CT use in hospitalized pediatric trauma patients: 15-year trends in a level I pediatric and adult trauma center.

Abstract:

PURPOSE:To evaluate the 15-year trend in the use of computed tomography (CT) in hospitalized pediatric trauma patients admitted to Harborview Medical Center (HMC) from 1996 to 2010. MATERIALS AND METHODS:This Health Insurance Portability and Accountability Act-compliant retrospective study was approved by the institutional review board. The requirement for informed consent was waived. The HMC trauma registry was linked to the billing department data, and patient and injury-related characteristics were extracted, in addition to type and frequency of CT procedures. Patients discharged from the emergency department and patients hospitalized for less than 24 hours were not included in this study. Patients were classified into three categories according to age: 0-14 years, 15-18 years, and 19-54 years (reference group). Multivariate negative binomial regression was used to compare CT usage among different age groups by adjusting for patient sex, race and/or ethnicity, insurance status, mechanism of injury, injury severity, final disposition (dead vs alive), and year of admission. The trend for CT use in children and teenagers was also evaluated. RESULTS:A total of 64 425 trauma patients 0-54 years of age were admitted during the study period. Compared with CT usage in adults 19-54 years old, usage in children up to 15 years of age was significantly lower for spine (incidence rate ratio [IRR], 0.89; 95% confidence interval [CI]: 0.85, 0.92), maxillofacial (IRR, 0.89; 95% CI: 0.81, 0.97), and thoracic (IRR, 0.91; 95% CI: 0.84, 0.99) CT. Increased use of head CT was observed in children up to 15 years old (IRR, 1.09; 95% CI: 1.05, 1.13) and 15-18 years old (IRR, 1.08; 95% CI: 1.04, 1.13). From 2008 to 2010, usage rates in children up to 15 years old and 15-18 years old was relatively unchanged or slightly decreased for almost all CT types. CONCLUSION:A decreasing or unchanged trend was observed in CT usage in hospitalized pediatric trauma patients in recent years. © RSNA, 2013.

journal_name

Radiology

journal_title

Radiology

authors

Roudsari BS,Psoter KJ,Vavilala MS,Mack CD,Jarvik JG

doi

10.1148/radiol.13120865

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

479-86

issue

2

eissn

0033-8419

issn

1527-1315

pii

radiol.13120865

journal_volume

267

pub_type

杂志文章
  • Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience.

    abstract:PURPOSE:To evaluate the sensitivity and specificity of biphasic computed tomography (CT) with mesenteric CT angiography in the diagnosis of acute mesenteric ischemia (AMI). MATERIALS AND METHODS:Sixty-two patients with clinically suspected AMI underwent prospective imaging with biphasic multi-detector row CT. Mesenter...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2291020991

    authors: Kirkpatrick ID,Kroeker MA,Greenberg HM

    更新日期:2003-10-01 00:00:00

  • N-Terminal Pro-B-Type Natriuretic Peptide and Subclinical Brain Damage in the General Population.

    abstract::Purpose To investigate the association between N-terminal pro-B-type natriuretic peptide (NT-proBNP), which is a marker of heart disease, and markers of subclinical brain damage on magnetic resonance (MR) images in community-dwelling middle-aged and elderly subjects without dementia and without a clinical diagnosis of...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2016160548

    authors: Zonneveld HI,Ikram MA,Hofman A,Niessen WJ,van der Lugt A,Krestin GP,Franco OH,Vernooij MW

    更新日期:2017-04-01 00:00:00

  • Assessment of liver viscoelasticity by using shear waves induced by ultrasound radiation force.

    abstract:PURPOSE:To investigate the value of viscosity measured with ultrasonographic (US) elastography in liver fibrosis staging and to determine whether the use of a viscoelastic model to estimate liver elasticity can improve its accuracy in fibrosis staging. MATERIALS AND METHODS:The study, which was performed from February...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.12120837

    authors: Chen S,Sanchez W,Callstrom MR,Gorman B,Lewis JT,Sanderson SO,Greenleaf JF,Xie H,Shi Y,Pashley M,Shamdasani V,Lachman M,Metz S

    更新日期:2013-03-01 00:00:00

  • Clinical prediction rules in trauma imaging: who, how, and why?

    abstract::Clinical prediction rules are multifactorial tools used to aid in clinical decision making. In radiology, clinical prediction rules are an important method for determining who should undergo imaging and, in combination with cost-effectiveness analysis, how imaging should be performed. To be useful, clinical prediction...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2352040307

    authors: Blackmore CC

    更新日期:2005-05-01 00:00:00

  • Cardiac CT angiography for the diagnosis of mitral valve prolapse: comparison with echocardiography1.

