Skip to main content
Erschienen in: Emergency Radiology 1/2008

01.01.2008 | Original Article

A pilot study evaluating the “STATSCAN” digital X-ray machine in paediatric polytrauma

verfasst von: Richard D. Pitcher, Arjan B. van As, Virginia Sanders, Tania S. Douglas, Nicole Wieselthaler, Ann Vlok, Sylvia Paverd, Tracy Kilborn, Heinz Rode, Herman Potgieter, Stephen J. Beningfield

Erschienen in: Emergency Radiology | Ausgabe 1/2008

Einloggen, um Zugang zu erhalten

Abstract

A pilot study evaluating the use in paediatric polytrauma of the STATSCAN, a low-radiation dose, fan-beam digital radiography unit (Lodox Systems, Sandton, South Africa). Over 3 months, 23 polytrauma patients treated at the Emergency Unit of the Red Cross Children’s Hospital in Cape Town, South Africa, were imaged on the STATSCAN. Image quality, diagnostic equivalence and clinical efficiency were compared with a computed radiography (CR) system (Fuji FCR 5000, Fuji Photo Film, Tokyo, Japan). The STATSCAN antero-posterior bodygram correlated well technically and diagnostically with CR, showing 96% of the fractures in the cohort. It allowed superior visualisation of the trachea and main bronchi and imaging was, on average, 13% faster than CR. The STATSCAN could play an important role in paediatric polytrauma. The clinical significance of its superior demonstration of the trachea and main bronchi requires further evaluation.
Literatur
1.
Zurück zum Zitat Guly HR (2001) Diagnostic errors in an accident and emergency department. Emerg Med J 18(4):263–269PubMedCrossRef Guly HR (2001) Diagnostic errors in an accident and emergency department. Emerg Med J 18(4):263–269PubMedCrossRef
2.
Zurück zum Zitat Maree GJ, Irving BJ, Hering ER (2007) Paediatric dose measurement in a full body digital X-ray machine. Pediatr Radiol 37(10):990–997PubMedCrossRef Maree GJ, Irving BJ, Hering ER (2007) Paediatric dose measurement in a full body digital X-ray machine. Pediatr Radiol 37(10):990–997PubMedCrossRef
3.
Zurück zum Zitat Beningfield SJ, Potgieter JH, Bautz P, Shackleton M, Hering E, de Jager G, Bowie G, Marshall M, Cox G, Pagliari G, Coetzee N (1999) Evaluation of a new type of direct digital radiography machine. S Afr Med J 89(11):1182–1188PubMed Beningfield SJ, Potgieter JH, Bautz P, Shackleton M, Hering E, de Jager G, Bowie G, Marshall M, Cox G, Pagliari G, Coetzee N (1999) Evaluation of a new type of direct digital radiography machine. S Afr Med J 89(11):1182–1188PubMed
4.
Zurück zum Zitat Beningfield SJ, Potgieter H, Nicol A, Van As S, Bowie G, Hering E, Lätti E (2003) Report on a new type of trauma full-body digital X-ray machine. Emerg Radiol 10(1):23–29PubMed Beningfield SJ, Potgieter H, Nicol A, Van As S, Bowie G, Hering E, Lätti E (2003) Report on a new type of trauma full-body digital X-ray machine. Emerg Radiol 10(1):23–29PubMed
5.
Zurück zum Zitat Boffard KD, Goosen J, Plani F, Degiannis E, Potgieter H (2006) The use of low dosage X-ray (Lodox/Statscan) in major trauma: comparison between low dose X-ray and conventional X-ray techniques. J Trauma 60:1175–1181PubMed Boffard KD, Goosen J, Plani F, Degiannis E, Potgieter H (2006) The use of low dosage X-ray (Lodox/Statscan) in major trauma: comparison between low dose X-ray and conventional X-ray techniques. J Trauma 60:1175–1181PubMed
6.
