Could Full-body Digital X-ray (LODOX-Statscan) Screening in Trauma Challenge Conventional Radiography?

Abstract

Full-body radiography with LS visualizes skeletal, chest, and pelvic pathologies "all-in-one." This low-radiation technology detected chest, thoracolumbar spine, and pelvic injuries with an overall sensitivity of 62% and a specificity of 99%. Compared with figures in the literature, LS was more accurate than conventional X-rays. A prospective randomized study is warranted to support these data.

Use of a full-body digital X-ray imaging system in acute medical emergencies: a systematic review

“…5 8–10 12 24 Of these, five studies evaluated patients with polytrauma using CT as reference standard, the other study detected ingested foreign bodies by adults and used a comprehensive method as a reference standard 5. Overall, Lodox demonstrated a sensitivity ranging from 62% to 73%, and a specificity ranging from 99% to 100% compared with CT for the evaluation of patients with polytrauma, which is similar to that of conventional X-rays 9 10.…”

“…Quality assessment highlighted the limitations in each of the six included studies that depicted the diagnostic capability of Lodox 5 8–10 12 24. The details of the quality assessment are shown in online supplementary table S1.…”

“…1 5 8–10 12 13 17 22–24 26 All studies except one reported the assessor in charge of reviewing the radiography. The majority of studies used radiologists as their radiography assessors, and five of them used both clinical physicians and radiologists as their radiography assessors; the preliminary diagnosis was usually made by a physician and a definitive diagnosis was made by a radiologist.…”

Imaging Utilization During Explosive Multiple Casualty Incidents

“…Because of these fragments, a number of authors have recommended obtaining CT scout images on all MCI patients stable enough to be imaged, with the goal of finding foreign bodies that might otherwise have been missed. 4,15 Similarly, new imaging techniques such as the Lodox Statscan can provide full-body plain radiographs 16 and have been used to locate foreign bodies in the victims of penetrating trauma. 17 These fragments may be the reason why our data had a much higher proportion of clinicically significant CT imaging than previous studies of blunt and penetrating trauma.…”

Initial assessment and management of pediatric trauma patients

“…The same amount of information as a traditional ATLS ® trauma series (C-spine, chest and pelvis) is obtained in less time with less radiation dose. [19] “The full-body radiograph may allow CT to be used more selectively and to reduce overall radiation.”[20]…”