Imaging the infant with a head injury: a single-centre retrospective study.
Daniel BraunoldHannah LewisBreda O'NeillNaomi EdmondsPublished in: BMJ paediatrics open (2020)
Head injury is the largest cause of mortality in paediatric trauma. Infants (<1 year old) are a high-risk group and vulnerable to non-accidental injury. A single-centre retrospective study at a major trauma centre collected data on infants presenting with a head injury over a 48-month period. 1127 infants presented with a head injury. 135 CT heads were performed. 38% of scans showed intracranial pathology. The decision about which infants to send for CT scans remains complex. Liberal use risks over-exposure to ionising radiation while restrictive use may miss subtler injuries.
Keyphrases
- computed tomography
- optic nerve
- dual energy
- contrast enhanced
- emergency department
- high resolution
- image quality
- cardiovascular disease
- type diabetes
- machine learning
- risk factors
- cardiovascular events
- big data
- radiation therapy
- deep learning
- mass spectrometry
- electronic health record
- decision making
- artificial intelligence