Criteria to Screen for Traumatic Cervical Spine Instability: A Consensus of Chiropractic Radiologists

Dion, Sarah; Stupar, Maja; Côté, Pierre; Grenier, Julie-Marthe; Taylor, John A.

doi:10.1016/j.jmpt.2017.10.002

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…As this study's aim was to produce a usable set of standards, it was necessary to apply consensus‐building methods in subsequent rounds. The use of dichotomous rating, Likert scale 24 and ranking of elements 25 reduced the lists of standards to 10 per scan type 27 . These methods have been used successfully in other Delphi studies to refine large amounts of respondent data into pragmatic item lists 26 …”

Section: Discussionmentioning

confidence: 99%

IMPACT (Information Medically Pertinent in Acute Computed Tomography) requests: Delphi study to develop criteria standards for adequate clinical information in computed tomography requests in the Australian emergency department

Castillo

Steffens

Livesay

et al. 2022

J of Medical Radiation Sci

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Introduction Inadequate clinical information in medical imaging requests negatively affects the clinical relevance of imaging performed and the quality of resultant radiology reports. Currently, there are no published Australian guidelines on what constitutes adequate clinical information in computed tomography (CT) requests. This study aimed to determine specific items of clinical information radiologists require in CT requests for acute chest, abdomen and blunt trauma examinations, to support optimal reporting. Methods A panel of 24 CT‐reporting consultant radiologists participated in this e‐Delphi consensus study. Panellists undertook multiple online survey rounds of open‐ended, dichotomous and Likert scale questions, receiving feedback following each. Round 1 responses formulated lists for each CT examination. Round 2 set a threshold of 80% agreement after dichotomous scoring. Round 3 accepted items which averaged 4 or more on a 5‐point Likert scale. Round 4 required panellists to rank items within the aggregated, accepted lists, based on panellists' perceived level of usefulness. Results The large numbers of round 1 items (chest: 101, abdomen: 76, blunt trauma: 80) were rationalised and grouped into categories to facilitate efficiency during subsequent rounds. Twenty‐three chest, 24 abdomen and 17 blunt trauma items met the 80% agreement threshold in round 2. Items below threshold were included in round 3; numbering 44, 19 and 23 for chest, abdomen and blunt trauma, respectively. Through the e‐Delphi process, we formulated clinical information criteria standards for three CT types. Conclusions The developed standards will guide Australian referrers in providing adequate clinical information in CT requests, to support optimal reporting, diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

IMPACT (Information Medically Pertinent in Acute Computed Tomography) requests: Delphi study to develop criteria standards for adequate clinical information in computed tomography requests in the Australian emergency department

Castillo

Steffens

Livesay

et al. 2022

J of Medical Radiation Sci

View full text Add to dashboard Cite

show abstract

“…In clinical work, scholars generally use intervertebral displacement (> 3.5 mm) and/or intervertebral angulation (> 11 degrees) as indicators of instability of hangman fracture and the lower cervical spine [23,24]. Lockey [25] suggested that dynamic X-rays of the cervical spine should be taken as a basic examination to accurately eliminate cervical instability.…”

Section: Discussionmentioning

confidence: 99%

Teardrop Fracture of the Axis: An Evaluation of Vertebral Instability and Individualized Treatment

Xin

Chen

et al. 2021

Preprint

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Background: Teardrop fractures of the axis (TDFAs) are avulsion fractures of the anterior-inferior part of the axis. Whether conservative or surgical treatment is better for TDFAs is controversial. Previously, image-based evaluations of the fractures have mainly focused on the teardrop fragment, the intervertebral disc and the prevertebral soft tissue. The treatment plan depends on the doctor's evaluation of fracture stability based on personal experience. Methods: From January 2012 to December 2018, a total of 12 patients with TDFA were included in this prospective study. The stability of the TDFA vertebral body was evaluated by lateral X-ray measurements. Based on the evaluation of vertebral body stability, as well as the disease characteristics of the patients, individualized treatment schemes were adopted. Results: Through the classification and treatment process, 6 patients with absolute instability and 6 patients with relative instability were identified. A total of 8 patients underwent surgery, and 4 patients were treated conservatively. A total of 12 patients finally achieved osseous fusion. Conclusion: The treatment for TDFA should be determined by considering both the instability of the axial vertebra and the disease characteristics of the patient. With an appropriate classification and treatment process, both surgery and conservative treatment can yield good clinical outcomes.

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“…Cervical fractures and traumatic cervical spine instability can occur in patients who suffered severe spinal injuries. In this study, X-ray was used to determine whether the horizontal displacement between adjacent vertebral bodies was greater than 3.5 mm to evaluate the existence of cervical hyperextension injury [139].…”

Section: Discussionmentioning

confidence: 99%

Predicting Cervical Hyperextension Injury: A Covariance Guided Sine Cosine Support Vector Machine

et al. 2020

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This study proposes an effective intelligent predictive model for prediction of cervical hyperextension injury. The prediction model is constructed by combing an improved sine cosine algorithm (SCA) with support vector machines (SVM), which is named COSCA-SVM. The core of the developed model is the COSCA method that combines the opposition-based learning mechanism and covariance mechanism to boost and recover the exploratory competence of SCA. The proposed COSCA approach is utilized to optimize the two critical parameters of the SVM, and it is also employed to catch the optimal feature subset. Based on the optimal parameter combination and feature subset, COSCA-SVM is able to make self-directed prediction of cervical hyperextension injury. The proposed COSCA was compared with other well-known and effective methods using 23 benchmark problems. Simulation results verify that the proposed COSCA is significantly superior to studied methods in dealing with majority of benchmark problems. Meanwhile, the proposed COSCA-SVM is compared with six other machine learning approaches considering a reallife dataset. Results have shown that the proposed COSCA-SVM can achieve better classification routine and higher stability on all four indicators. Therefore, we can expect that COSCA-SVM can be a promising building block for predicting cervical hyperextension injury.

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Criteria to Screen for Traumatic Cervical Spine Instability: A Consensus of Chiropractic Radiologists

Cited by 4 publications

References 20 publications

IMPACT (Information Medically Pertinent in Acute Computed Tomography) requests: Delphi study to develop criteria standards for adequate clinical information in computed tomography requests in the Australian emergency department

IMPACT (Information Medically Pertinent in Acute Computed Tomography) requests: Delphi study to develop criteria standards for adequate clinical information in computed tomography requests in the Australian emergency department

Teardrop Fracture of the Axis: An Evaluation of Vertebral Instability and Individualized Treatment

Predicting Cervical Hyperextension Injury: A Covariance Guided Sine Cosine Support Vector Machine

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