Features | Partner Sites | Information | LinkXpress
Sign In
Ampronix
Schiller
GLOBETECH PUBLISHING LLC

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

Ultrasound

view channel

New Ultrasound System Enhances Patient Care and User Experience

A new ultrasound system with innovative specialized transducers and improved image quality, intended for general imaging, women’s health, and shared service applications, has been announced. The system features improved accuracy, performance, assessment tools, advanced automation, and an enhanced user experience.... Read more

Nuclear medicine

view channel

New Imaging Collaboration Could Improve Treatment and Quality of Life of Prostate Cancer Patients

A development agreement between a large medical imaging vendor and smaller medical device company promises to help promote a unique minimally invasive treatment that can ablate the prostate gland. The agreement will give the device developer access to a large installed base of Magnetic Resonance Imaging (MRI) systems,... Read more

General/Advanced Imaging

view channel
Image: Illustration of a new technique using Optical Coherence Tomography that could help surgeons differentiate a human brain tumor, red, from surrounding noncancerous tissue, green (Photo courtesy of  Carmen Kut, Jordina Rincon-Torroella, Xingde Li and Alfredo Quinones-Hinojosa/Johns Hopkins Medicine).

Imaging Technique Helps Safer and More Effective Removal of Brain Tumors

Researchers at the Johns Hopkins University have demonstrated a new imaging technology that could enable neurosurgeons to better differentiate between healthy and cancerous brain tissue and perform safer... Read more

Imaging IT

view channel
Image: The Arbor Solution M2150 medical workstation with 21.5\

Multifunction Workstation Screen Meets Critical Certification Standards for Medical Environments

A medical imaging equipment vendor has unveiled a new workstation with a 54.61 cm true flat screen designed for operating rooms, clinical stations, and Picture Archiving and Communications Systems (PACS).... Read more

Industry News

view channel

Partnership Forged Between Toshiba America Medical Systems and Merge Healthcare

Merge Healthcare (Chicago, IL, USA), a leader in clinical systems and healthcare innovations has announced that it has formed a strategic partnership with Toshiba America Medical Systems (Tustin, CA, USA). The agreement will enable Toshiba America Medical Systems to provide a turnkey solution for customers, and offer... Read more
 
Copyright © 2000-2015 Globetech Media. All rights reserved.