{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T03:04:47Z","timestamp":1780542287794,"version":"3.54.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100015696","name":"Siemens Medical Solutions USA","doi-asserted-by":"publisher","award":["Siemens Medical Solutions USA"],"award-info":[{"award-number":["Siemens Medical Solutions USA"]}],"id":[{"id":"10.13039\/100015696","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Emerg Radiol"],"DOI":"10.1007\/s10140-026-02450-w","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T02:04:20Z","timestamp":1775095460000},"page":"571-578","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the diagnostic performance of 3D radiographs in emergency department extremity imaging: an early comparative study"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3968-1603","authenticated-orcid":false,"given":"Ghazaleh","family":"Safazadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5974-130X","authenticated-orcid":false,"given":"Matthew T.","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2320-8299","authenticated-orcid":false,"given":"Ragheed","family":"Al-Dulaimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6808-8411","authenticated-orcid":false,"given":"Megan K.","family":"Mills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5417-3439","authenticated-orcid":false,"given":"Frederic","family":"Noo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4194-1910","authenticated-orcid":false,"given":"Maryam","family":"Soltanolkotabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"2450_CR1","doi-asserted-by":"publisher","unstructured":"Eckhoff MD, Schwartz BT, Parikh SB, Wells ME, Brugman SC (2023) Admission of Upper Extremity Injuries Presenting to the Emergency Department: An NEISS Study. [Article in Press]. Hand (New York N Y) 15589447231219711. https:\/\/doi.org\/10.1177\/15589447231219711","DOI":"10.1177\/15589447231219711"},{"issue":"1","key":"2450_CR2","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1007\/s11999-011-1982-z","volume":"470","author":"K Lambers","year":"2012","unstructured":"Lambers K, Ootes D, Ring D (2012) Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. Clin Orthop Relat Res 470(1):284\u2013290. https:\/\/doi.org\/10.1007\/s11999-011-1982-z","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"2450_CR3","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1056\/NEJMoa0901249","volume":"361","author":"R Fazel","year":"2009","unstructured":"Fazel R, Krumholz HM, Wang Y, Ross JS, Chen J, Ting HH et al (2009) Exposure to Low-Dose Ionizing Radiation from Medical Imaging Procedures. N Engl J Med 361(9):849\u2013857. https:\/\/doi.org\/10.1056\/NEJMoa0901249","journal-title":"N Engl J Med"},{"key":"2450_CR4","first-page":"897","volume":"2018","author":"R Perotte","year":"2018","unstructured":"Perotte R, Lewin GO, Tambe U, Galorenzo JB, Vawdrey DK, Akala OO et al (2018) Improving Emergency Department Flow: Reducing Turnaround Time for Emergent CT Scans. AMIA Annu Symp Proc 2018:897\u2013906","journal-title":"AMIA Annu Symp Proc"},{"key":"2450_CR5","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.ejro.2019.01.009","volume":"6","author":"PM Ricci","year":"2019","unstructured":"Ricci PM, Boldini M, Bonfante E, Sambugaro E, Vecchini E, Schenal G et al (2019) Cone-beam computed tomography compared to X-ray in diagnosis of extremities bone fractures: A study of 198 cases. Eur J Radiol Open 6:119\u2013121. https:\/\/doi.org\/10.1016\/j.ejro.2019.01.009","journal-title":"Eur J Radiol Open"},{"issue":"1","key":"2450_CR6","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1007\/s44326-024-00006-1","volume":"11","author":"A Lo Mastro","year":"2024","unstructured":"Lo Mastro A, Boccia F, Berritto D, Stoppino LP, Guerra E, D\u2019Alessandro P et al (2024) Unrecognized bone fractures of the extremities in Emergency Radiology: the invisible become visible on 3D 80 micron. J Med Imaging Interventional Radiol 11(1):6. https:\/\/doi.org\/10.1007\/s44326-024-00006-1","journal-title":"J Med Imaging Interventional Radiol"},{"key":"2450_CR7","doi-asserted-by":"publisher","first-page":"2525","DOI":"10.1088\/0031-9155\/47\/14\/311","volume":"47","author":"F Noo","year":"2002","unstructured":"Noo F, Defrise M, Clackdoyle R, Kudo H (2002) Image reconstruction from fan-beam projections on less than a short scan. Phys Med Biol 47:2525\u20132546. https:\/\/doi.org\/10.1088\/0031-9155\/47\/14\/311","journal-title":"Phys Med Biol"},{"issue":"1","key":"2450_CR8","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s13244-019-0769-8","volume":"10","author":"AM