Application Evaluation of Diagnosing Fibula Fractures with X-ray Digital
Tomosynthesis
XIE Wei, ZHANG Qing
Department of Radiology, Affiliated
Beijing Huguosi Hospital of Traditional
Chinese Medicine, Beijing University
of Chinese Medicine, Beijing 100035,
China
Abstract：Objective To investigate the value of X-ray Digital Tomosynthesis (DTS) in diagnosing fibula
fractures. Methods Total of 107 fibula trauma patients, including 66 fracture cases and 41 non-fracture
cases confirmed by CT, all patients underwent digital radiography (DR), DTS (Volume RAD technique)
and CT examinations. According to the standard of Danis-Weber, fractures can be classified into below
syndesmosis (Weber A) 40 cases, syndesmosis (Weber B) 16 cases, and above syndesmosis (Weber C) 10
cases. According to the CT results which were regarded as the golden standard, the diagnostic accuracy
of DR and DTS in all cases, non-fracture cases and three groups of Weber A, B, C was compared
respectively. Results In all cases and the group of Weber B, the diagnostic accuracy of Volume RAD
were significantly higher than that of DR, and there was statistically significant difference in accuracy
of diagnosis between DR and Volume RAD (P<0.05). Non-fracture cases and two groups of Weber
A and C were no statistically significant difference in accuracy of diagnosis between DR and Volume
RAD (P>0.05). Conclusion When the diagnosis of fibula fractures in syndesmosis (weber B) with DR is
suspected, Volume RAD technique may be the first choice of further examination on clinic.