    abstract:PURPOSE:To evaluate the diagnostic performance of coronary computed tomographic (CT) angiography for the diagnosis of mitral valve prolapse (MVP). MATERIALS AND METHODS:The retrospective case-controlled multicenter study protocol was approved by the institutional review boards. The U.S. part of the study was HIPAA com...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2541090393

    authors: Feuchtner GM,Alkadhi H,Karlo C,Sarwar A,Meier A,Dichtl W,Leschka S,Blankstein R,Gruenenfelder J,Stolzmann P,Cury RC

    更新日期:2010-02-01 00:00:00

  • Sonography in the diagnosis and management of pancreatic pseudocysts and effusions in childhood.

    abstract::Blunt trauma to the abdomen is the main cause of pancreatic injury in childhood. One of the most common causes of injury is child abuse. Pancreatitis, pancreatic pseudocyst, and loculated peripancreatic effusion are sequellae of this trauma. The diagnosis of these lesions is aided by ultrasound. Pancreatic injury in c...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.135.1.6153810

    authors: Slovis TL,VonBerg VJ,Mikelic V

    更新日期:1980-04-01 00:00:00

  • Power Doppler sonography of synovitis: assessment of therapeutic response--preliminary observations.

    abstract::Power Doppler sonography was used in eight symptomatic knees in seven patients with arthritis before and after joint aspiration and intraarticular administration of steroids. A qualitative decrease in synovial perfusion was observed in all eight knees, and symptoms improved in seven of the eight cases. These prelimina...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.2.8596870

    authors: Newman JS,Laing TJ,McCarthy CJ,Adler RS

    更新日期:1996-02-01 00:00:00

  • Development and evaluation of a needle for percutaneous ethanol injection therapy.

    abstract::To avoid the disadvantages associated with use of the traditional percutaneous transhepatic cholangiography (PTC) needle in ultrasonically guided percutaneous ethanol injection therapy (PEIT) for hepatocellular carcinoma, the authors developed a needle with a three-sided tip and three holes within 3 mm of the tip. In ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.186.1.8416580

    authors: Akamatsu K,Miyauchi S,Ito Y,Ohkubo K,Maruyama M

    更新日期:1993-01-01 00:00:00

  • Computer network security for the radiology enterprise.

    abstract::As computer networks become an integral part of the radiology practice, it is appropriate to raise concerns regarding their security. The purpose of this article is to present an overview of computer network security risks and preventive strategies as they pertain to the radiology enterprise. A number of technologies ...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiology.220.2.r01au32303

    authors: Eng J

    更新日期:2001-08-01 00:00:00

  • Reported mammographic density: film-screen versus digital acquisition.

    abstract:PURPOSE:To test the hypothesis that American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) categories for breast density reported by radiologists are lower when digital mammography is used than those reported when film-screen (FS) mammography is used. MATERIALS AND METHODS:This study was inst...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.12120221

    authors: Harvey JA,Gard CC,Miglioretti DL,Yankaskas BC,Kerlikowske K,Buist DS,Geller BA,Onega TL,Breast Cancer Surveillance Consortium.

    更新日期:2013-03-01 00:00:00

  • Scanning slit chest radiography: a practical and efficient scatter control design.

    abstract:PURPOSE:To design a chest radiography unit that eliminates scatter. MATERIALS AND METHODS:A scanning slit radiography unit that also incorporates a conventional grid was designed. The scanning slit geometry defined a 10-mm-wide beam at the image receptor. RESULTS:With a typical heavy-duty radiographic tube, the propo...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.190.2.8284410

    authors: Barnes GT,Wu X,Sanders PC

    更新日期:1994-02-01 00:00:00

  • Sonography of portosystemic venous collaterals in portal hypertension.

    abstract::Portosystemic venous collaterals were studied with sonography in 40 patients with known portal hypertension. Eight patients had technically inadequate scans, while 32 had optimal scans. Sixty groups of venous collaterals were identified. At least one collateral pathway was seen in 28 patients, for a sensitivity of 88%...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.146.1.6849040

    authors: Subramanyam BR,Balthazar EJ,Madamba MR,Raghavendra BN,Horii SC,Lefleur RS

    更新日期:1983-01-01 00:00:00

  • Clinical Outcomes of Radiofrequency Ablation for Early Hypovascular HCC: A Multicenter Retrospective Study.

    abstract::Purpose To retrospectively evaluate the clinical outcomes of radiofrequency ablation (RFA) for early hypovascular hepatocellular carcinomas (HCCs) and to compare them with those of typical hypervascular HCCs. Materials and Methods This retrospective multicenter study received institutional review board approval, with ...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2017162452

    authors: Lee DH,Lee JM,Kang TW,Rhim H,Kim SY,Shin YM,Seo JW,Choi MH,Lee KB

    更新日期:2018-01-01 00:00:00

  • Intra-articular Corticosteroid Injections for the Treatment of Hip and Knee Osteoarthritis-related Pain: Considerations and Controversies with a Focus on Imaging-Radiology Scientific Expert Panel.

