caa a22 4500 475842049 CHVBK 20180406123903.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s101400050007 doi (NATIONALLICENCE)springer-10.1007/s101400050007 Cervical spine injury: accuracy of helical CT used as a screening technique [Elektronische Daten] [J. A. Hanson, C. C. Blackmore, F. A. Mann, A. J. Wilson] Objective: The study objective was to determine the sensitivity and specificity of a helical CT technique to screen for cervical spine injury in a high-risk trauma population. Materials and methods: The helical CT reports for a consecutive series of 601 high-risk adult blunt trauma victims were reviewed. Findings were confirmed using an independent reference standard, which consisted of additional cervical spine imaging (CT, MRI, or radiography), operative findings, autopsy results or clinical outcome. Results: Sensitivity and specificity of helical CT for injury were 77/81 (95 %; 95 % confidence limits: 90-100 %) and 484/520 (93 %; 95 % confidence limits 91-95 %) respectively. Four false negative cases were comprised of three missed ligamentous injuries and one missed fracture. False positive cases (n = 36) were mostly attributed to possible facet fracture (n = 6), possible ligamentous injury (n = 8) or technically inadequate scan (n = 6).The overall accuracy of the helical CT protocol for cervical spine injury in this population was 561/601 (93 %; 95 % confidence limits 91-95 %). Conclusion: Helical CT has high accuracy for cervical spine injury. We believe that helical CT should be the preferred imaging strategy in high-risk blunt trauma patients. American Society of Emergency Radiology, 2000 Key words Helical CT - Screening - Cervical spine injury - Spinal fracture - Adult nationallicence Hanson J. A. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut Blackmore C. C. Department of Radiology, Box 359728, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104, USA Tel.: + 1-2 06-7 31 35 61, Fax: + 1-206-7318560), US aut Mann F. A. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut Wilson A. J. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut https://doi.org/10.1007/s101400050007 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s101400050007 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hanson J. A. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut NATIONALLICENCE 700 1- Blackmore C. C. Department of Radiology, Box 359728, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104, USA Tel.: + 1-2 06-7 31 35 61, Fax: + 1-206-7318560), US aut NATIONALLICENCE 700 1- Mann F. A. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut NATIONALLICENCE 700 1- Wilson A. J. Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Seattle, WA 98104, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer