCT在骨损伤评估中作为其他成像方式的替代方法的研究，并调查当前证据基础中的任何差距。
截至2025年1月，对MEDLINE、CINAHL和PubMed进行检索，以查找包括对创伤后人类参与者进行CBCT研究的文章。使用在线文献综述工具来管理和简化综述过程。
检索到23项研究。CBCT的图像质量和诊断准确性总体较高，多项研究证实其辐射剂量低于多层CT。研究对四肢创伤进行了CBCT检查，其中一半的研究仅关注手腕。其效用在识别X线隐匿性骨折方面似乎最大。已进行的成本效益分析有限。
总体而言，文献表明CBCT可以成为诊断骨损伤的有效工具，其敏感性高于X线摄影，辐射剂量低于多层计算机断层扫描。然而，建议评估在MSK创伤路径中采用CBCT对更广泛的患者和经济影响。
