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| ID | Type | Description | Link |
|---|---|---|---|
| 021-A01771-40 | Registry Identifier | IDRCB |
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This study aims to compare weight-bearing Cone Beam CT arthrogram and conventional CT arthrogram in assessement of patients with ankle osteo-chondral or cartilage lesions.
Weight-bearing Cone Beam CT (CBCT) arthrogram, a technique with less radiation dose than conventional CT, is hypothesized non-inferior to conventional CT arthrogram to diagnose osteo-chondral (OCL) or cartilage lesions of the ankle.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional CT-arthrogram + CBCT arthrogram | Experimental | Conventional CT-arthrogram + CBCT arthrogram (CBCT in the minutes following the conventional CT arthrogram). Routine care (arthroCT) and CBCT of ankle. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ArthroCT scan | Procedure | Conventional CT arthrogram as routine care |
|
| Measure | Description | Time Frame |
|---|---|---|
| Localisation of the lesions | Localisation of cartilage and osteochondral lesions assessed by CT scan | at baseline |
| Number of the lesions | Number of cartilage and osteochondral lesions assessed by CT scan | at baseline |
| Size of the lesions | Size of cartilage and osteochondral lesions assessed by CT scan | at baseline |
| Unstable displaced lesions | Displaced osteochondral fragment in the joint. | at baseline |
| Unstable non-displaced lesions | Contrast enhanced fluid from the arthrogram surrounding the osteochondral fragment. | at baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mickael TORDJMAN, MD | Radiological department - Raymond Poincaré hospital - APHP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radiological department, Raymond Poincaré hospital, APHP | Garches | 92380 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33713874 | Background | Lopes R, Geffroy L, Padiolleau G, Ngbilo C, Baudrier N, Mainard D, Benoist J, Leiber Wackenheim F, Cordier G, Dubois Ferriere V, Freychet B, Barbier O, Amouyel T. Proposal of a new CT arthrographic classification system of osteochondral lesions of the talus. Orthop Traumatol Surg Res. 2021 Oct;107(6):102890. doi: 10.1016/j.otsr.2021.102890. Epub 2021 Mar 10. | |
| 33280057 |
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| CBCT | Procedure | Cone Beam CT scan. |
|
| Grunz JP, Pennig L, Fieber T, Gietzen CH, Heidenreich JF, Huflage H, Gruschwitz P, Kuhl PJ, Petritsch B, Kosmala A, Bley TA, Gassenmaier T. Twin robotic x-ray system in small bone and joint trauma: impact of cone-beam computed tomography on treatment decisions. Eur Radiol. 2021 Jun;31(6):3600-3609. doi: 10.1007/s00330-020-07563-5. Epub 2020 Dec 5. |
| 33798932 | Background | Broos M, Berardo S, Dobbe JGG, Maas M, Streekstra GJ, Wellenberg RHH. Geometric 3D analyses of the foot and ankle using weight-bearing and non weight-bearing cone-beam CT images: The new standard? Eur J Radiol. 2021 May;138:109674. doi: 10.1016/j.ejrad.2021.109674. Epub 2021 Mar 20. |
| 30498800 | Background | Posadzy M, Desimpel J, Vanhoenacker F. Staging of Osteochondral Lesions of the Talus: MRI and Cone Beam CT. J Belg Soc Radiol. 2017 Dec 16;101(Suppl 2):1. doi: 10.5334/jbr-btr.1377. |