title: [Fracture diagnosis with digital luminescence radiography].
abstract: Conventional screen-film radiographs were compared with storage phosphorus images concerning diagnostic performance in traumatologic radiography. We used an image pool of 106 radiographs including 50 conventionally and 56 digitally recorded images. The images were reviewed by four experienced radiologists. Detectability of fractures was coded in a five-point scale of confidence and analysed by ROC statistics. Furthermore the image quality and the optical density was compared. Digital images are superior under difficult exposure conditions and offer advantages by additional image processing and documentation. For some indications (follow-up, functional examination), reduced x-ray exposure is tolerable. The detectability of subtle lesions, which is essential for the primary diagnosis of fractures was significantly better by conventional radiography.
authors.affiliation: Klinik für Radiologische Diagnostik, RWTH Aachen.
authors.forename: H M
authors.initials: HM
authors.lastname: Klein
authors.forename: B
authors.initials: B
authors.lastname: Wein
authors.forename: H J
authors.initials: HJ
authors.lastname: Langen
authors.forename: K H
authors.initials: KH
authors.lastname: Glaser
authors.forename: A
authors.initials: A
authors.lastname: Stargardt
authors.forename: R W
authors.initials: RW
authors.lastname: Günther
mesh_terms: D005069:Evaluation Studies as Topic; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D007869:Leg Injuries / Q000000981:diagnostic imaging*; D008163:Luminescent Measurements; D011786:Quality Control; D012372:ROC Curve; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods*; D014963:X-Ray Intensifying Screens
vernacular_title: Frakturdiagnostik mit der digitalen Lumineszenzradiographie.