Initial experience with Lodox Statscan imaging system for detecting injuries of the pelvis and appendicular skeleton

Abstract

The purpose of this study is to assess detection of pelvic and extremity injuries employing a rapid whole-body imaging system (Lodox Statscan). We retrospectively reviewed 37 consecutive cases. The study was approved by our hospital review board and carried out with Health Insurance Portability and Accountability Act (HIPAA) compliance. Anterior-posterior (AP) whole-body Lodox Statscan (LS) exams, obtained in 10-13 s, were reviewed by two musculoskeletal radiologists. Each patient's concurrent computed radiographs (CR) and computed tomographic (CT) studies were reviewed at a later date. There were 23 males and 14 females; ages ranged from 14 to 103 years (average 40 years). Sixteen patients had a total of 73 abnormalities seen on LS, CR or CT. The LS examination identified 47 abnormalities (64.4%) in 15 patients. Twenty-six additional abnormalities were detected with the other modalities (CR, CT) in 11 patients; 8 were evident on LS images in retrospect, with the remaining 18 not identified even retrospectively. Of these retrospectively occult injuries, only one was deemed significant to the acute management of the patient. The LS imaging system seems to be a useful tool for rapid screening of multitrauma patients.

Lodox/Statscan facilitates the early detection of commonly overlooked extracranial injuries in patients with traumatic brain injury

“…It has been reported that the Lodox/Statscan has a diagnostic ability similar to that of conventional X-rays for the evaluation of torso injuries [17,32]. Our previous report also indicated that, although the Lodox/Statscan missed some injuries, the subsequent course of treatment was not changed in most patients [15].…”

“…It is a digital X-ray machine that emits a very low dose of X-ray units and was adopted for use in clinical testing in 1999 [16]. Recent reports have addressed its advantages with respect to rapid patient surveys and its efficiency in acute trauma management [14,15,17]. The detection of bone fractures and foreign bodies by this method has also been reported [17][18][19].…”

“…Recent reports have addressed its advantages with respect to rapid patient surveys and its efficiency in acute trauma management [14,15,17]. The detection of bone fractures and foreign bodies by this method has also been reported [17][18][19]. In addition, it was reported that the Lodox/Statscan could be used as a tool for emergency room arteriography for the detection of peripheral vascular injury [20].…”

“…This machine provides a full-body imaging study based on enhanced linear slot-scanning technology and a C-arm system [14,17,21]. The low-dose radiation mounted C-arm can rotate around the patient from 0°to 90°for both anteriorposterior and lateral views of whole-body images (Fig.…”

Image quality of supine chest radiographs: intra-individual comparison of computed radiography and low-dose linear-slit digital radiography

“…Total-body digital radiography (DR) permits a comprehensive radiographic evaluation from the head to the lower extremities in about 13s, without requiring the patient to be repeatedly moved and manipulated [1][2][3]. The method is based on enhanced linear-slit (or slot) scanning technology, which utilises solid-state X-ray detectors that nearly eliminate scattered radiation along the z-axis.…”