The imaging of the dizzy patient: computed tomography versus magnetic resonance imaging

Kontorinis, Georgios

doi:10.1007/s00330-018-5375-5

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…The evaluation of this is decided by computed tomography (9). Dizziness corresponds to % 4 of the symptoms in the emergency department (10). In our study, the rate of dizziness symptom rate was % 6 for the patients who applied to the emergency department.…”

Section: Discussionmentioning

confidence: 61%

Investigation of radiological and clinical features of brain computed tomography findings of patients in the emergency department

Yavaş

Alpaslan

2020

Bozok Tıp Dergisi

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Çalışmamızın amacı klinik tanı ile uyumlu acil servise giriş yapan hastaların çektikleri beyin bilgisayarlı tomografisi sonuçlarını göstermektir. Gereç ve Yöntemler: Bu çalışma, acil servisten 1 Ocak 2018 ile 30 Haziran 2018 tarihleri arasında bilgisayarlı tomografi taraması geçirmiş, yaş ve cinsiyet arasında bir ayrım gözetmeyen tüm hastaları içermektedir. Hastalar acil servise baş ağrısı, baş dönmesi, trafik kazası ve serebrovasküler olay (SVO) gibi şikayetleri ile kabul edildi. Hastaların yaş, cinsiyetleri ve beyin tomografi bulgularının sayı ve yüzde bulguları analiz edildi. Bulgular: Toplam altı ayda, 16428 hastanın 3975'inin beyin BT görüntüsü vardı. Çalışmamızda erkek hasta 2018 (% 51), kadın hasta 1957 (% 49) ve yaş ortalaması 45,40 ± 24 idi. Baş ağrısı, baş dönmesi, travma ve SVO şikayeti ile acilden radyolojiye sevk edilen hastalar dahil edildi. Çalışmada, rapor bulgularının 735'si (% 19) anlamlıydı ve 3240 (% 81) hastada önemsizdi. Sonuç: Rapor bulgularının büyük ölçüde temiz olması, bu kadar çok BT görüntüsünün neden yapıldığı sorusunu ortaya koymaktadır.

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Section: Discussionmentioning

confidence: 61%

Investigation of radiological and clinical features of brain computed tomography findings of patients in the emergency department

Yavaş

Alpaslan

2020

Bozok Tıp Dergisi

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“…This makes MRI a potent tool in detecting conditions such as vestibular schwannomas and meningiomas. 15 Despite the disappointing sensitivity of CT scans in identifying strokes (one of the leading causes of dizziness) during the acute phase, which was found to be only 26% by Chalela et al, 16 MRI demonstrates higher sensitivity in stroke detection. However, within the first 24 hours, MRI's sensitivity is at its lowest, especially for brainstem or cerebellar lesions.…”

Section: Introductionmentioning

confidence: 99%

“…In the quest to determine the cause of dizziness, CT scans are capable of identifying posterior fossa hemorrhage and large infarcts. 15 They are easily accessible, swift in execution, and generally more cost-effective when compared with MRI. On the other hand, MRI provides advanced diagnostic capabilities for assessing specific structures associated with vertigo, including the cerebellopontine angle, internal auditory meatus, and related neural components.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Diagnostic Accuracy of Computed Tomography Scan versus Magnetic Resonance Imaging in the Emergency Department for the Evaluation of Dizziness: A Systematic Review

Ashiq,

Khan,

Yousaf

2024

Indian J Radiol Imaging

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Introduction Both computed tomography (CT) and magnetic resonance imaging (MRI) play significant roles in assessing patients with dizziness. However, understanding the comparative capabilities of these imaging methods in detecting pathological causes is crucial for determining the most suitable modality. This review aims to evaluate the diagnostic accuracy and clinical utility of MRI and CT scans in managing patients with acute dizziness in the emergency department. Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a comprehensive search in various databases (PubMed, Google Scholar, Cochrane library, British Medical Journals, and ScienceDirect) from 2010 to 2023. We used the QUADAS-2 tool to assess bias risk, considering MRI as the reference standard and CT scan as the index test. Results The final analysis included six studies, with 3,993 patients (48% male, 52% female; average age: 56.7 years). Three studies were of high quality, two of medium quality, and one of low quality. Central ischemia was the predominant diagnosis for dizziness. MRI demonstrated higher diagnostic efficacy for stroke compared with CT scans, while mixed results were observed for other multiple diseases when both MRI and CT scans were used. Conclusion MRI outperforms CT scans in diagnosing dizziness-related strokes. However, for other causes of dizziness, there is no significant difference between these techniques. Nevertheless, it is crucial to acknowledge the limitations associated with MRI. Consequently, to address these concerns, the selection of an imaging technique should be tailored to the individual based on factors such as their clinical presentation, comorbidities, and socioeconomic circumstances.

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MRI dedicated to the emergency department for diplopia or dizziness: a cost-effectiveness analysis

et al. 2022

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The imaging of the dizzy patient: computed tomography versus magnetic resonance imaging

Cited by 3 publications

References 10 publications

Investigation of radiological and clinical features of brain computed tomography findings of patients in the emergency department

Investigation of radiological and clinical features of brain computed tomography findings of patients in the emergency department

Comparative Diagnostic Accuracy of Computed Tomography Scan versus Magnetic Resonance Imaging in the Emergency Department for the Evaluation of Dizziness: A Systematic Review

MRI dedicated to the emergency department for diplopia or dizziness: a cost-effectiveness analysis

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