{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T04:22:57Z","timestamp":1770524577580,"version":"3.49.0"},"reference-count":19,"publisher":"World Scientific Pub Co Pte Ltd","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p> Background: Diagnosis of ligamentous wrist injuries can be challenging with the absence of dynamic instability on radiographs. Our aim was to evaluate the accuracy of cone-beam computed tomography (CBCT) arthrography in diagnosing scapholunate ligament (SLL), lunotriquetral ligament (LTL) and triangular fibrocartilage complex (TFCC) injuries. <\/jats:p><jats:p> Methods: A systematic review and literature search were conducted in compliance with Preferred Reporting Items for a Systematic Review and Meta-analysis (PRISMA) and registered at the International Prospective Register of Systematic Reviews, PROSPERO (CRD42024517655). A mixed-effects logistic regression bivariate model was used to estimate summary sensitivity and specificity, and hierarchical summary receiver operating characteristic (HSROC) curves were constructed to determine diagnostic accuracy of CBCT arthrography. <\/jats:p><jats:p> Results: We identified five studies assessing the accuracy of CBCT arthrography against wrist arthrography or intraoperative findings as reference standard. The pooled estimates for sensitivity and specificity of CBCT arthrography was 93% (95% CI 40\u2013100) and 91% (95% CI 81\u201396) for SLL injuries, 83% (95% CI 37\u201398) and 64% (95% CI 42\u201381) for LTL injuries and 78% (95% CI 57\u201391) and 80% (95% CI 54\u201393) for TFCC injuries. The area under the curve was 0.91 (95% CI 0.89\u20130.94), showing an excellent diagnostic accuracy of CBCT arthrography in SLL injuries. CBCT arthrography had an estimated mean effective dose of 3.2 mSv (2.0\u20134.8). <\/jats:p><jats:p> Conclusions: Our study confirms that CBCT arthrography has an excellent diagnostic accuracy for wrist ligamentous injuries with comparably high sensitivity to conventional arthrography and a better specificity. While further studies with more robust methodology are required to support its implementation in clinical practice, our analysis shows that it is a reliable option and has a promising future. <\/jats:p><jats:p> Level of Evidence: Level III (Diagnostic) <\/jats:p>","DOI":"10.1142\/s2424835525500067","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T03:37:17Z","timestamp":1728963437000},"page":"84-93","source":"Crossref","is-referenced-by-count":2,"title":["The Use of Cone-Beam Computed Tomography (CBCT) Arthrography for Wrist Ligamentous Injuries \u2013 A Diagnostic Test Accuracy Meta-analysis"],"prefix":"10.1142","volume":"30","author":[{"given":"Harnoor-Khroud","family":"DHILLON","sequence":"first","affiliation":[{"name":"East and North Hertfordshire NHS Foundation Trust, Stevenage, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djamila M.","family":"ROJOA","sequence":"additional","affiliation":[{"name":"St Mary\u2019s Hospital, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaid","family":"RAHEMAN","sequence":"additional","affiliation":[{"name":"Queen Mary University of London, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas Cereceda","family":"MONTEOLIVA","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Govind","family":"DHILLON","sequence":"additional","affiliation":[{"name":"East and North Hertfordshire NHS Foundation Trust, Stevenage, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Firas J.","family":"RAHEMAN","sequence":"additional","affiliation":[{"name":"Mid and South Essex NHS Foundation Trust, Chelmsford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"S2424835525500067BIB002","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-013-1666-8"},{"key":"S2424835525500067BIB003","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001206010204"},{"key":"S2424835525500067BIB004","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001445"},{"key":"S2424835525500067BIB005","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001425"},{"key":"S2424835525500067BIB006","doi-asserted-by":"publisher","DOI":"10.4103\/0971-3026.137038"},{"key":"S2424835525500067BIB007","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-008-9149-4"},{"issue":"4","key":"S2424835525500067BIB008","first-page":"325","volume":"68","author":"DeSmet L","year":"2002","journal-title":"Acta Orthop Belg"},{"key":"S2424835525500067BIB009","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-015-2105-9"},{"key":"S2424835525500067BIB010","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160"},{"key":"S2424835525500067BIB011","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2008.05.005"},{"issue":"3","key":"S2424835525500067BIB012","first-page":"177","volume":"23","author":"Amrami KK","year":"2015","journal-title":"Med Health Sci"},{"key":"S2424835525500067BIB013","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejro.2019.06.003"},{"key":"S2424835525500067BIB015","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.01.016"},{"key":"S2424835525500067BIB016","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-012-1516-0"},{"key":"S2424835525500067BIB017","doi-asserted-by":"publisher","DOI":"10.1177\/1457496916659226"},{"key":"S2424835525500067BIB018","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-011-1305-1"},{"key":"S2424835525500067BIB019","volume":"29","author":"Hardie A","year":"2011","journal-title":"Emerg Radiol"},{"key":"S2424835525500067BIB020","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-015-2182-9"},{"key":"S2424835525500067BIB022","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-82351-9"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835525500067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T02:56:34Z","timestamp":1737600994000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/10.1142\/S2424835525500067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,14]]},"references-count":19,"journal-issue":{"issue":"01","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1142\/S2424835525500067"],"URL":"https:\/\/doi.org\/10.1142\/s2424835525500067","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,14]]}}}