| Diagnostic accuracy, biohazard safety, and cost effectiveness-the Lodox/Statscan provides a beneficial alternative for the primary evaluation of patients with multiple injuries. | |
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MedLine Citation:
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PMID: 20938269 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Lodox/Statscan is a new digital X-ray machine with a low dose of radiation exposure that provides rapid, whole-body scans. In the setting of acute trauma management, the importance of image study is well recognized. Here, we report the accuracy of diagnoses made using Lodox/Statscan in patients with multiple injuries. We analyze the cost effectiveness, biohazard safety, and detection rate for treatment using the Lodox/Statscan and evaluate whether it is a viable alternative to the conventional trauma X-ray. METHODS: We retrospectively reviewed patients who received a Lodox/Statscan between November 2007 and January 2009. All patients who had received both a Lodox/Statscan and a computed tomographic (CT) scan were enrolled. The CT scan was used to make the final diagnosis. The detection rate for treatment, sensitivity, and specificity of the Lodox/Statscan in diagnosis was analyzed. RESULTS: One hundred eighty-four patients were eligible for the study during the 15-month study period. The detection rates for treatment using the Lodox/Statscan for pneumothorax, pelvic fracture, cervical spine injury, and thoracic-lumbar spine injury were 95%, 96.0%, and 57.1%, and 100%, respectively. CONCLUSION: In our series, the Lodox/Statscan provided similar quality images and conventional series to the CT scans. Although the Lodox/Statscan missed some injuries, most of the subsequent treatments were not changed. Overall, there were several advantages to using this system, including the short interval of study, low-radiation exposure, and low cost. The Lodox/Statscan could therefore be used as an alternative to the traditional trauma X-ray for evaluation of acute trauma patients. |
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Authors:
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Ray-Jade Chen; Chih-Yuan Fu; Shih-Chi Wu; Yu-Chun Wang; Ping-Kuei Chung; Hung-Chang Huang; Jui-Chien Huang; Chih-Wei Lu |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 69 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-12 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 826-30 Citation Subset: AIM; IM |
Affiliation:
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Trauma and Emergency Surgery Department, Trauma and Emergency Center, China Medical University Hospital, Taichung, Taiwan. rayjchen@mail.cmuh.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cervical Vertebrae / injuries, radiography Contusions / mortality, radiography Cost-Benefit Analysis Female Fractures, Bone / mortality, radiography Hemothorax / mortality, radiography Hospital Mortality* Humans Injury Severity Score Lumbar Vertebrae / injuries, radiography Lung Injury / mortality, radiography Male Middle Aged Multiple Trauma / economics*, mortality, radiography* Pelvic Bones / injuries Pneumothorax / mortality, radiography Radiation Dosage Radiation Protection / economics* Radiographic Image Enhancement / economics* Retrospective Studies Safety Management / economics Sensitivity and Specificity Spinal Injuries / mortality, radiography Taiwan Tomography, X-Ray Computed / economics Whole Body Imaging / economics* Young Adult |
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