scholarly journals Computed tomography-based diagnosis of occult fragility hip fractures offer shorter waiting times with no inadvertent missed diagnosis

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902093208
Author(s):  
Gin Way Law ◽  
Akshay Padki ◽  
Kae Sian Tay ◽  
Tet Sen Howe ◽  
Joyce Suang Bee Koh ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Waiting Times ◽  
Cross Sectional ◽  
Cancer History ◽  
Surgical Delay ◽  
Occult Hip Fracture ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Purpose: Surgical delay due to the wait for advanced cross-sectional imaging in occult fragility hip fracture management is not well studied. Our study aims to investigate computed tomography (CT) as an alternative to the gold standard magnetic resonance imaging (MRI) in occult hip fracture workup to decrease surgical delay. Methods: We conducted a retrospective review of all CTs and MRIs performed between 2015 and 2017 for patients with clinically suspected fragility hip fractures and negative plain radiographs to investigate surgical delay resulting from the wait for advanced imaging and representations due to missed fractures. Results: A total of 243 scans (42 CTs and 201 MRIs) were performed for occult hip fracture workup over the study timeframe, of which 49 patients (20%) had occult hip fractures [CT: 6 (14%), MRI: 43 (21%), p = 0.296)]. There were no readmissions for fracture in the 12 months following a negative scan. The CT group had shorter waiting times (CT: 29 ± 24 h, MRI: 44 ± 32 h, p = 0.004) without significantly reducing surgical delay (CT: 82 ± 36 h, MRI: 128 ± 58 h, p = 0.196). The MRI group had a higher number of patients with a cancer history ( p = 0.036), reflective of the practice for workup of possible metastases as a secondary intention. Conclusion: Advanced cross-sectional imaging wait times in occult hip fracture workup contribute significantly to surgical delay. Modern CT techniques are not inferior to MRI in detecting occult fractures and may be a suitable alternative in the absence of a cancer history if MRI cannot be obtained in a timely fashion or is contraindicated. Clinicians should utilize the more readily available imaging modality to reduce surgical delay.

scholarly journals Patients with Clinically Suspected but Unproven Hip Fractures, Who Require Cross-Sectional Imaging, Are Best Initially Admitted under Geriatrician-Led Care—A Retrospective Review

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 68
Author(s):  
Hamish Macdonald ◽  
Niraj Vetharajan ◽  
Peter Kempshall
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Discharge Diagnosis ◽  
Inpatient Mortality ◽  
Cross Sectional ◽  
Hospital Records ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Line Imaging ◽  
Trust Information

Patients with suspected hip fractures who require further imaging to confirm or disprove the diagnosis may be admitted to orthopaedic or medical departments. We aim to provide evidence regarding the appropriate admission pathway for such patients. This is a retrospective study of all suspected hip fracture patients receiving second-line imaging between 1 January 2015 to 30 June 2016 in one hospital trust. Information was gained from hospital records to determine indication and result of imaging, eventual diagnoses, length of stay, and inpatient mortality. During the study period, 126 patients underwent cross-sectional imaging for clinically suspected but unproven hip fractures. Of these, 27% were positive for hip fractures (n = 34, 3.2% of hip fracture admissions) whilst the remainder were negative. Of the patients without hip fractures, 50 (54%) had a concomitant medical discharge diagnosis. Thirty-one different diagnoses were found in this cohort. This research provides evidence for geriatrician-led admission of patients with suspected but unproven hip fracture, due to the frailty and medical requirements of this patient group.

