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Detection of cervical spine trauma: Are 3-dimensional reconstructed images as accurate as multiplanar computer tomography?
Asad Shakil, Aga Khan University
Aeman Muneeb, Aga Khan University
Muhammad Salman Khan, Aga Khan UniversityFollow
Amir Humza Sohail, New York University Langone Health, New York
Sameeha Ismail, Shifa International Hospitals Ltd, Islamabad, Pakistan
Muhammad Hassaan Arif Maan, Aga Khan UniversityFollow
Hazim Hakmi, New York University Langone Health, New York
Abin Sajan, New York University Langone Health, New York
Vaqar Bari, Aga Khan UniversityFollow
Medical College Pakistan; Radiology
Introduction: This study was conducted to assess the diagnostic accuracy of three-dimensional computed tomography (3D-CT) in detection of cervical spine injuries in symptomatic post-trauma patients using multiplanar computed tomography (MP-CT) as reference standard.
Approach: This cross-sectional study was conducted at Aga Khan University from July 2016 to January 2017. Patients were included using a non-probability, consecutive sampling. MP-CT and 3D- CT images were obtained and evaluated by a senior radiologist to identify cervical spine injuries.
Results: 205 patients were included in the study. For fractures, 3D-CT images had sensitivity of 71%, specificity of 100%, positive predictive value (PPV) of 100%, negative predictive value (NPV) of 96.8% and diagnostic accuracy of 97%. For dislocations, 3D-CT reported sensitivity of 83.34%, specificity of 100%, positive predictive value of 100% and negative predictive value of 99.5% and diagnostic accuracy of 99.5%.
Conclusion: 3D-CT has good diagnostic accuracy for injuries of the cervical spine but must be reviewed simultaneously with multiplanar CT images.
Journal of Medical Imaging and Radiation Sciences
Shakil, A., Muneeb, A., Khan, M. S., Sohail, A. H., Ismail, S., Maan, M. A., Hakmi, H., Sajan, A., Bari, V. (2021). Detection of cervical spine trauma: Are 3-dimensional reconstructed images as accurate as multiplanar computer tomography?. Journal of Medical Imaging and Radiation Sciences.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_radiol/481