A Review of Full-Body Radiography in Nontraumatic Emergency Medicine

Abstract

This paper reports on the application of full-body radiography to nontraumatic emergency situations. The Lodox Statscan is an X-ray machine capable of imaging the entire body in 13 seconds using linear slit scanning radiography (LSSR). Nontraumatic emergency applications in ventriculoperitoneal (VP) shunt visualisation, emergency room arteriography (ERA), detection of foreign bodies, and paediatric emergency imaging are presented. Reports show that the fast, full-body, and low-dose scanning capabilities of the Lodox system make it well suited to these applications, with the same or better image quality, faster processing times, and lower dose to patients. In particular, the large format scans allowing visualisation of a greater area of anatomy make it well suited to VP shunt monitoring, ERA, and the detection of foreign bodies. Whilst more studies are required, it can be concluded that the Lodox Statscan has the potential for widespread use in these and other nontraumatic emergency radiology applications.

Death of a Female Prostitute Due to Intestinal Obstruction by an Unknown Substance

“…As toxicological examination did not find any narcotic and psychotropic substances in the blood of the deceased as well as in the exogenous masses from the digestive tract, it raised the possibility of these exogenous masses being used to smuggle minerals—diamonds . However, this hypothesis was not confirmed.…”

An investigation into the use of Full-body Low Dose X-rays Imaging system in South Africa: Radiographer's perspective

“…In South Africa, radiographers are using the Lodox system to perform other radiological examinations alongside screening of trauma patients ( Figure 5 ). Previous research suggests that the Lodox system has the potential to replace conventional x-ray systems for routine applications [ 19 , 20 ]. The researcher found that trauma units in SA were using Lodox as a reliable alternative for conventional x-ray imaging to diagnose pathologies of the chest, abdomen, spine and extremities ( Figure 5 ).…”

An investigation into the extent of Lodox imaging usage in South Africa: Radiographer’s perspective

“…In SA, radiographers are using the Lodox system to perform comprehensive imaging examinations (Figure 3). Previous research suggests that the Lodox system has the potential to replace conventional xray systems for routine applications [19,20]. The researcher found that a small proportion of trauma units (5/35) in SA were using Lodox as a reliable, alternative for conventional x-ray imaging to diagnose pathologies of the chest, abdomen, spine and extremities (Figure 3).…”

“…Interestingly, South African radiologists also reported using Lodox for uoroscopic procedures such as angiography and cystography (1/36). Using the Lodox x-ray system for follow-up imaging, taken at various intervals to evaluate pathophysiology [19] may signi cantly reduce radiation exposure for the patient [1,2]. Minimising radiation doses will also reduce the amount of radiation scatter and total radiation dose exposure to the patient and the personnel working in the procedure room [10].…”

“…Noteworthy is that Lodox systems have previously been used for angiography, where Computed Tomography scanning (CT scan) and uoroscopic units were unavailable [21]. Additionally, Lodox x-ray imaging may be useful for visualising and placing catheters, to assist healthcare professionals to view the full-length and patency of the catheter [19]. It was also reported that the Lodox system allows the imaging professional to visualise the full length of contrast-enhanced blood vessels and the urinary system during uoroscopic studies which is essential for e cient and effective diagnosis [22].…”