Brüning R, Quade R, Keppler V, Reiser M
Radiologische Universitätsklinik, Bonn.
Rofo. 1994 Feb;160(2):113-7. doi: 10.1055/s-2008-1032387.
3-D reconstructions of the skull base, temporal bone, and skull fractures were compared to 2-D- CT to evaluate the diagnostic value in traumatized patients. 38 patients with 22 fractures of the facial skeleton (orbita, zygomatic, Le Fort), 12 temporal bone, and 4 skull fractures were investigated. Subjective grading was performed by two physicians (ENT/RAD) in respect of quality diagnostic validity and estimated clinical impact. The average image validity and quality were graded good. In the temporal bone the average information supplied by 3-D was of inferior value; here, the lack of information regarding the inner ear structures was responsible for the lack of clinical impact. In fractures of the facial skeleton and the skull base a good to very good image quality was seen and clinical relevance was high. 3-D CT is capable of demonstrating fractures, which is of little value in the temporal bone, but of high value in the skull base and the facial skeleton, especially if surfaces are involved or fragments are displaced.
将颅底、颞骨和颅骨骨折的三维重建与二维CT进行比较，以评估其在创伤患者中的诊断价值。对38例患者进行了研究，其中面部骨骼（眼眶、颧骨、Le Fort骨折）骨折22处，颞骨骨折12处，颅骨骨折4处。由两名医生（耳鼻喉科医生/放射科医生）对诊断有效性和估计的临床影响进行主观评分。平均图像有效性和质量被评为良好。在颞骨中，三维提供的平均信息量价值较低；此处，关于内耳结构的信息缺乏导致临床影响不足。在面部骨骼和颅底骨折中，图像质量良好至非常好，临床相关性较高。三维CT能够显示骨折，这在颞骨中价值不大，但在颅底和面部骨骼中价值较高，尤其是当涉及表面或碎片移位时。