    abstract::Current management of osteoarthritis (OA) is primarily focused on symptom control. Intra-articular corticosteroid (IACS) injections are often used for pain management of hip and knee OA in patients who have not responded to oral or topical analgesics. Recent case series suggested that negative structural outcomes incl...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2020200771

    authors: Guermazi A,Neogi T,Katz JN,Kwoh CK,Conaghan PG,Felson DT,Roemer FW

    更新日期:2020-12-01 00:00:00

  • Septic arthritis: a complication of rheumatoid arthritis.

    abstract::Eighteen cases of long-standing rheumatoid arthritis and superimposed pyarthrosis were reviewed to determine the most distinguishing radiographic features. Soft-tissue changes allowed earlier diagnosis in the knee and ankle joints and consisted of large asymmetrical joint effusion and fat-pad edema. Bony articular cha...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.1.17

    authors: Gelman MI,Ward JR

    更新日期:1977-01-01 00:00:00

  • Superior vena cava syndrome associated with massive thrombosis: treatment with expandable wire stents.

    abstract::Two patients with superior vena cava syndrome (SVCS) associated with massive thrombosis were treated by means of local thrombolytic therapy and placement of modified Gianturco expandable wire stents. Treatment resulted in complete resolution of the SVCS symptoms. The combination of local thrombolytic therapy and stent...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.3.3363130

    authors: Putnam JS,Uchida BT,Antonovic R,Rösch J

    更新日期:1988-06-01 00:00:00

  • Appendicitis in children: color Doppler sonography.

    abstract::The authors used color Doppler ultrasonography (US) to evaluate 33 children with suspected appendicitis and found locally increased blood flow in all of 10 patients with appendicitis or periappendiceal abscess; the studies were normal in 16 patients without appendicitis. The gray-scale sonographic results were concord...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.184.3.1509060

    authors: Quillin SP,Siegel MJ

    更新日期:1992-09-01 00:00:00

  • Effects of exposure of CHO-K1 cells to a 10-T static magnetic field.

    abstract:PURPOSE:To evaluate whether exposure to strong static magnetic fields (SMFs), of up to 10 T, affects the growth and cycle distribution of and the micronucleus formation in monolayered Chinese hamster ovary CHO-K1 cells. MATERIALS AND METHODS:The authors developed a system to expose cultured cells to strong SMFs immedi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2243011300

    authors: Nakahara T,Yaguchi H,Yoshida M,Miyakoshi J

    更新日期:2002-09-01 00:00:00

  • Focal uptake of fluorodeoxyglucose by the thyroid in patients undergoing initial disease staging with combined PET/CT for non-small cell lung cancer.

    abstract:PURPOSE:To retrospectively evaluate the prevalence of focal fluorodeoxyglucose (FDG) uptake by the thyroid gland on combined positron emission tomographic (PET) and computed tomographic (CT) scans in patients undergoing staging of newly diagnosed non-small cell lung cancer (NSCLC). MATERIALS AND METHODS:Institutional ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2361041007

    authors: Yi JG,Marom EM,Munden RF,Truong MT,Macapinlac HA,Gladish GW,Sabloff BS,Podoloff DA

    更新日期:2005-07-01 00:00:00

  • Liver adenomatosis: clinical, histopathologic, and imaging findings in 15 patients.

    abstract:PURPOSE:To report and correlate the clinical, histopathologic, and imaging findings in 15 patients with liver adenomatosis. MATERIALS AND METHODS:Fifteen adult patients had more than 10 hepatic adenomas each and no history of glycogen storage disease or anabolic steroid use. Ten of them underwent bolus-enhanced dynami...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.216.2.r00jl38395

    authors: Grazioli L,Federle MP,Ichikawa T,Balzano E,Nalesnik M,Madariaga J

    更新日期:2000-08-01 00:00:00

  • Subcutaneous emphysema, pneumomediastinum, and pneumothorax in diabetic ketoacidosis.

    abstract::The authors report two cases of coexistent pneumomediastinum and diabetic ketoacidosis. One patient had pneumothorax as well. Hyperpnea or vomiting, or a combination of the two, may be the etiologic agent in such cases. The prognosis is excellent and there is prompt regression of the pneumomediastinum following correc...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/116.3.543

    authors: Toomey FB,Chinnock RF

    更新日期:1975-09-01 00:00:00

  • Quantitative Dynamic Thoracic MRI: Application to Thoracic Insufficiency Syndrome in Pediatric Patients.

    abstract::Background Available methods to quantify regional dynamic thoracic function in thoracic insufficiency syndrome (TIS) are limited. Purpose To evaluate the use of quantitative dynamic MRI to depict changes in regional dynamic thoracic function before and after surgical correction of TIS. Materials and Methods Images fro...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2019181731

    authors: Tong Y,Udupa JK,McDonough JM,Wileyto EP,Capraro A,Wu C,Ho S,Galagedera N,Talwar D,Mayer OH,Torigian DA,Campbell RM

