Display options
Cite
Maetani K, Namiki J, Matsumoto S, et al. Routine Head Computed Tomography for Patients in the Emergency Room with Trauma Requires Both Thick- and Thin-Slice Images. Emerg Med Int. 2016;2016:5781790doi: 10.1155/2016/5781790.
Maetani, K., Namiki, J., Matsumoto, S., Matsunami, K., Narumi, A., Tsuneyoshi, T., & Kishikawa, M. (2016). Routine Head Computed Tomography for Patients in the Emergency Room with Trauma Requires Both Thick- and Thin-Slice Images. Emergency medicine international, 20165781790. https://doi.org/10.1155/2016/5781790
Maetani, Kazuhide, et al. "Routine Head Computed Tomography for Patients in the Emergency Room with Trauma Requires Both Thick- and Thin-Slice Images." Emergency medicine international vol. 2016 (2016): 5781790. doi: https://doi.org/10.1155/2016/5781790
Maetani K, Namiki J, Matsumoto S, Matsunami K, Narumi A, Tsuneyoshi T, Kishikawa M. Routine Head Computed Tomography for Patients in the Emergency Room with Trauma Requires Both Thick- and Thin-Slice Images. Emerg Med Int. 2016;2016:5781790. doi: 10.1155/2016/5781790. Epub 2016 Feb 11. PMID: 26981282; PMCID: PMC4766329.
Copy Download .nbib Format: NLM
Share it on

Emerg Med Int. 2016;2016:5781790. doi: 10.1155/2016/5781790. Epub 2016 Feb 11.

Routine Head Computed Tomography for Patients in the Emergency Room with Trauma Requires Both Thick- and Thin-Slice Images.

Emergency medicine international

Kazuhide Maetani, Jun Namiki, Shokei Matsumoto, Katsutoshi Matsunami, Atsushi Narumi, Toshimi Tsuneyoshi, Masanobu Kishikawa

Affiliations

  1. Department of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo 160-8582, Japan; Department of Emergency and Critical Care Medicine, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka-shi, Fukuoka 810-0001, Japan.
  2. Department of Emergency and Critical Care Medicine, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo 160-8582, Japan.
  3. Department of Emergency and Critical Care Medicine, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka-shi, Fukuoka 810-0001, Japan.

PMID: 26981282 PMCID: PMC4766329 DOI: 10.1155/2016/5781790

Abstract

Background. Images of head CT for the supratentorial compartment are sometimes recommended to be reconstructed with a thickness of 8-10 mm to achieve lesion conspicuity. However, additional images of a thin slice may not be routinely provided for patients with trauma in the emergency room (ER). We investigated the diagnostic sensitivity of a head CT, where axial images were 10 mm thick slices, in cases of linear skull fractures. Methods. Two trauma surgeons retrospectively reviewed head CT with 10 mm slices and skull X-rays of patients admitted to the ER that were diagnosed with a linear skull fracture. All patients had undergone both head CT and skull X-rays (n = 410). Result. The diagnostic sensitivity of head CT with a thickness of sequential 10 mm was 89% for all linear skull fractures but only 56% for horizontal fractures. This CT technique with 10 mm slices missed 6% of patients with linear skull fractures. False-negative diagnoses were significantly more frequent for older (≥55 years) than for young (<15 years) individuals (p = 0.048). Conclusions. A routine head CT of the supratentorial region for patients in the ER with head injuries requires both thick-slice images to visualize cerebral hemispheres and thin-slice images to detect skull fractures of the cranial vault.

References

  1. J Clin Neurosci. 2007 Jul;14(7):618-23; discussion 624 - PubMed
  2. J Korean Neurosurg Soc. 2012 Dec;52(6):528-33 - PubMed
  3. J Neurotrauma. 2004 Jul;21(7):877-85 - PubMed
  4. Ann R Coll Surg Engl. 2003 Mar;85(2):120-2 - PubMed
  5. J Neurosurg. 1987 Feb;66(2):234-43 - PubMed
  6. Stroke. 2007 Oct;38(10):2633-9 - PubMed
  7. Ann Acad Med Singapore. 2004 Jul;33(4):489-93 - PubMed
  8. Lancet. 2012 Aug 4;380(9840):499-505 - PubMed
  9. Neurol Med Chir (Tokyo). 2011;51(4):272-4 - PubMed
  10. Neurosurgery. 1996 Feb;38(2):245-50 - PubMed
  11. J Trauma. 2007 Feb;62(2):277-81 - PubMed

Publication Types