Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital
Background : According to the American College of Radiology (ACR) appropriateness criteria for imaging of suspected spine trauma, multi-detector computed tomography (MDCT) is the recommended screening imaging procedure in adult patients with high-risk criteria by national emergency x-radiography uti...
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Faculty of Medicine, Chulalongkorn University
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ftthaijo:oai:https://tci-thaijo.org:article/181892 2023-05-15T18:19:24+02:00 Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital Surawech, Chuthaporn Petcharunpaisan, Sasitorn 2019-04-03 application/pdf https://www.tci-thaijo.org/index.php/clmj/article/view/181892 eng eng Faculty of Medicine, Chulalongkorn University https://www.tci-thaijo.org/index.php/clmj/article/view/181892/128848 https://www.tci-thaijo.org/index.php/clmj/article/view/181892 Chulalongkorn Medical Journal; Vol 60 No 2 (2016): March-April 2016; 143-153 2651-0812 2651-2343 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2019 ftthaijo 2019-04-16T21:33:04Z Background : According to the American College of Radiology (ACR) appropriateness criteria for imaging of suspected spine trauma, multi-detector computed tomography (MDCT) is the recommended screening imaging procedure in adult patients with high-risk criteria by national emergency x-radiography utilization study (NEXUS) criteria and the Canadian cervical spines rule (CCR). Objectives : To evaluate imaging features of cervical spine fracture and to assess the anappropriateness of performing cervical spine CT according to NEXUS criteria and CCR at the emergency room of King Chulalongkorn Memorial Hospital (KCMH). Design : Retrospective study. Setting : King Chulalongkorn Memorial Hospital. Material and Methods : Our study recruited cervical spine CT images performed at the ER from November 2012 to October 2013 in adult patients suspected of acute cervical spine injury. Patients aged <18 years, non-acute trauma settings (≥ 72 hours), non-traumatic conditions, penetrating cervical injuries and refer red cases from otherhospitals were excluded from this study. Results : Of the 150 cervical spine CT studies analyzed, 15 (10%) were positive for cervical fracture as followings; Clay shoveler fracture, burst fracture, transverse process fracture, Hangman’s fracture, dens/odontoid process fracture, hyperextension fracture dislocation and inferior endplate fracture. 137 (91.3%) patients with documentedclinical indication for ordering cervical spine CT underwent cervical spine CT properly based on NEXUS criteria or CCR. The remaining 13 (8.7%) patients had no documentation about clinical indication but subsequent imaging showed no cervical spine fracture. Additionally, 51% (76/150) of the patients performed both cervical spine CT and cervical spine radiographs, in which being considered as “inappropriate”. Conclusions : Strict application of the ACR appropriateness criteria into practical use could reduce some CT over utilization and dramatically decrease the rate of unnecessary radiographs to clear the cervical spine. Article in Journal/Newspaper Shoveler Thai Journals Online (ThaiJO) |
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Thai Journals Online (ThaiJO) |
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ftthaijo |
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English |
description |
Background : According to the American College of Radiology (ACR) appropriateness criteria for imaging of suspected spine trauma, multi-detector computed tomography (MDCT) is the recommended screening imaging procedure in adult patients with high-risk criteria by national emergency x-radiography utilization study (NEXUS) criteria and the Canadian cervical spines rule (CCR). Objectives : To evaluate imaging features of cervical spine fracture and to assess the anappropriateness of performing cervical spine CT according to NEXUS criteria and CCR at the emergency room of King Chulalongkorn Memorial Hospital (KCMH). Design : Retrospective study. Setting : King Chulalongkorn Memorial Hospital. Material and Methods : Our study recruited cervical spine CT images performed at the ER from November 2012 to October 2013 in adult patients suspected of acute cervical spine injury. Patients aged <18 years, non-acute trauma settings (≥ 72 hours), non-traumatic conditions, penetrating cervical injuries and refer red cases from otherhospitals were excluded from this study. Results : Of the 150 cervical spine CT studies analyzed, 15 (10%) were positive for cervical fracture as followings; Clay shoveler fracture, burst fracture, transverse process fracture, Hangman’s fracture, dens/odontoid process fracture, hyperextension fracture dislocation and inferior endplate fracture. 137 (91.3%) patients with documentedclinical indication for ordering cervical spine CT underwent cervical spine CT properly based on NEXUS criteria or CCR. The remaining 13 (8.7%) patients had no documentation about clinical indication but subsequent imaging showed no cervical spine fracture. Additionally, 51% (76/150) of the patients performed both cervical spine CT and cervical spine radiographs, in which being considered as “inappropriate”. Conclusions : Strict application of the ACR appropriateness criteria into practical use could reduce some CT over utilization and dramatically decrease the rate of unnecessary radiographs to clear the cervical spine. |
format |
Article in Journal/Newspaper |
author |
Surawech, Chuthaporn Petcharunpaisan, Sasitorn |
spellingShingle |
Surawech, Chuthaporn Petcharunpaisan, Sasitorn Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
author_facet |
Surawech, Chuthaporn Petcharunpaisan, Sasitorn |
author_sort |
Surawech, Chuthaporn |
title |
Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
title_short |
Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
title_full |
Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
title_fullStr |
Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
title_full_unstemmed |
Multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at King Chulalongkorn Memorial Hospital |
title_sort |
multi-detector computed tomography evaluation of suspected acute blunt cervical spine trauma in adult patients at king chulalongkorn memorial hospital |
publisher |
Faculty of Medicine, Chulalongkorn University |
publishDate |
2019 |
url |
https://www.tci-thaijo.org/index.php/clmj/article/view/181892 |
genre |
Shoveler |
genre_facet |
Shoveler |
op_source |
Chulalongkorn Medical Journal; Vol 60 No 2 (2016): March-April 2016; 143-153 2651-0812 2651-2343 |
op_relation |
https://www.tci-thaijo.org/index.php/clmj/article/view/181892/128848 https://www.tci-thaijo.org/index.php/clmj/article/view/181892 |
_version_ |
1766196468910129152 |