    更新日期:2019-07-01 00:00:00

  • Carotid-cavernous fistula associated with intracranial fibromuscular dysplasia.

    abstract::Fibromuscular dysplasia (FMD) of the intracranial internal carotid and vertebro-basilar system is extremely rare. A case with diffuse intracranial involvement and an associated carotid-cavernous fistula is presented. The literature is reviewed and the pathogenesis of this complication of FMD is discussed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.3.725

    authors: Zimmerman R,Leeds NE,Naidich TP

    更新日期:1977-03-01 00:00:00

  • In vivo proton MR three-dimensional T1rho mapping of human articular cartilage: initial experience.

    abstract::The purpose of this study was to demonstrate the feasibility of computing three-dimensional relaxation maps of spin-lattice relaxation time in the rotating frame (T1rho) from in vivo magnetic resonance (MR) images of the human patellofemoral joint. T1rho was measured by applying a three-dimensional gradient-echo pulse...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2291021041

    authors: Regatte RR,Akella SV,Borthakur A,Kneeland JB,Reddy R

    更新日期:2003-10-01 00:00:00

  • Percutaneous catheter drainage of deep neck infections guided by CT.

    abstract::We report success with CT guided percutaneous catheter drainage of deep neck abscesses. The cost efficacy and decreased morbidity of percutaneous catheter drainage has been proved in abdominal and retroperitoneal abscess management, and CT for diagnosis of deep neck infections is well established. The logical applicat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.152.1.6729120

    authors: Cole DR,Bankoff M,Carter BL

    更新日期:1984-07-01 00:00:00

  • Radiographic and morphological features of cyst formation in idiopathic bone infarction.

    abstract::Cyst formation in an infarcted bone, though rare, can be diagnosed with reasonable confidence when radiographs show an expanding lytic lesion confined by an intact but attenuated cortex. If the cortex is destroyed and a periosteal response or soft-tissue mass is present, malignant transformation should be suspected. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.146.2.6849080

    authors: Norman A,Steiner GC

    更新日期:1983-02-01 00:00:00

  • Circumferential Thick Enhancement at Vessel Wall MRI Has High Specificity for Intracranial Aneurysm Instability.

    abstract::Purpose To identify wall enhancement patterns on vessel wall MRI that discriminate between stable and unstable unruptured intracranial aneurysm (UIA). Materials and Methods Patients were included from November 2012 through January 2016. Vessel wall MR images were acquired at 3 T in patients with stable (incidental and...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2018172879

    authors: Edjlali M,Guédon A,Ben Hassen W,Boulouis G,Benzakoun J,Rodriguez-Régent C,Trystram D,Nataf F,Meder JF,Turski P,Oppenheim C,Naggara O

    更新日期:2018-10-01 00:00:00

  • Clinically serious abnormalities found incidentally at MR imaging of the brain: data from the Cardiovascular Health Study.

    abstract:PURPOSE:To determine the prevalence of clinically serious findings unrelated to stroke on cranial magnetic resonance (MR) images in a population of community-dwelling elderly people. MATERIALS AND METHODS:Neuroradiologists reviewed MR images of 3,672 people aged 65 years and older who were enrolled in a longitudinal, ...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiology.202.1.8988190

    authors: Yue NC,Longstreth WT Jr,Elster AD,Jungreis CA,O'Leary DH,Poirier VC

    更新日期:1997-01-01 00:00:00

  • Acute peripheral arterial occlusion: predictors of success in catheter-directed thrombolytic therapy.

    abstract:PURPOSE:To determine predictors of clot dissolution in patients undergoing catheter-directed urokinase thrombolysis for peripheral arterial occlusion (PAO). MATERIALS AND METHODS:The study included 103 patients with limb-threatening symptoms of embolism lasting 14 days or less and resulting from embolism (n = 20) or t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.193.2.7972780

    authors: Ouriel K,Shortell CK,Azodo MV,Guiterrez OH,Marder VJ

    更新日期:1994-11-01 00:00:00

  • Feasibility of whole-body MR with T2- and T1-weighted real-time steady-state free precession sequences during continuous table movement to depict metastases.

    abstract::The purpose of the study was to prospectively evaluate a whole-body magnetic resonance (MR) imaging protocol to help depict metastases by using unenhanced T2-weighted and contrast material-enhanced T1-weighted real-time sequences during continuous table movement. The study was conducted after approval of the local ins...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2463062017

    authors: Brauck K,Zenge MO,Vogt FM,Quick HH,Stock F,Trarbach T,Ladd ME,Barkhausen J

    更新日期:2008-03-01 00:00:00