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Three independent observers qualitatively rated image quality, fracture line visibility, cortical delineation, and bone-to-soft-tissue contrast on a five-point visual analog scale (5\u2009=\u2009best, 1\u2009=\u2009lowest). Quantitative analysis included measurement of the maximum distance of the fracture gap. Descriptive statistics and inter-observer agreement (Krippendorff\u2019s \u03b1) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CT enabled rapid and accurate fracture detection in all cases. Among MRI protocols,\u00a0UTE (85% of fractures correctly identified and accurately diagnosed) and StarVIBE (75%) demonstrated the best diagnostic performance, with excellent fracture line visibility, sharp cortical delineation, and strong inter-observer agreement (\u03b1\u2009=\u20090.7\u20131.0.7.0). Dark Bone and DESS provided variable results, while STIR was the least suitable for fracture depiction despite good soft-tissue contrast. Quantitative assessment of fracture gap distance showed the highest accuracy with StarVIBE, demonstrating minimal deviation compared to CT (0.13\u20130.21\u00a0mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While CT remains the standard in emergency settings and for delineating complex osseous pathologies, MRI, combining CT-like and water-sensitive sequences, offers a promising radiation-free alternative for simultaneous visualization of hard and soft tissues. This approach may facilitate comprehensive radiation-free trauma evaluation, improve detection of concomitant injuries, and further support individualized clinical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\u00a0Swiss National Clinical Trials Portal: SNCTP000006343, ClinicalTrials.gov ID: NCT07012850.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10006-025-01496-3","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T05:53:14Z","timestamp":1766814794000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Diagnostic performance of CT and MRI in mandibular trauma assessment \u2013 a prospective comparative study"],"prefix":"10.1007","volume":"30","author":[{"given":"Adib","family":"Al-Haj Husain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameena","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian Eberhard Hermann","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egon","family":"Burian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suen An Nynke","family":"Lie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc M.","family":"Precht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Zedler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Frauenfelder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas M.","family":"H\u00f6tker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Stadlinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Sommer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Essig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,27]]},"reference":[{"issue":"5","key":"1496_CR1","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1111\/edt.12857","volume":"39","author":"K Adik","year":"2023","unstructured":"Adik K, Lamb P, Moran M, Childs D, Francis A, Vinyard CJ (2023) Trends in mandibular fractures in the USA: a 20-year retrospective analysis. 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