{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:13:10Z","timestamp":1787170390913,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Acromial stress fracture (ASF) is an uncommon but acknowledged complication of reverse total shoulder arthroplasty (RTSA). There is no standardised method to directly measure the bone mineral density of the acromion to allow a detailed analysis of the potential mechanism of ASF. The aim is to establish a reliable and reproducible technique for measurement of acromial density on computer tomography (CT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review on CT scans obtained for three groups of patients: those planned for RTSA (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200926); age and gender\u2010matched non\u2010operative (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200926); and young non\u2010operative patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) were performed. Standardised axial images of 1\u2009mm thickness at 1\u2009mm increments were created following horizontal straightening on the coronal and sagittal views. To assess inter\u2010rater reliability, two senior CT radiographers performed density measurements using standard region of interest (ROI) tool on the CTs with the ROI placed on the mid (ROI 1) and posterior (ROI 2) acromion. ROIs were selected as the most common locations for acromion fracture post RTSA. Measurements were repeated at least 6\u2009weeks apart. Intra\u2010class coefficients (ICC) were used to determine intra\u2010 and inter\u2010rater reliability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>ICCs demonstrated good to high intra\u2010rater and inter\u2010rater reliability for both ROI 1 and ROI 2 across all three groups. The lower margin of 95% confidence intervals was more than 0 for all intra\u2010class coefficients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates a reliable method of measuring acromion density on CT. This method can be used to assess bone mineral density in the clinical setting and in future studies investigating ASF following RTSA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.13742","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T15:19:59Z","timestamp":1725895199000},"page":"673-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reliable technique for acromion density assessment on\n                    <scp>CT<\/scp>"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2395-8978","authenticated-orcid":false,"given":"Shu","family":"Su","sequence":"first","affiliation":[{"name":"Victoria House Medical Imaging, I\u2010Med Radiology Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9486-0850","authenticated-orcid":false,"given":"Xiao","family":"Chen","sequence":"additional","affiliation":[{"name":"Victoria House Medical Imaging, I\u2010Med Radiology Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Warby","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder Group  Melbourne Victoria Australia"},{"name":"Latrobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Tate","sequence":"additional","affiliation":[{"name":"Victoria House Medical Imaging, I\u2010Med Radiology Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penelope","family":"Brooke","sequence":"additional","affiliation":[{"name":"Victoria House Medical Imaging, I\u2010Med Radiology Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Barwood","sequence":"additional","affiliation":[{"name":"Melbourne Orthopaedic Group  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3142-5891","authenticated-orcid":false,"given":"Gregory","family":"Hoy","sequence":"additional","affiliation":[{"name":"Melbourne Orthopaedic Group  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Soo","sequence":"additional","affiliation":[{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"},{"name":"Melbourne Shoulder and Elbow Centre  Melbourne Victoria Australia"},{"name":"Ramsay Healthcare  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Dallalana","sequence":"additional","affiliation":[{"name":"Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warwick","family":"Wright","sequence":"additional","affiliation":[{"name":"Malvern Orthopaedic Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew H","family":"Rotstein","sequence":"additional","affiliation":[{"name":"Victoria House Medical Imaging, I\u2010Med Radiology Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1125-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1758573219876486"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.09.045"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-014-9252-9"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.001"},{"key":"e_1_2_9_7_1","first-page":"E125","article-title":"Acromial fracture after reverse shoulder arthroplasty","volume":"40","author":"Hamid N","year":"2011","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01516"},{"key":"e_1_2_9_9_1","first-page":"397","article-title":"Acromial stress fractures: a systematic review","volume":"7","author":"Lucasti CJ","year":"2019","journal-title":"Arch Bone Jt Surg"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.09.012"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.02.007"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.05.011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4539-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1758573220949992"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.5.FOCUS1483"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1881-3"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_9_18_1","first-page":"62","volume-title":"Measurement in Physical Education","author":"Meyers CR","year":"1962"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13742","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T03:58:33Z","timestamp":1728446313000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/1754-9485.13742"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13742","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}