{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:56:02Z","timestamp":1777506962570,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use and frequency of computed tomography (CT) are increasing day by day in emergency departments (ED). This increases the amount of radiation exposed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the image quality obtained by ultra-low-dose CT (ULDCT) in patients with suspected wrist fractures in the ED and to investigate whether it is an alternative to standard-dose CT (SDCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This is a study prospectively examining 336 patients who consulted the ED for wrist trauma. After exclusion criteria were applied, the patients were divided into the study and control groups. Then, SDCT (120\u2009kVp and 100\u2009mAs) and ULDCT (80\u2009kVp and 5\u2009mAs) wrist protocols were applied simultaneously. The images obtained were evaluated for image quality and fracture independently by a radiologist and an emergency medical specialist using a 5-point scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The effective radiation dose calculated for the control group scans was 41.1\u2009\u00b1\u20092.1\u2009\u00b5Sv, whereas the effective radiation dose calculated for the study group scans was 0.5\u2009\u00b1\u20090.0\u2009\u00b5Sv. The effective radiation dose of the study group was significantly lower than that of the control group ( P\u2009&lt;\u20090.01). The CT images in the study group showed no significant differences in the mean image quality score between observer 1 and observer 2 (3.4 and 4.3, respectively; P\u2009=\u20090.58). Both observers could detect all fractures using the ULDCT images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ULDCT provides high-quality images in wrist traumas while reducing the radiation dose by approximately 98% compared to SDCT without any changes in diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185121989958","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T23:41:52Z","timestamp":1611877312000},"page":"192-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Ultra-low-dose computed tomography and its utility in wrist trauma in the emergency department"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6158-0286","authenticated-orcid":false,"given":"Erdal","family":"Tekin","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kutsi","family":"Tuncer","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Ataturk University Faculty of Medicine, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Ozlu","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Recep","family":"Sade","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"},{"name":"Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1608-1189","authenticated-orcid":false,"given":"Rustem Berhan","family":"Pirimoglu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9184-8730","authenticated-orcid":false,"given":"Gokhan","family":"Polat","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"bibr1-0284185121989958","volume-title":"CDC-Injury: The Leading Cause of Death for Persons 1-44 in U.S","author":"Centers for 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