Is radiography justified for the evaluation of patients presenting with cervical spine trauma?

Medical Physics
Nicholas TheocharopoulosJohn Damilakis

Abstract

Conventional radiography has been for decades the standard method of evaluation for cervical spine trauma patients. However, currently available helical multidetector CT scanners allow multiplanar reconstruction of images, leading to increased diagnostic accuracy. The purpose of this study was to determine the relative benefit/risk ratio between cervical spine CT and cervical spine radiography and between cervical spine CT and cervical spine radiography, followed by CT as an adjunct for positive findings. A decision analysis model for the determination of the optimum imaging technique was developed. The sensitivity and specificity of CT and radiography were obtained by dedicated meta-analysis. Lifetime attributable risk of mortal cancer from CT and radiography was calculated using updated organ-specific risk coefficients and organ-absorbed doses. Patient organ doses from radiography were calculated using Monte Carlo techniques, simulated exposures performed on an anthropomorphic phantom, and thermoluminescence dosimetry. A prospective patient study was performed regarding helical CT scans of the cervical spine. Patient doses were calculated based on the dose-length-product values and Monte Carlo-based CT dosimetry software prog...Continue Reading

References

Dec 1, 1991·The Journal of Trauma·B D GerreltsS R Petersen
Sep 1, 1987·The Journal of Trauma·D C ReidJ D Miller
Mar 1, 1984·Journal of Medical Education·H C SoxD H Hickam
Mar 1, 1993·The Journal of Trauma·J W DavisR C Mackersie
Nov 1, 1996·Radiographics : a Review Publication of the Radiological Society of North America, Inc·D B NuñezJ L Becerra
Oct 6, 1997·The Journal of Bone and Joint Surgery. American Volume·J Bernstein
Nov 10, 1998·Anaesthesia and Intensive Care·A E AjaniD V Tuxen
Feb 24, 1999·Applied Radiation and Isotopes : Including Data, Instrumentation and Methods for Use in Agriculture, Industry and Medicine·K FaulknerR M Harrison
Apr 8, 1999·Anaesthesia·J Nicholl, S Willatts
Oct 5, 2001·The Journal of Trauma·C A BarbaN Epstein
Oct 26, 2001·JAMA : the Journal of the American Medical Association·I G StiellJ Worthington
Aug 13, 2003·The Journal of Trauma·Margaret M GriffenJennifer Abboud
Nov 30, 2004·Emergency Radiology·Giang K Nguyen, Robert Clark
Jan 25, 2005·Journal of the American College of Surgeons·Eric L GroganTheodore Speroff
Jul 2, 2005·Spine·Adrian P JacksonPaul R Meyer
Aug 13, 2005·The Journal of Trauma·Barry SanchezSalvador Becerra
Dec 31, 2005·The Journal of Trauma·Stephen C GaleC William Schwab
Jul 14, 2006·BMC Medical Research Methodology·Javier ZamoraArri Coomarasamy
Jul 3, 2007·Clinical Oncology : a Journal of the Royal College of Radiologists·T Kehoe
Jul 20, 2007·JAMA : the Journal of the American Medical Association·Andrew J EinsteinSanjay Rajagopalan
Nov 30, 2007·The New England Journal of Medicine·David J Brenner, Eric J Hall
Apr 29, 2008·The British Journal of Radiology·E J Hall, D J Brenner

❮ Previous
Next ❯

Citations

Aug 26, 2014·AJR. American Journal of Roentgenology·Alice S HaFelix S Chew
Nov 11, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David DreizinFelipe Munera
Apr 25, 2013·Pain Practice : the Official Journal of World Institute of Pain·Chad E CookAlexis Wright
May 30, 2015·The Journal of Emergency Medicine·Dominique DenverDanielle Unwin
Aug 24, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·P K Karthik YelamarthySriram Rajan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.