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- W3047403780 abstract "Introduction: Four-dimensional CT (or 4D CT) scans are a novel approach to diagnosingmusculoskeletal pathology. Although still in its infancy, there has been a surge of interestin identifying clinical applications for musculoskeletal 4D CT. The scapholunate joint hasreceived the most attention thus far due to the complex articulations and challenges facedwith prompt diagnosis of scapholunate injuries. The objective of this thesis is to reviewcurrent literature on musculoskeletal 4D CT and to evaluate the inter- and intra-raterreliability of the assessment of scapholunate stability in 4D CT wrist scans.Methodology: 4D CT scans of thirteen healthy volunteers and four patients wereprepared. Seven orthopaedic and plastic surgeons were recruited to qualitatively assessthe stability of the scapholunate joint in the 4D CT scans. Statistical analysis includedpercent agreement, Fleiss’ kappa, and Gwet’s AC1 coefficient.Results: The percent agreement amongst all raters was 0.80392 (95% CI: 0.675 - 0.932).Fleiss’ Kappa was 0.54895 (95% CI: 0.252 - 0.846) and Gwet’s AC₁ was 0.54895 (95% CI:0.391 - 0.915). The intraclass correlation coefficient (ICC) for intra-rater reliability was0.71631 (95% CI: 0.5567 – 0.8423).Conclusion: Our pilot study suggests good inter- and intra-rater reliability for thequalitative assessment of scapholunate instability in 4D CT scans. Although furtherstudies are required, this thesis highlights the vast potential of 4D CT as a non-invasivediagnostic technique of dynamic musculoskeletal injuries." @default.
- W3047403780 created "2020-08-10" @default.
- W3047403780 creator A5016653881 @default.
- W3047403780 date "2018-05-01" @default.
- W3047403780 modified "2023-09-26" @default.
- W3047403780 title "Evaluating the reliability of four-dimensional computed tomography scans of the wrist" @default.
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