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Development of a new clinical decision rule for cervical CT to detect cervical spine injury in patients with head or neck trauma.

Takeshi InagakiAkio KimuraGo MakishiShigeru TanakaNoriko Tanaka
Published in: Emergency medicine journal : EMJ (2018)
Our initial CT decision rule had lower sensitivity than in our initial validation study. A refined decision rule based on GCS, neck tenderness, neurological deficit and mechanism of injury showed excellent sensitivity with a small loss of specificity. Rule 2 will now need validation in an independent cohort.
Keyphrases
  • computed tomography
  • decision making
  • image quality
  • dual energy
  • contrast enhanced
  • positron emission tomography
  • trauma patients
  • optical coherence tomography