Radiation exposure from computed tomography in blunt trauma patients

doi:10.22514/sv92.112014.8

Cited by 3 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both scanning systems area associated with risks related to exposure to ionizing radiation [25,29,[33][34][35][36][37], which is of concern because of the exponential increase in the use of these systems over the last few decades. The estimated effective radiation dose of scan protocols for midface trauma is considered to be 0.9 to 3.6 mSv [25,36,38]. The effective dose of a CBCT is known to be lower, ranging from 0.08 to 0.21 mSv on average, depending on the field of view that is used [34].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of physical examination findings for midfacial fractures: a systematic review and meta-analysis

et al. 2022

View full text Add to dashboard Cite

Objectives To conduct a systematic review and meta-analysis to assess the diagnostic accuracy of physical examination findings and related clinical decision aids for midfacial fractures in comparison to computed tomography and cone beam computed tomography. Material and methods A systematic review was performed by searching the MEDLINE, Cochrane, EMBASE, and CINAHL databases. Risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Pooled sensitivity, specificity, and diagnostic odds ratios with the corresponding 95% confidence intervals were calculated for each physical examination finding and reported clinical decision aids. Results After screening 2367 records, 12 studies were included. High risk of patient selection bias was detected in three studies (25%). Additionally, high concerns regarding applicability were found for the patient selection in five studies (41.7%), and for the reference standard in eleven studies (91.7%). Of the total 42 individual physical examination findings, only 31 were suitable for a meta-analysis. High specificity and low sensitivity were found for most findings. The pooled diagnostic odds ratio ranged from 1.07 to 11.38. Clinical decision aids were reported by 8 studies, but none were constructed specifically for midfacial fractures. Conclusion Based on the current available evidence, the absence of physical examination findings can successfully identify patients who do not have a midfacial fracture, but the presence of individual findings does not necessarily mean that the patient has a midfacial fracture. Although various clinical decision aids were presented, none focused on exclusively midfacial fractures. Clinical relevance The diagnostic accuracy of physical examination findings can be used to diagnose a midfacial fracture so as to reduce unnecessary imaging, health care costs, and exposure to ionizing radiation.

show abstract

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of physical examination findings for midfacial fractures: a systematic review and meta-analysis

et al. 2022

View full text Add to dashboard Cite

show abstract

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Hooper

Eccles

Milliken

et al. 2019

J of Medical Radiation Sci

View full text Add to dashboard Cite

Trauma to the facial area accounts for a significant number of admissions to the emergency department. Diagnostic imaging is almost always required, and is critical in determining patient management. Multi‐detector computed tomography (MDCT) appears consistently in the literature as the gold‐standard imaging modality for facial bones, but results in a high radiation dose to the patient. This makes the application and advancement of dose reduction and dose optimisation methods vital. This narrative review presents a critical analysis of the literature concerning diagnostic imaging of facial bone trauma, with an emphasis on dose reduction methods for MDCT. Databases including Pubmed, Medline, Web of Science and Scopus were used to investigate this topic, with the key words: facial bone trauma, computed tomography (CT) imaging and dose reduction. Exclusion criteria included studies on nasal bone fracturing, dental imaging, elective surgeries and paediatric imaging. The literature shows overwhelming support for MDCT, given its accuracy, efficiency and ease of operation. Noise reducing reconstruction algorithms show promise as a successful method of dose reduction in facial bone imaging. Investigations of more innovative techniques also appear within the literature, including diagnostic cone‐beam CT (CBCT), intraoperative CBCT and dual‐source CT (DSCT), but further research is required to confirm their clinical value.

show abstract

Imaging of Facial and Skull Trauma

Rosenbloom,

Stein,

Breen

et al. 2023

Musculoskeletal Imaging

View full text Add to dashboard Cite

Radiation exposure from computed tomography in blunt trauma patients

Abstract: Introduction. Computed tomography (CT) has many diagnostic advantages, spurring growth in the number

Cited by 3 publications

References 12 publications

Diagnostic accuracy of physical examination findings for midfacial fractures: a systematic review and meta-analysis

Diagnostic accuracy of physical examination findings for midfacial fractures: a systematic review and meta-analysis

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Imaging of Facial and Skull Trauma

Contact Info

Product

Resources

About