[AVBC 2025] Dual-Energy CT (DECT) as First-Line Imaging for Occult Pelvic and Hip Fractures
Care Process & Redesign
Technology
Appropriate & Value-based Care Conference
National Healthcare Group
5 December 2025
To assess the feasibility, real-world performance, and system-level impact of DECT as the default advanced imaging modality. DECT-first protocol for suspected occult pelvic and hip fractures is feasible and provides system-wide benefits, with potential for.
Year Submitted: 2025
Published Date: 05 December 2025
Tags: Care Process ＆ Redesign, Technology, Quality Improvement, Workflow Redesign, Productivity, Cost Saving, Time Saving, Assistive Technology
About this Content
Aims
To assess the feasibility, real-world performance, and system-level impact of DECT as the default advanced imaging modality for suspected occult pelvic and hip fractures
Background
MRI is the reference standard for detecting radiographically occult pelvic and hip fractures but is limited by high cost and long scan times. DECT offers a practical alternative with near-MRI sensitivity and faster acquisition.
Methods
A retrospective study of patients presenting between June 2024 and May 2025 with suspected pelvic or hip fractures was conducted. Comparative analysis was performed to determine the incremental benefit of DECT over MRI.
Results
Implementing a DECT-first protocol is feasible and delivers measurable system-wide benefits, including rapid fracture detection, reduced MRI workload, and enhanced surgical planning.
Conclusion
DECT-first protocol for suspected occult pelvic and hip fractures is feasible and provides system-wide benefits, with potential for broader adoption in clinical practice.
Lessons Learnt
Challenges include the need for larger-scale studies to confirm generalizability and the exploration of advanced 3D visualization and printing for preoperative planning
Keywords
DECT, MRI, fractures, imaging, protocol, hospital, radiology, cost, time, efficiency
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Woodlands Health |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Radiology |
Project Lead(s) | Yap Jiawei Alexander |
Project Member(s) | Ong Yu Xuan Nicholas |
Connect with this contributor!
Yap Jiawei Alexander - jiawei_alexander_yap@wh.com.sg