Radiography and ultrasound of the equine neck

UK-Vet Equine ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 142-149
Author(s):  
Jonathon J Dixon ◽  
Lucy Meehan
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Ultrasound Examination ◽  
Imaging Modality ◽  
Three Dimensional ◽  
Cross Sectional ◽  
Articular Process ◽  
Planar Images ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Diagnostic imaging of the equine neck is undertaken for a wide variety of conditions. In many cases, radiography is the principal imaging modality, often complemented by ultrasound examination. Common conditions encountered include osteoarthritis, articular process joint osteochondral fragmentation, cervical vertebral malformation (‘wobbler’), fractures and numerous soft tissue lesions. The complex three-dimensional anatomy of the region limits interpretation of planar images and, in some cases, cross-sectional imaging (such as computed tomography) may be required. However, careful use of radiography and ultrasound can help clinicians to achieve a diagnosis in many cases, often from combining conventional and lesion-orientated projections with a thorough clinical examination.

Painful os cuboideum secundarium. Cross-sectional imaging findings

1996 ◽  
Vol 86 (3) ◽  
pp. 123-125 ◽  
Author(s):  
PM Logan ◽  
DG Connell ◽  
DL Janzen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Foot Pain ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Cross Sectional ◽  
Imaging Appearance ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

The authors presented the computed tomography and magnetic resonance imaging appearances of a painful os cuboideum secundarium. To the authors' knowledge, this is the first report of the cross-sectional imaging appearance of this condition, and serves to underline the utility of computed tomography and magnetic resonance imaging in the investigation of foot pain.

scholarly journals Unexpected Angiography Findings and Effects on Management

2016 ◽  
Vol 6 ◽  
pp. 33
Author(s):  
Matthew Neill ◽  
Hearns W Charles ◽  
Jonathan S Gross ◽  
Sean Farquharson ◽  
Amy R Deipolyi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Interventional Procedures ◽  
Diagnostic Workup ◽  
Resonance Imaging ◽  
Conventional Angiography ◽  
Cross Sectional ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Despite progress in noninvasive imaging with computed tomography and magnetic resonance imaging, conventional angiography still contributes to the diagnostic workup of oncologic and other diseases. Arteriography can reveal tumors not evident on cross-sectional imaging, in addition to defining aberrant or unexpected arterial supply to targeted lesions. This additional and potentially unanticipated information can alter management decisions during interventional procedures.

Computed Tomography Evaluation of Oral Cavity and Oropharyngeal Cancers

2013 ◽  
Vol 5 (2) ◽  
pp. 51-62
Author(s):  
Ravi Varma ◽  
Sunita Tibrewala ◽  
Sudeep Roplekar
Keyword(s):  
Computed Tomography ◽  
Oral Cavity ◽  
Vital Role ◽  
Cross Sectional ◽  
Tumor Spread ◽  
Cross Sectional Imaging ◽  
Technical Issues ◽  
Pretreatment Staging ◽  
Sectional Imaging

ABSTRACT Cross-sectional imaging plays a vital role in the diagnostic evaluation of oral and oropharyngeal cancers. This article discusses important technical issues related to CT scan examination, cross-sectional anatomy, patterns of tumor spread and role of imaging in pretreatment staging and post-treatment surveillance. How to cite this article Tibrewala S, Roplekar S, Varma R. Computed Tomography Evaluation of Oral Cavity and Oropharyngeal Cancers. Int J Otorhinolaryngol Clin 2013; 5(2):51-62.

Computed Tomography Evaluation of Oral Cavity and Oropharyngeal Cancers

2013 ◽  
Vol 5 (4) ◽  
pp. 4-15
Author(s):  
Ravi Varma ◽  
Sunita Tibrewala ◽  
Sudeep Roplekar
Keyword(s):  
Computed Tomography ◽  
Oral Cavity ◽  
Vital Role ◽  
Cross Sectional ◽  
Tumor Spread ◽  
Cross Sectional Imaging ◽  
Technical Issues ◽  
Pretreatment Staging ◽  
Sectional Imaging

ABSTRACT Cross-sectional imaging plays a vital role in the diagnostic evaluation of oral and oropharyngeal cancers. This article discusses important technical issues related to CT scan examination, cross-sectional anatomy, patterns of tumor spread and role of imaging in pretreatment staging and post-treatment surveillance.

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