Zurück zum Zitat Douglas TS, Sanders V, Pitcher R, van As AB (2007) Early detection of fractures with low-dose digital x-ray images in a pediatric trauma unit. J Trauma 62 (in press) Douglas TS, Sanders V, Pitcher R, van As AB (2007) Early detection of fractures with low-dose digital x-ray images in a pediatric trauma unit. J Trauma 62 (in press)
7.
Zurück zum Zitat Koning L, Douglas TS, Pitcher R, van As AB (2006) Short emergency department length of stay attributed to full body digital radiography: a review of 3 paediatric cases. S Afr Med J 96(7):613–614PubMed Koning L, Douglas TS, Pitcher R, van As AB (2006) Short emergency department length of stay attributed to full body digital radiography: a review of 3 paediatric cases. S Afr Med J 96(7):613–614PubMed
8.
Zurück zum Zitat van As AB, Douglas TS, Kilborn T, Pitcher R, Rode H (2006) Multiple injuries diagnosed using full-body digital x-ray. J Pediatr Surg 41(7):e25–e28PubMedCrossRef van As AB, Douglas TS, Kilborn T, Pitcher R, Rode H (2006) Multiple injuries diagnosed using full-body digital x-ray. J Pediatr Surg 41(7):e25–e28PubMedCrossRef
9.
Zurück zum Zitat Douglas TS, Sanders V, Machers S, Pitcher R, van As AB (2007) Digital radiographic measurement of the atlantodental interval in children. J Pediatr Orthop 27(1):23–26PubMed Douglas TS, Sanders V, Machers S, Pitcher R, van As AB (2007) Digital radiographic measurement of the atlantodental interval in children. J Pediatr Orthop 27(1):23–26PubMed
10.
Zurück zum Zitat Jakobsson U, Westergren A (2005) Statistical methods for assessing agreement for ordinal data. Scand J Caring Sci 19(4):427–431PubMedCrossRef Jakobsson U, Westergren A (2005) Statistical methods for assessing agreement for ordinal data. Scand J Caring Sci 19(4):427–431PubMedCrossRef
11.
Zurück zum Zitat Gordon JA (1986) Unexpected, unsuspected and missed injuries in a pediatric trauma unit. S Afr Med J 70:415–416PubMed Gordon JA (1986) Unexpected, unsuspected and missed injuries in a pediatric trauma unit. S Afr Med J 70:415–416PubMed
12.
Zurück zum Zitat Peery CL, Chendrasekhar A, Paradise NF, Moorman DW, Timberlake GA (1999) Missed injuries in pediatric trauma. Am Surg 65(7):1067–1069PubMed Peery CL, Chendrasekhar A, Paradise NF, Moorman DW, Timberlake GA (1999) Missed injuries in pediatric trauma. Am Surg 65(7):1067–1069PubMed
13.
Zurück zum Zitat Soundappan SV, Holland AJ, Cass DT (2004) Role of an extended tertiary survey in detecting missed injuries in children. J Trauma 57(1):114–118PubMedCrossRef Soundappan SV, Holland AJ, Cass DT (2004) Role of an extended tertiary survey in detecting missed injuries in children. J Trauma 57(1):114–118PubMedCrossRef
14.
Zurück zum Zitat Buduhan G, McRitchie DI (2000) Missed injuries in patients with multiple trauma. J Trauma 49(4):600–605PubMed Buduhan G, McRitchie DI (2000) Missed injuries in patients with multiple trauma. J Trauma 49(4):600–605PubMed
15.
Zurück zum Zitat Chan RN, Ainscow D, Sikorski JM (1980) Diagnostic failures in the multiple injured. J Trauma 20(8):684–687PubMed Chan RN, Ainscow D, Sikorski JM (1980) Diagnostic failures in the multiple injured. J Trauma 20(8):684–687PubMed
16.
Zurück zum Zitat Kremli MK (1996) Missed musculoskeletal injuries in a University Hospital in Riyadh: types of missed injuries and responsible factors. Injury 27(7):503–506PubMedCrossRef Kremli MK (1996) Missed musculoskeletal injuries in a University Hospital in Riyadh: types of missed injuries and responsible factors. Injury 27(7):503–506PubMedCrossRef
17.
