Diagnostic Performance of the Ultra Low-Dose (ULD) Scanner vs. Diagnostic Performance With Standard X-rays in the Emergency Department Compared With Performance of the Standard Classical-dose Scanner for Trauma of the Dorsolumbar Spine, Pelvis and Extremities
NCT ID: NCT04074733
Last Updated: 2025-12-10
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
554 participants
OBSERVATIONAL
2019-10-21
2025-09-12
Brief Summary
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Detailed Description
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The secondary objectives of this study are to:
A. Compare the diagnostic performances of the two examination methods under study (ULD scan vs. standard X-ray) in the search for bone structure anomalies, damage to the soft tissues, damage to the joints and/or discopathies at the site(s) involved.
B. Compare the diagnostic performances of the two examination methods under study) (ULD scan vs. standard X-ray) in the search for fractures of the site involved. C. Evaluate the diagnostic agreement between two readers (senior radiologist and junior radiologist) for each of the two examination methods under study (ULD scan vs. standard X-ray).
D. Compare the radiologist's self-declared impression of each of the two examination methods under study (ULD scan vs. standard X-ray) in terms of subjective quality: overall image quality, diagnostic quality of the examination method and the level of confidence in the diagnosis made, overall and for each of the two readers (senior and junior).
E. Compare the doses of X-rays administered for each of the two examination methods under study (ULD scan vs. standard X-ray).
F. Compare the interpretation time for each examination method under study (ULD scan vs. standard X-ray), globally and for each of the two readers (senior and junior).
For the evaluation of the diagnostic performances (main objective and secondary objectives A et B), only the senior radiologist's interpretation will be considered.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Patients with fractures
Patient undergoes a ULD scan
The following doses will be applied:
6 mGy.cm for the extremities 50 mGy.cm for the dorsal spine 130 mGy.cm for the lumbar spine 130 mGy.cm for the pelvis
Patient undergoes a standard X-ray
The following doses will be applied:
For the pelvis : front view and profile for the hip. For the dorsal spine : front and profile. For the lumbar spine : front and profile For the extremities : front and profile
Patient undergoes a classic-dose scan
The following doses will be applied:
6 mGy.cm for the extremities 50 mGy.cm for the dorsal spine 130 mGy.cm for the lumbar spine 130 mGy.cm for the pelvis
Interventions
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Patient undergoes a ULD scan
The following doses will be applied:
6 mGy.cm for the extremities 50 mGy.cm for the dorsal spine 130 mGy.cm for the lumbar spine 130 mGy.cm for the pelvis
Patient undergoes a standard X-ray
The following doses will be applied:
For the pelvis : front view and profile for the hip. For the dorsal spine : front and profile. For the lumbar spine : front and profile For the extremities : front and profile
Patient undergoes a classic-dose scan
The following doses will be applied:
6 mGy.cm for the extremities 50 mGy.cm for the dorsal spine 130 mGy.cm for the lumbar spine 130 mGy.cm for the pelvis
Eligibility Criteria
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Inclusion Criteria
* Emergency department patient for trauma of the dorso-lumbar spine, pelvis, proximal femurs, and / or extremities requiring standard radiographs
* Patient with painful symptomatology causing suspicion of a broken bone
* Patient or family member / trusted person / family member who has given free and informed consent
* Patient or family member / trusted person / family member who has signed the consent form
* Patient beneficiary or affiliate of a health insurance plan
Exclusion Criteria
* Patient in a period of exclusion determined by another study
* Patient on under juridical protection, under curatorship or under guardianship
* Patient for whom it is impossible to give informed information
* Pregnant, parturient or nursing patient
* Polytraumatised patient
* Patients in vital emergency requiring urgent scanner
18 Years
ALL
No
Sponsors
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Centre Hospitalier Universitaire de Nīmes
OTHER
Responsible Party
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Principal Investigators
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Ahmed LARBI, Dr.
Role: PRINCIPAL_INVESTIGATOR
CHU de Nîmes (Nîmes University Hospital)
Locations
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Centre Hospitalier Universitaire
Nîmes, Gard, France
Clinique de l'Union
Saint-Jean, Haute-Garonne, France
Clinique du Parc
Castelnau-le-Lez, Hérault, France
Centre Hospitalier de Mont-de-Marsan
Mont-de-Marsan, Nouvelle-Aquitaine, France
Menouer TALEB
Alès, , France
Countries
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References
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Hamard A, Greffier J, Bastide S, Larbi A, Addala T, Sadate A, Beregi JP, Frandon J. Ultra-low-dose CT versus radiographs for minor spine and pelvis trauma: a Bayesian analysis of accuracy. Eur Radiol. 2021 Apr;31(4):2621-2633. doi: 10.1007/s00330-020-07304-8. Epub 2020 Oct 9.
Other Identifiers
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2019-A00472-55
Identifier Type: OTHER
Identifier Source: secondary_id
PHRCi/2018/AL-01
Identifier Type: -
Identifier Source: org_study_id
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