Report on a new type of trauma full-body digital X-ray machine

Beningfield, Steve; Potgieter, Herman; Nicol, Andrew; As, Sadykov; Bowie, G; Hering, E. R.; Lätti, E.

doi:10.1007/s10140-003-0271-x

Cited by 62 publications

(39 citation statements)

References 27 publications

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“…[15] In recent studies, researcher attempted to increase the diagnostic accuracy of CXR especially in general practitioners and non-radiologist physicians by technical improvement but the researchers turned out to be costly protocols. [7816] Developing in techniques and the equipments of diagnostic imaging (such as digitalization) make progress in the quality of CXR, but because it is too expensive to use in limited health care units. [8] On the other hand, the diagnostic accuracy of CXR taken by these methods was slightly significantly different in compared to usual methods.…”

Section: Discussionmentioning

confidence: 99%

A recommended method in order to interpret chest x-rays for diagnosing small size pneumothorax

Ghane

Saburi

Javadzadeh

2013

Int J Crit Illn Inj Sci

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Background:Pneumothorax can be a both progressive and life threatening disorder. In this survey we evaluated the diagnostic accuracy of a recommended method for the interpretation of chest X-Rays (CXRs) compared to the common method in diagnosis of iatrogenic Pneumothorax in an emergency department.Materials and Methods:We conducted a study on 100 CXRs (31 with the diagnosis of small size pneumothorax and 69 normal) of patients who have undergone the upper central venous catheterization. CXRs were interpreted by 5 Emergency Specialists (ESs) and 5 general practitioners (GPs) separately using the conventional and recommended method. Recommended method included a 90 degree rotation against the side of chateterization in addition to using a yellow shield as the background color. Presence of pneumothorax on the CXR was confirmed by a radiologist.Results:64.5% of the CXRs with pneumothorax were correctly diagnosed by GPs and 87.7% by ESs with reutine method and 83.2% and 97.4% by recommended method, respectively (P.value<0.001). 96.8% out of all CXRs were correctly diagnosed by GPs and 99.4% by ESs by conventional method and 97.9% by GP and 99.7% by ES was correctly diagnosed using recommended method(P.value<0.001). None of the underlying variables including sex, age, underlying diseases, the side of intervention did not affect on the diagnostic accuracy in either groups (P.value>0.05).Conclusion:A significant raise was obtained in the diagnostic accuracy of CXR using the recommended method. This study can be a preliminary study to conduct further investigations in order to enhance the diagnostic accuracy of CXRs.

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Section: Discussionmentioning

confidence: 99%

A recommended method in order to interpret chest x-rays for diagnosing small size pneumothorax

Ghane

Saburi

Javadzadeh

2013

Int J Crit Illn Inj Sci

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“…This configuration (known as LSSR) eliminates most of the scatter associated with conventional fan-beam radiography and accounts for the very low radiation dose required for the machine to form X-ray images. The C-arm can also be rotated axially from AP (0°) to Lateral (90°), or any oblique position in between, and the table can accommodate Trendelenburg tilting of 10° on either side, to allow images in different planes to be obtained without movement of the patient [4]. …”

Section: Methodsmentioning

confidence: 99%

“…The low radiation dose of the machine has been examined in previous studies, and it has been found that a full-body radiograph emits less than 75% of the dose that a conventional chest X-ray emits [4, 9]. In comparison to the usual trauma panel of AP chest, AP pelvis and Lateral cervical spine, a full-body AP radiograph and lateral spine radiograph on the Lodox unit exposes the patient to less than 10% of the radiation dose [9].…”

Section: Methodsmentioning

confidence: 99%

“…The Lodox Statscan images have been shown to have the same, or better, image quality as conventional X-ray, despite the speed and low radiation of imaging [4, 5, 7, 11], with Deyle et al [7] finding a sensitivity of 62% and specificity of 99%.…”

Section: Methodsmentioning

confidence: 99%

“…It is intended for use in trauma and emergency wards as a replacement for the traditional basic Advanced Trauma Life Support (ATLS) set of plain radiographs called for in the Primary Survey [2, 3]. Its use in polytrauma screening in cases of motor vehicle accidents, falls or violent trauma has been documented by several groups [2, 4–8]. However, during its years of use, innovative clinicians have uncovered more varied uses for the technology that have proven useful in nontraumatic emergency medicine.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Review of Full-Body Radiography in Nontraumatic Emergency Medicine

Whiley

Mantokoudis

Ott

et al. 2012

Emergency Medicine International

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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.

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Forensic Radiography

Viner¹

2012

Forensic Ecology Handbook

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Report on a new type of trauma full-body digital X-ray machine

Cited by 62 publications

References 27 publications

A recommended method in order to interpret chest x-rays for diagnosing small size pneumothorax

A recommended method in order to interpret chest x-rays for diagnosing small size pneumothorax

A Review of Full-Body Radiography in Nontraumatic Emergency Medicine

Forensic Radiography

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