Zurück zum Zitat Committee on Quality Improvement, American Academy of Pediatrics (1999) Commission on Clinical Policies and Research, American Academy of Family Physicians: the management of minor closed head injury in children. Pediatrics 104:1407–1415CrossRef Committee on Quality Improvement, American Academy of Pediatrics (1999) Commission on Clinical Policies and Research, American Academy of Family Physicians: the management of minor closed head injury in children. Pediatrics 104:1407–1415CrossRef
18.
Zurück zum Zitat Reed MJ, Browning JG, Wilkinson AG, Beattie T (2005) Can we abolish skull x rays for head injury? Arch Dis Child 90(8):859–864PubMedCrossRef Reed MJ, Browning JG, Wilkinson AG, Beattie T (2005) Can we abolish skull x rays for head injury? Arch Dis Child 90(8):859–864PubMedCrossRef
19.
Zurück zum Zitat Dias MS, Lillis KA, Calvo C, Shah SH, Li V (2004) Management of accidental minor head injuries in children: a prospective outcomes study. J Neurosurg 101:38–43PubMed Dias MS, Lillis KA, Calvo C, Shah SH, Li V (2004) Management of accidental minor head injuries in children: a prospective outcomes study. J Neurosurg 101:38–43PubMed
20.
Zurück zum Zitat Lloyd DA, Carty H, Patterson M, Butcher CK, Roe D (1997) Predictive value of skull radiography for intracranial injury in children with blunt head injury. Lancet 349(9055):821–824PubMedCrossRef Lloyd DA, Carty H, Patterson M, Butcher CK, Roe D (1997) Predictive value of skull radiography for intracranial injury in children with blunt head injury. Lancet 349(9055):821–824PubMedCrossRef
21.
Zurück zum Zitat Andronikou S, Kilborn T, Patel M, Fieggen AG (2003) Skull fracture as a herald for intracranial abnormality in children with mild head injury: is there a role for skull radiographs? Australas Radiol 47(4):381–385PubMedCrossRef Andronikou S, Kilborn T, Patel M, Fieggen AG (2003) Skull fracture as a herald for intracranial abnormality in children with mild head injury: is there a role for skull radiographs? Australas Radiol 47(4):381–385PubMedCrossRef
22.
Zurück zum Zitat Quayle KS, Jaffe DM, Kuppermann N, Kaufman BA, Lee BCP, Park TS, McAlister WH (1997) Diagnostic testing for acute head injury in children: When are head computed tomography and skull radiographs indicated? Pediatrics 99(5):E11PubMedCrossRef Quayle KS, Jaffe DM, Kuppermann N, Kaufman BA, Lee BCP, Park TS, McAlister WH (1997) Diagnostic testing for acute head injury in children: When are head computed tomography and skull radiographs indicated? Pediatrics 99(5):E11PubMedCrossRef
23.
Zurück zum Zitat Dunning J, Batchelor J, Stratford-Smith P, Teece S, Browne J, Sharpin C, Mackway-Jones K (2004) A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child 89(7):653–659PubMedCrossRef Dunning J, Batchelor J, Stratford-Smith P, Teece S, Browne J, Sharpin C, Mackway-Jones K (2004) A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child 89(7):653–659PubMedCrossRef
Metadaten
Titel
A pilot study evaluating the “STATSCAN” digital X-ray machine in paediatric polytrauma
verfasst von
Richard D. Pitcher
Arjan B. van As
Virginia Sanders
Tania S. Douglas
Nicole Wieselthaler
Ann Vlok
Sylvia Paverd
Tracy Kilborn
Heinz Rode
Herman Potgieter
Stephen J. Beningfield
Publikationsdatum
01.01.2008
Verlag
Springer-Verlag
Erschienen in
Emergency Radiology / Ausgabe 1/2008
Print ISSN: 1070-3004
Elektronische ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-007-0668-z

Weitere Artikel der Ausgabe 1/2008

Emergency Radiology 1/2008 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.