A novel approach to improving the interpretation of CT brain in trauma

Evans, Lachlan R; Fitzgerald, Mark; Varma, Dinesh; Mitra, Biswadev

doi:10.1016/j.injury.2017.08.056

Cited by 13 publications

(7 citation statements)

References 12 publications

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“…Plate size, plate-to-bone distance and screw number, size and orientation must also be accounted for 24 . Most complications associated LCP fixation stem from technical errors such as implant size underestimation and inappropriate locking screw placement 16 . Preoperative radiographic assessment was vital for surgical planning in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Anatomical LCP contouring ensured long-lasting stable fixation 25 . Use of plates with combi-holes allowing insertion of cortical screws in this model enhanced angular stability, particularly near the diaphyseal bone defect, ensuring successful outcomes 14 , 16 .…”

Section: Discussionmentioning

confidence: 99%

“…These plates may also be implanted using minimally invasive techniques, particularly in the distal tibial and femoral fractures 15 . Locking compression plates are equipped with versatile combi-holes specially designed for insertion of locking or cortical screws, at surgeon’s discretion or according to bone region 13 , 16 . They also provide stable fixation and do not interfere with the application of biomaterials, which may be used to enhance bone regeneration 1 .…”

Section: Introductionmentioning

confidence: 99%

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Locking compression plate fixation of critical-sized bone defects in sheep. Development of a model for veterinary bone tissue engineering

et al. 2021

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Purpose To develop a segmental tibial bone defect model for tissue engineering studies in veterinary orthopedics using single locking compression plate (LCP) fixation and cast immobilization. Methods A 3-cm bone defect was created in the right tibia of 18 adult Suffolk sheep. A 10-hole, 4.5-mm LCP was applied to the dorsomedial aspect of the bone. Four locking screws were inserted into the proximal and three into the distal bone fragment. Operated limbs were immobilized with casts. Animals were submitted to stall rest, but were allowed to bear weight on the operated limb. During the recovery period, animals were checked daily for physiological parameters, behavior and lameness. Follow-up radiographs were taken monthly. Results Surgical procedures and postoperative recovery were uneventful. Animals adapted quickly to casts and were able to bear weight on the operated limb with no signs of discomfort or distress. No clinical or radiographic complications were detected over a 90-day follow-up period. Conclusions Surgical creation of tibial segmental bone defects followed by fixation with single LCP and cast immobilization was deemed a feasible and appropriate model for veterinary orthopedic research in tissue engineering.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Locking compression plate fixation of critical-sized bone defects in sheep. Development of a model for veterinary bone tissue engineering

et al. 2021

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“…It is essential to read the ventricles, epidural and subdural spaces carefully regardless of whether or not there are prominent signs of AIS. A structured reporting template can help to reduce errors in interpreting these findings [7]. We hope our standardized reading sequence may remind all physicians not to miss these important findings other than AIS.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, doctors of different specialties may place emphasis on different factors and read in a different sequence when interpreting the same brain images [6]. The lack of standardization and of a standard reading sequence may make instructional designs for teaching and learning brain CT reading difficult [7]. Therefore, the goal of this study was to obtain a consensus on essential items and to establish a checklist for brain CT readings of patients with suspected AIS for MS and PC physicians.…”

Section: Introductionmentioning

confidence: 99%

Brain computerized tomography reading in suspected acute ischemic stroke patients: what are essentials for medical students?

et al. 2019

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Background Few systematic methods prioritize the image education in medical students (MS). We hope to develop a checklist of brain computerized tomography (CT) reading in patients with suspected acute ischemic stroke (AIS) for MS and primary care (PC) physicians. Methods Our pilot group generated the items indicating specific structures or signs for the checklist of brain CT reading in suspected AIS patients for MS and PC physicians. These items were used in a modified web-based Delphi process using the online software “SurveyMonkey”. In total 15 panelists including neurologists, neurosurgeons, neuroradiologists, and emergency department physicians participated in the modified Delphi process. Each panelist was encouraged to express feedback, agreement or disagreement on the inclusion of each item using a 9-point Likert scale. Items with median scores of 7–9 were included in our final checklist. Results Fifty-two items were initially provided for the first round of the Delphi process. Of these, 35 achieved general agreement of being an essential item for the MS and PC physicians. The other 17 of the 52 items in this round and another two added items suggested by the panelists were further rated in the next round. Finally, 38 items were included in the essential checklist items of brain CT reading in suspected AIS patients for MS and PC physicians. Conclusions We established a reference regarding the essential items of brain CT reading in suspected AIS patients. We hope this helps to minimize malpractice and a delayed diagnosis, and to improve competency-based medical education for MS and PC physicians.

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