Panicker Prasanth, George Ashford Lidiya, Kumar Rajana Mohan, Srujan Kumar Mandapathi, Francis Feby, Peter Deepak
Department of Maxillofacial Facial Plastic & Reconstructive Surgery Center, Jerudong Park Medical Center, Bandar Seri Begawan, Brunei, Asia.
Department of Oral and Maxillofacial Surgery, Mattanur Multi Speciality Dental Clinic, Kannur, Kerala, India.
Bioinformation. 2025 May 31;21(5):985-989. doi: 10.6026/973206300210985. eCollection 2025.
The transition from 2D CT slices to 3D CT volume rendering reconstructions has significantly improved the precision of the trauma diagnoses and broadened the range of potential treatments. Using a 64-slice CT scanner, the fracture detection score and fracture comparative score were used to compare 2D and 3D fracture cases for detection and diagnosis. The study comprised 200 maxillofacial fracture cases. 2D CT cuts detected 100% of fractures, but 3D cuts missed 4%. In 66.66% of fracture score combinations, 2D CT slices could improve diagnosis. This study showed that 2D CT cuts are better at fracture identification and diagnosis than 3D CT reconstruction cuts. 3D CT cuts show displaced fractures overall; however, they are confined to minimally displaced fracture segments and nasal and ocular fracture locations.
从二维CT切片到三维CT容积再现重建的转变显著提高了创伤诊断的精度，并拓宽了潜在治疗的范围。使用64层CT扫描仪，采用骨折检测评分和骨折对比评分来比较二维和三维骨折病例的检测与诊断情况。该研究包括200例颌面骨折病例。二维CT切片检测出了100%的骨折，但三维切片漏诊了4%。在66.66%的骨折评分组合中，二维CT切片能够改善诊断。该研究表明，在骨折识别和诊断方面，二维CT切片比三维CT重建切片更好。三维CT切片总体上能显示移位骨折；然而，它们局限于轻微移位的骨折段以及鼻骨和眼眶骨折部位。