Padole","year":"2019","unstructured":"Padole AM, Sagar P, Westra SJ, Lim R, Nimkin K, Kalra MK et al (2019) Development and validation of image quality scoring criteria (IQSC) for pediatric CT: a preliminary study. Insights Imaging 10(1):95. https:\/\/doi.org\/10.1186\/s13244-019-0769-8","journal-title":"Insights Imaging"},{"issue":"2","key":"2450_CR9","first-page":"127","volume":"86","author":"DV Cicchetti","year":"1981","unstructured":"Cicchetti DV, Sparrow SA (1981) Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic 86(2):127\u2013137","journal-title":"Am J Ment Defic"},{"issue":"9","key":"2450_CR10","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1097\/JTO.0b013e3181ec173d","volume":"5","author":"JN Mandrekar","year":"2010","unstructured":"Mandrekar JN (2010) Receiver operating characteristic curve in diagnostic test assessment. J Thorac Oncol 5(9):1315\u20131316","journal-title":"J Thorac Oncol"},{"issue":"1","key":"2450_CR11","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1097\/CORR.0000000000002310","volume":"481","author":"AM Daniels","year":"2023","unstructured":"Daniels AM, Kranendonk J, Wyers CE, Janzing HM, Sassen S, van Rietbergen B et al (2023) What is the diagnostic performance of conventional Radiographs and clinical reassessment compared with HR-pQCT scaphoid fracture diagnosis? Clin Orthop Relat Research\u00ae 481(1):97\u2013104","journal-title":"Clin Orthop Relat Research\u00ae"},{"issue":"3","key":"2450_CR12","doi-asserted-by":"publisher","first-page":"141","DOI":"10.5603\/DEMJ.a2023.0016","volume":"8","author":"B \u00dcst\u00fcn","year":"2023","unstructured":"\u00dcst\u00fcn B, Korkut M, S\u00f6y\u00fcnc\u00fc S (2023) Comparison of conventional radiography and computed tomography in patients admitted to the emergency department with extremity trauma\u2014a retrospective study. Disaster Emerg Med J 8(3):141\u2013150","journal-title":"Disaster Emerg Med J"},{"issue":"1","key":"2450_CR13","doi-asserted-by":"publisher","first-page":"3906","DOI":"10.1038\/s41598-018-22331-8","volume":"8","author":"J Neubauer","year":"2018","unstructured":"Neubauer J, Benndorf M, Ehritt-Braun C, Reising K, Yilmaz T, Klein C et al (2018) Comparison of the diagnostic accuracy of cone beam computed tomography and radiography for scaphoid fractures. Sci Rep 8(1):3906","journal-title":"Sci Rep"},{"key":"2450_CR14","doi-asserted-by":"publisher","unstructured":"Fitzpatrick E, Sharma V, Rojoa D, Raheman F, Singh H (2022) The use of cone-beam computed tomography (CBCT) in radiocarpal fractures: a diagnostic test accuracy meta-analysis. Skeletal Radiol 51(5):971\u2013982. https:\/\/doi.org\/10.1007\/s00256-021-03883-9","DOI":"10.1007\/s00256-021-03883-9"},{"key":"2450_CR15","doi-asserted-by":"publisher","first-page":"3600","DOI":"10.1007\/s00330-020-07563-5","volume":"31","author":"J-P Grunz","year":"2021","unstructured":"Grunz J-P, Pennig L, Fieber T, Gietzen CH, Heidenreich JF, Huflage H et al (2021) Twin robotic x-ray system in small bone and joint trauma: impact of cone-beam computed tomography on treatment decisions. Eur Radiol 31:3600\u20133609","journal-title":"Eur Radiol"},{"issue":"5","key":"2450_CR16","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.2214\/AJR.12.9918","volume":"201","author":"JD Dale","year":"2013","unstructured":"Dale JD, Ha AS, Chew FS (2013) Update on talar fracture patterns: a large level I trauma center study. Am J Roentgenol 201(5):1087\u20131092","journal-title":"Am J Roentgenol"},{"issue":"1","key":"2450_CR17","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1186\/s12891-025-09136-3","volume":"26","author":"R Fereidooni","year":"2025","unstructured":"Fereidooni R, Moein SA, Ayatizadeh SH, Kamalinia A, Ahmadi MA, Heidari SH et al (2025) Diagnostic accuracy of plain radiographs compared to CT scans in classifying talus injuries. BMC Musculoskelet Disord 26(1):891","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"2450_CR18","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1177\/0363546515574066","volume":"44","author":"AA Wright","year":"2016","unstructured":"Wright AA, Hegedus EJ, Lenchik L, Kuhn KJ, Santiago L, Smoliga JM (2016) Diagnostic Accuracy of Various Imaging Modalities for Suspected Lower Extremity Stress Fractures:A Systematic Review With Evidence-Based Recommendations for Clinical Practice. Am J Sports Med 44(1):255\u2013263. https:\/\/doi.org\/10.1177\/0363546515574066","journal-title":"Am J Sports Med"},{"issue":"7","key":"2450_CR19","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1097\/RLI.0000000000000042","volume":"49","author":"J