Features | Partner Sites | Information | LinkXpress
Sign In
Schiller
ElsMed
Ampronix

Pelvic X-Ray May Not Be Required for Children with Blunt Torso Trauma

By Medimaging International staff writers
Posted on 17 Aug 2014
Pelvic X-rays routinely ordered for children who have suffered blunt force trauma do not effectively detect all instances of pelvic fractures or dislocations and are typically unwarranted for patients for whom abdominal/pelvic computed tomography (CT) scanning is otherwise planned. A recent study raises misgivings on a protocol that has been recommended by the Advanced Trauma Life Support Program (ATLS), considered the gold standard for trauma patients.

“Abdominal/pelvic CT is a superior diagnostic test compared to plain anteroposterior pelvic X-rays for diagnosing children with pelvic fractures or dislocations,” said lead study author Maria Kwok, MD, MPH, from Columbia University Medical Center (New York, NY, USA). “Because of concerns about lifetime exposure to radiation in children, appropriate use of radiography is important. We just could not find enough accuracy or utility to justify the pelvic X-ray for most of these children.”

Plain pelvic radiographs had a sensitivity of only 78% for identifying patients with pelvic fractures or dislocations. Of the patients not accurately identified as having pelvic fractures or dislocations, 98% were correctly detected by abdominal/pelvic CT scans. Standard pelvic X-rays are helpful only for hemodynamically unstable patients and for hemodynamically stable patients who the physician believes may have dislocations or pelvic fractures but who are not otherwise undergoing abdominal/pelvic CT scanning.

The highest risk for dislocations or pelvis fractures included bicyclists or pedestrians struck by moving vehicles and injuries involving motor vehicle collisions. Low-level falls or bicycle accidents were seldom diagnosed with pelvic fractures or dislocations. None of the 281 patients in the study who fell down stairs were diagnosed with pelvic fractures or dislocations.

“CT scanning should not be used as a primary screening tool if no clinical evidence of pelvic fracture or dislocation exists,” said Dr. Kwok. “A physical examination and clinical judgment are still the first line in determining which patients need advanced imaging and which can safely skip it.”

The study’s findings were published online July 29, 2014, in the journal Annals of Emergency Medicine.

Related Links:

Columbia University Medical Center



Channels

MRI

view channel
Image: MagLab’s 900 MHz magnet (Photo courtesy of FSU – Florida State University).

High Magnetic Field MRI Technology Provides Comprehensive Analysis of Strokes

A new, novel way to categorize the severity of a stroke, help in diagnosis, and assesse potential treatments has been demonstrated by US researchers. “Stroke affects millions of adults and children... Read more

Ultrasound

view channel
Image: Leading German anesthetists Drs. Wolf Armbruster, Rüdiger Eichholz, and Thomas Notheisen have collaborated to develop the Armbruster Eichholz Notheisen (AEN) training concept for ultrasound-guided regional anesthesia (Photo courtesy of Management and Krankenhaus).

Point-of-Care Ultrasound Training Program Established for Regional Anesthesiologists

Regional anesthesia specialists have developed an innovative ultrasound training program. Leading German anesthetists Drs. Wolf Armbruster, Rüdiger Eichholz, and Thomas Notheisen have collaborated to... Read more

Nuclear medicine

view channel
Image: The ProBeam system treatment room (Photo courtesy of Varian Medical Systems).

Five Proton Therapy Treatment Rooms Plus System Upgrade Deployed at Scripps Proton Therapy Center

An upgrade of a proton system will improve workflow at a US proton therapy center, enabling the use of the fixed-beam treatment rooms as well as more diverse patient-positioning devices.... Read more

General/Advanced Imaging

view channel
Image: New laser technology designed to detect breast cancer based on photoacoustics (Photo courtesy of Universidad Carlos III de Madrid).

Photoacoustics Used to Detect Breast Cancer

Spanish scientists are using new laser technology to detect breast cancer based on photoacoustics. The new approach could become an alternative to mammography or ultrasound. The European science project... Read more

Imaging IT

view channel
Image: The Clinical Data Collaboration platform uses Carestream’s intelligent vendor-neutral archive (VNA) to archive and exchange radiology, dermatology, endoscopy, and cardiology files (Photo courtesy of Carestream).

IT Systems Designed to Streamline Radiologists Workflow While Improving Patient Care

New information technology (IT) systems have been designed to help radiology professionals improve patient care, workflow, and cut costs. Carestream recently developed (Rochester, NY, USA) new capabilities... Read more

Industry News

view channel

Global Partnership Provides Treatment Planning Support for Modulated Arc Radiotherapy

Varian Medical Systems (Palo Alto, CA, USA) Eclipse treatment planning software can now be used to plan modulated arc radiotherapy (mARC) treatments at sites using Siemens Healthcare (Erlangen, Germany) medical linear accelerators. Varian Medical Systems and Siemens Healthcare presented their range of solutions that... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.