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From Aug 2013 to Aug 2016, 18 patients (19 wrists, 16 males, 2 females, mean age 28\u00a0years) were assessed as high\u2010risk for proximal pole scaphoid avascular necrosis by a single surgeon following a scaphoid fracture and were referred for contrast\u2010enhanced dual energy <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>. 8 wrists had specimens sent for correlative histological analysis and 11 were correlated with operative notes. Eight surgical specimens were sent to histology and showed a 100% correlation (8\/8) with the <jats:styled-content style=\"fixed-case\">DECT<\/jats:styled-content> findings. The remaining 11 wrists that did not have a specimen sent had in\u2010surgery findings that also correlated with <jats:styled-content style=\"fixed-case\">DECT<\/jats:styled-content>. A single case was discrepant (1\/11) due to presence of an intra\u2010osseous ganglion, which was reported as osteonecrosis on <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>, but considered viable at surgery. No case was called viable on <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> that proved to be necrotic at either surgery or histologically. Contrast\u2010enhanced dual energy <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> using a perfusion algorithm is an innovative and promising method in evaluating viability of the post\u2010trauma proximal pole of scaphoid.<\/jats:p>","DOI":"10.1111\/1754-9485.12796","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T12:07:16Z","timestamp":1536149236000},"page":"69-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Dual\u2010energy contrast\u2010enhanced <scp>CT<\/scp> to evaluate scaphoid osteonecrosis with surgical correlation"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5015-3361","authenticated-orcid":false,"given":"Marcus","family":"Pianta","sequence":"first","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital Melbourne Victoria 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