Neubauer","year":"2014","unstructured":"Neubauer J, Voigt JM, Lang H, Scheuer C, Goerke SM, Langer M et al (2014) Comparing the image quality of a mobile flat-panel computed tomography and a multidetector computed tomography: a phantom study. Invest Radiol 49(7):491\u2013497","journal-title":"Invest Radiol"},{"key":"2450_CR20","doi-asserted-by":"publisher","first-page":"1742","DOI":"10.1007\/s00330-014-3546-6","volume":"25","author":"S Demehri","year":"2015","unstructured":"Demehri S, Muhit A, Zbijewski W, Stayman J, Yorkston J, Packard N et al (2015) Assessment of image quality in soft tissue and bone visualization tasks for a dedicated extremity cone-beam CT system. Eur Radiol 25:1742\u20131751","journal-title":"Eur Radiol"},{"key":"2450_CR21","doi-asserted-by":"publisher","first-page":"108659","DOI":"10.1016\/j.ejrad.2019.108659","volume":"119","author":"J-P Grunz","year":"2019","unstructured":"Grunz J-P, Kunz AS, Gietzen CH, Weng AM, Veyhl-Wichmann M, Erg\u00fcn S et al (2019) 3D cone-beam CT of the ankle using a novel twin robotic X-ray system: assessment of image quality and radiation dose. Eur J Radiol 119:108659","journal-title":"Eur J Radiol"},{"key":"2450_CR22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s41747-020-00177-y","volume":"4","author":"J-P Grunz","year":"2020","unstructured":"Grunz J-P, Weng AM, Kunz AS, Veyhl-Wichmann M, Schmitt R, Gietzen CH et al (2020) 3D cone-beam CT with a twin robotic x-ray system in elbow imaging: comparison of image quality to high-resolution multidetector CT. Eur Radiol Experimental 4:1\u20139","journal-title":"Eur Radiol Experimental"},{"key":"2450_CR23","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.ejrad.2017.10.010","volume":"97","author":"C Borel","year":"2017","unstructured":"Borel C, Larbi A, Delclaux S, Lapegue F, Chiavassa-Gandois H, Sans N et al (2017) Diagnostic value of cone beam computed tomography (CBCT) in occult scaphoid and wrist fractures. Eur J Radiol 97:59\u201364","journal-title":"Eur J Radiol"},{"issue":"11","key":"2450_CR24","doi-asserted-by":"publisher","first-page":"2767","DOI":"10.1007\/s00330-007-0651-9","volume":"17","author":"WA Kalender","year":"2007","unstructured":"Kalender WA, Kyriakou Y (2007) Flat-detector computed tomography (FD-CT). Eur Radiol 17(11):2767\u20132779","journal-title":"Eur Radiol"},{"key":"2450_CR25","doi-asserted-by":"publisher","unstructured":"Mason K, Iball G, Hinchcliffe D, Snaith B (2024) A systematic review comparing the effective radiation dose of musculoskeletal cone beam computed tomography to other diagnostic imaging modalities. Eur J Radiol 177:111558. https:\/\/doi.org\/10.1016\/j.ejrad.2024.111558","DOI":"10.1016\/j.ejrad.2024.111558"},{"issue":"1","key":"2450_CR26","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1093\/rpd\/ncx210","volume":"179","author":"J Koivisto","year":"2018","unstructured":"Koivisto J, Van Eijnatten M, Kiljunen T, Shi X-Q, Wolff J (2018) Effective radiation dose in the wrist resulting from a radiographic device, two CBCT devices and one MSCT device: a comparative study. Radiat Prot Dosimetry 179(1):58\u201368","journal-title":"Radiat Prot Dosimetry"}],"container-title":["Emergency Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10140-026-02450-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10140-026-02450-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10140-026-02450-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:42:54Z","timestamp":1780540974000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10140-026-02450-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":26,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["2450"],"URL":"https:\/\/doi.org\/10.1007\/s10140-026-02450-w","relation":{},"ISSN":["1438-1435"],"issn-type":[{"value":"1438-1435","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]},"assertion":[{"value":"13 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2026","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The original version of this paper has been updated to correct the placeholder term \u201canonymized\u201d with the correct institutional name, University of Utah, in the Methods section, IRB statement, and Acknowledgements section.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the University of Utah\u2019s Institutional Review Board. Patients who met the inclusion criteria provided informed consent to participate in the study and to have their data used for the purposes of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"No relevant conflicts of interest to disclose.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}