A systematic review of the clinical effectiveness of EOS 2D/3D X-ray imaging system

[摘要] PurposeTo evaluate the available evidence for the clinical effectiveness of the EOS® 2D/3D X-ray imaging system for the evaluation and monitoring of scoliosis and other relevant orthopaedic conditions.MethodsA systematic review of studies of EOS®, compared with standard X-ray film, computed radiography or digital radiography, of patients with orthopaedic conditions was undertaken. Ten electronic databases were searched. The quality of the included studies was assessed and a narrative synthesis undertaken.ResultsThree small, limited quality studies, primarily of children with scoliosis, were identified. No patient health outcomes were reported. Spinal image quality was comparable or better overall with EOS®. Radiation dose was considerably lower with EOS® than X-ray film or computed radiography; the mean entrance surface dose was over five times lower with EOS® for the posteroanterior spine radiograph and over six times lower for the lateral spine radiograph.ConclusionsThe available clinical evidence for EOS® is limited to establishing its basic technical ability. The technical advancements associated with EOS® (the ability to generate a full body scan and to construct a three-dimensional model from synchronously acquired lateral and posteroanterior images) have not been evaluated in terms of their ability to improve patient outcomes. Whilst radiation dose is a concern for orthopaedic patients who require repeated imaging, it is difficult to quantify the reductions in radiation dose seen with EOS® in terms of patient health benefits. Clinical studies that investigate the impact of EOS® on patient management are required...

[学科分类] 骨科学

[关键词] Systematic review ;EOS® ;Scoliosis ;X-ray