Articles: spinal-injuries-diagnostic-imaging.
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To determine use of magnetic resonance imaging (MRI) for management of spinal trauma as a function of the availability of an MRI scanner across AO regions. ⋯ MRI use varies across AO regions, with clinical decision making on obtaining MRI in spinal trauma being influenced heavily by the availability of an MRI scanner.
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Ulus Travma Acil Cer · May 2020
Computed tomography vs. magnetic resonance imaging in unstable cervical spine injuries.
This study aimed to investigate the role of computed tomography (CT) in identifying missed unstable blunt cervical injuries. ⋯ Although computed tomography is relatively good in diagnosing unstable cervical injuries, its sensitivity in detecting positive cases is not as successful. Thus, the use of MRI in patients with an unstable injury seems to be warranted.
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This study highlights the unnecessarily high suspicion for cervical spine injury among study providers and shows that cervical CT scans were more likely in patients who arrived to the emergency department wearing a cervical collar, even when clinically cleared for suspicion of cervical spine injury by the emergency department provider. ⋯ Certain trauma patients were more likely to undergo cervical CT if they arrived wearing a cervical collar. No conscious patients without complaints proximal to the clavicles had cervical injury.
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Retrospective multi-center study. ⋯ 3.
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To rationalize the ordering of trauma cervical spine radiographs via the institution of electronic clinical decision support criteria. ⋯ Introduction of clinical indication criteria to the electronic ordering system for cervical spine radiographs in trauma patients reduced the total number of requests by 30.7% while increasing the proportion which were indicated to 99.2%.