{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:07:34Z","timestamp":1777662454173,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"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":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Distal radius fractures (DRFs) are common upper extremity fractures and often require surgical fixation when they are intraarticular. Preoperative computed tomography (CT) has emerged as a surgical planning tool to evaluate intraarticular DRFs. Although CT affords additional details, patients receive higher radiation doses than standard radiographs. We aim to develop a low-dose CT (LDCT) protocol, relative to the institutional standard-dose CT wrist for intraarticular DRFs although providing adequate detail for surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A single-institution prospective study was conducted on patients with intraarticular DRFs who underwent closed reduction and below-elbow splinting who otherwise would undergo wrist CT. Observations were defined as total measurements taken, with each view undergoing 44 measurements. Patients underwent 2 scans with a standard dose and a 10\u00d7 dose reduction. Articular step and gap measurements were recorded in the sagittal and coronal images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 11 patients were enrolled (7 women and 4 men). The mean age was 55 years (SD = 20.1). There were a total of 4 reviewers: 1 attending surgeon, 2 resident physicians, and 1 student. When comparing LDCT and conventional-dose CT (CDCT), there were no significant differences in step and gap measurements across all reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study demonstrated that LDCT provides comparable imaging quality for surgical planning as a CDCT without significant diagnostic decay in the setting of DRFs. This comes with the added benefit of a 10-fold reduction in radiation exposure. These results suggest that LDCT is an opportunity to reduce effective radiation in patients although providing beneficial preoperative imaging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241232016","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T08:01:26Z","timestamp":1709798486000},"page":"755-761","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Low-Dose Computed Tomography Versus Conventional-Dose Computed Tomography in the Evaluation of Distal Radius Fractures"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7131-104X","authenticated-orcid":false,"given":"Steven L.","family":"Zeng","sequence":"first","affiliation":[{"name":"Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Jordan","family":"Grier","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah C.","family":"Langdell","sequence":"additional","affiliation":[{"name":"Division of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kier M.","family":"Blevins","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5621-9568","authenticated-orcid":false,"given":"William M.","family":"Tian","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7403-7493","authenticated-orcid":false,"given":"Robert J.","family":"French","sequence":"additional","affiliation":[{"name":"Department of Radiology, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhail K.","family":"Mithani","sequence":"additional","affiliation":[{"name":"Division of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7767-4124","authenticated-orcid":false,"given":"Warren C.","family":"Hammert","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S.","family":"Klifto","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000312"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.08.021"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01617"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-015-9773-8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.22930a"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2481071451"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1351"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2511081296"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B12.BJJ-2016-0336.R1"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182821505"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.01916"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80071-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0226-8"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3758\/BF03203630"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra072149"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2016.04.029"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2008.10.006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2003.11.012"},{"issue":"2","key":"e_1_3_3_21_2","first-page":"150","article-title":"The ALARA concept in radiographic dose reduction","volume":"76","author":"Willis CE","year":"2004","unstructured":"Willis CE, Slovis TL. 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