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To compare algorithms, 3-D-fluoroscopic data sets of 46 radius fractures were blinded and processed using MPR-256 and -512 (Ziehm, Vision-Vario 3D). Each reformatted data set was analysed to evaluate image quality, fracture reduction quality and screw misplacements. Overall image quality was higher rated in the MPR-512 compared with the MPR-256 (3.2 vs. 2.2 points, scale 1\u20135 points), accompanied by a reduced number of scans that could not be analysed (10 vs. 19%). Interobserver evaluation of fracture reduction quality was fair to moderate (independent of the algorithm). In contrast, for screw misplacements MPR-depended ratings were found (MPR-256: fair to moderate; MPR-512: moderate to substantial). Optimization of post-processing algorithms, rather than modifications of image acquisition, may increase the image quality for assessing implant positioning, but limitations in evaluating fracture reduction quality still exist.<\/jats:p>","DOI":"10.1177\/1753193419848963","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T03:01:10Z","timestamp":1558580470000},"page":"738-744","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of different multiplanar reformation algorithms on image quality of intraoperative three-dimensional fluoroscopy"],"prefix":"10.1177","volume":"44","author":[{"given":"Isabel","family":"Graul","sequence":"first","affiliation":[{"name":"Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Jena, Jena, 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