Shortage of Radiologists in Low to Middle Income Countries in the Interpretation of CT scans in Trauma

Parag, Priyashini; Hardcastle, Timothy Craig

doi:10.3329/bjms.v21i3.59560

Cited by 3 publications

(1 citation statement)

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“…The pan CT allows for injury severity classification using the American Association for the Surgery of Trauma abbreviated injury scale and assists in non-operative solid organ trauma management as demonstrated in figure 1. Even with the lack of radiologist resources in many places the pan CT can be safely viewed by the experienced trauma surgeon with highly valid decisionmaking and low missed injury or error rates [17,18]. The Pan CT is best performed with a standard protocol that consists of the following: non-contrasted head; non-contrasted cervical spine; an arterial phase from the neck at the skullbase including the chest and abdominal vessels, down to the feet if there are lower limb injuries and the portal venous phase for abdominal organ injury identification.…”

Section: Pan Ct (Whole Body Ct)mentioning

confidence: 99%

The Role of CT Scan in the Work-Up and Management of Blunt and Penetrating Trauma and Acute Surgical Emergencies - A Focused Literature Review

Shangase¹,

Hardcastle²

2023

Preprint

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Background: Trauma is the leading cause of morbidity and mortality in young patients, acute surgical conditions cause morbidity and mortality in patients of all ages. Computed tomography scan (CT) assist greatly in the investigation and management of these patients with blunt and penetrating trauma, facilitating early diagnosis and expedites early appropriate treatment of these patients. Acute non-traumatic surgical conditions also mimic non-surgical pathologies and differentiating the two is important because management is different and any delay in surgical intervention results in high morbidity and some may even result in mortality. Method: Literature review of the role of multidetector CT scan (MDCT) in managing acute surgical emergencies and trauma-diagnosis in the trauma patient and patients presenting with acute surgical emergencies. The focus is on the role of the MDCT in the management of these patients. Results highlight that the use of MDCT expedites management of these patients, allowing early surgical intervention and preventing unnecessary surgical interventions where the intervention is not indicated, based on the MDCT results. Conclusion: This paper emphasizes the important role that is played by the MDCT in the management of the above patients.

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Section: Pan Ct (Whole Body Ct)mentioning

confidence: 99%

The Role of CT Scan in the Work-Up and Management of Blunt and Penetrating Trauma and Acute Surgical Emergencies - A Focused Literature Review

Shangase¹,

Hardcastle²

2023

Preprint

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Factors Delaying the Continuum of Care for the Management of Traumatic Brain Injury in Low- and Middle-Income Countries: A Systematic Review

Shakir,

Altaf,

Irshad

et al. 2023

World Neurosurgery

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Applications, limitations and advancements of ultra-low-field magnetic resonance imaging: A scoping review

Altaf,

Shakir,

Irshad

et al. 2024

Surgical Neurology International

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Background: Ultra-low-field magnetic resonance imaging (ULF-MRI) has emerged as an alternative with several portable clinical applications. This review aims to comprehensively explore its applications, potential limitations, technological advancements, and expert recommendations. Methods: A review of the literature was conducted across medical databases to identify relevant studies. Articles on clinical usage of ULF-MRI were included, and data regarding applications, limitations, and advancements were extracted. A total of 25 articles were included for qualitative analysis. Results: The review reveals ULF-MRI efficacy in intensive care settings and intraoperatively. Technological strides are evident through innovative reconstruction techniques and integration with machine learning approaches. Additional advantages include features such as portability, cost-effectiveness, reduced power requirements, and improved patient comfort. However, alongside these strengths, certain limitations of ULF-MRI were identified, including low signal-to-noise ratio, limited resolution and length of scanning sequences, as well as variety and absence of regulatory-approved contrast-enhanced imaging. Recommendations from experts emphasize optimizing imaging quality, including addressing signal-to-noise ratio (SNR) and resolution, decreasing the length of scan time, and expanding point-of-care magnetic resonance imaging availability. Conclusion: This review summarizes the potential of ULF-MRI. The technology’s adaptability in intensive care unit settings and its diverse clinical and surgical applications, while accounting for SNR and resolution limitations, highlight its significance, especially in resource-limited settings. Technological advancements, alongside expert recommendations, pave the way for refining and expanding ULF-MRI’s utility. However, adequate training is crucial for widespread utilization.

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Shortage of Radiologists in Low to Middle Income Countries in the Interpretation of CT scans in Trauma

Abstract: not available Bangladesh Journal of Medical Science Vol. 21 No. 03 July’22 Page: 489-491

Cited by 3 publications

References 0 publications

The Role of CT Scan in the Work-Up and Management of Blunt and Penetrating Trauma and Acute Surgical Emergencies - A Focused Literature Review

The Role of CT Scan in the Work-Up and Management of Blunt and Penetrating Trauma and Acute Surgical Emergencies - A Focused Literature Review

Factors Delaying the Continuum of Care for the Management of Traumatic Brain Injury in Low- and Middle-Income Countries: A Systematic Review

Applications, limitations and advancements of ultra-low-field magnetic resonance imaging: A scoping review

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