Featured Research

from universities, journals, and other organizations

Whole Body MDCT Just As 'Good' As Neck MDCT Angiography In Diagnosing Head And Neck Injuries, Study Suggests

Date:
March 28, 2008
Source:
American Roentgen Ray Society
Summary:
Blunt cerebrovascular injuries can be diagnosed using whole body 16 multidetector CT; there's no need for an additional neck MDCT angiography examination according to a recent study. The study showed that whole body MDCT is just as accurate as neck MDCTA.

Blunt cerebrovascular injuries can be diagnosed using whole body 16 multi-detector CT (MDCT); there's no need for an additional neck MDCT angiography examination according to a recent study conducted by researchers at the University of Maryland Medical Center and R. Adams Cowley Shock Trauma Center, both in Baltimore, MD. The study showed that whole body MDCT is just as accurate as neck MDCTA.

Related Articles


"In the past, blunt trauma patients would undergo whole-body MDCT and if there was evidence of cerebrovascular injuries, the patient would also undergo a neck MDCT angiography exam," said Clint Sliker, MD, lead author of the study.

Blunt cerebrovascular injuries are uncommon but potentially devastating injuries that can lead to stroke and death. These include dissections, pseudoaneurysms, and arteriovenous fistulae.

"After whole-body MDCT was adopted as a means to scan many blunt trauma patients at our institution, my co-authors and I noted that we diagnosed many blunt cerebrovascular injuries with whole-body MDCT," said Dr. Sliker. "With this study, we hoped to determine what role whole-body MDCT could play in the diagnosis of blunt cerebrovascular injuries compared to neck MDCTA and angiography, which were the two techniques routinely used to diagnose these injuries at our institution at that time," he said.

For the study, the researchers identified 108 blunt trauma patients that were examined with either whole-body MDCT or neck MDCTA followed by angiography over a 23-month period. From this group, 77 whole body MDCT and 48 neck MDCTA examinations were compared with the results that were pulled from the reports of correlative angiography.

According to the study, angiography confirmed blunt cerebrovascular injuries in 83 patients with 25 of those showing injury to more than one of the four major arteries (carotid or vertebral). In the neck, where injuries were most common, each technique showed low sensitivity for blunt carotid (69% for whole-body MDCT and 64% for MDCTA) and blunt vertebral artery injuries (74% for whole-body MDCT and 68% for MDCTA), but specificities were high for both carotid (82% for whole-body MDCT and 94% for MDCTA) and vertebral artery injuries (91% for whole-body MDCT and 100% for MDCTA). The two techniques diagnosed blunt cerebrovascular injuries with statistically comparable accuracy, said Dr. Sliker.

"Since the specificity of whole-body MDCT and neck MDCTA are comparably high, management decisions can be reliably based on 'positive' whole-body MDCT results. In addition, routine use of whole-body MDCT would facilitate diagnosis and treatment of asymptomatic blunt cerebrovascular injuries in patients without typical risk factors for injuries," said Dr. Sliker.

The full results of this study appear in the March issue of the American Journal of Roentgenology.


Story Source:

The above story is based on materials provided by American Roentgen Ray Society. Note: Materials may be edited for content and length.


Cite This Page:

American Roentgen Ray Society. "Whole Body MDCT Just As 'Good' As Neck MDCT Angiography In Diagnosing Head And Neck Injuries, Study Suggests." ScienceDaily. ScienceDaily, 28 March 2008. <www.sciencedaily.com/releases/2008/03/080328124547.htm>.
American Roentgen Ray Society. (2008, March 28). Whole Body MDCT Just As 'Good' As Neck MDCT Angiography In Diagnosing Head And Neck Injuries, Study Suggests. ScienceDaily. Retrieved March 6, 2015 from www.sciencedaily.com/releases/2008/03/080328124547.htm
American Roentgen Ray Society. "Whole Body MDCT Just As 'Good' As Neck MDCT Angiography In Diagnosing Head And Neck Injuries, Study Suggests." ScienceDaily. www.sciencedaily.com/releases/2008/03/080328124547.htm (accessed March 6, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, March 6, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Bupa Eyes India Healthcare Opportunities

Bupa Eyes India Healthcare Opportunities

Reuters - Business Video Online (Mar. 5, 2015) Bupa is hoping to expand in India&apos;s fast-growing health insurance market, once a rule change on foreign investment is implemented. The British private healthcare group&apos;s CEO tells Grace Pascoe why it&apos;s so keen on the new opportunity. Video provided by Reuters
Powered by NewsLook.com
Doctor in Your Pocket Is Getting Smarter

Doctor in Your Pocket Is Getting Smarter

Reuters - Business Video Online (Mar. 5, 2015) Mobile apps are turning smartphones into a personal doctors, with users able to measure heart rate, blood pressure and even blood sugar. But will it change our behaviour? Ivor Bennett reports from the Mobile World Congress in Barcelona. Video provided by Reuters
Powered by NewsLook.com
AbbVie Inks $21B Deal To Buy Cancer Drugmaker Pharmacyclics

AbbVie Inks $21B Deal To Buy Cancer Drugmaker Pharmacyclics

Newsy (Mar. 5, 2015) AbbVie announced Wednesday it will buy cancer drugmaker Pharmacyclics in a $21 billion deal. Video provided by Newsy
Powered by NewsLook.com
Toddlers Drinking Coffee? Why You Shouldn't Share Your Joe

Toddlers Drinking Coffee? Why You Shouldn't Share Your Joe

Newsy (Mar. 5, 2015) A survey of Boston mothers and toddlers found that 15 percent of two-year-olds drink coffee and 2.5 percent of 1-year-olds. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins