TY - JOUR
T1 - Acute plain anterioposterior radiograph of the pelvis is not useful in detecting fractures of iliac wing and os sacrum
T2 - A prospective study of 73 patients using CT as gold standard
AU - Lunsjo, K.
AU - Tadros, A. M.A.
AU - Hauggaard, A.
AU - Blomgren, R.
AU - Kopke, J.
AU - Abu-Zidan, F. M.
PY - 2007/4
Y1 - 2007/4
N2 - Conflicting opinions exist to what extent interpreters of an acute anterioposterior (AP) radiograph of the pelvis underdiagnose pelvic injury. We have prospectively evaluated the usefulness of a plain AP radiograph of the pelvis in detecting injuries, using CT as the gold standard. Seventy-three haemodynamically stable blunt trauma patients, who had an AP radiograph of the pelvis and an abdominopelvic CT as part of their initial imaging evaluation, were included. There were 14 women and 59 men, with a mean age of 30 (3-61) years. Two senior radiologists, with special interest in CT examinations evaluating trauma, reviewed the radiographs and a month later the CT scans, blinded and independently. Usefulness index of the plain AP radiograph of the pelvis in detecting specific injuries was calculated using CT as the gold standard. A radiograph is regarded as useful if the usefulness index is 0.35 or more. The usefulness index for a plain AP radiograph of the pelvis for detecting a fracture of iliac wing and os sacrum was 0.25 and 0.01, respectively. An acute AP radiograph of the pelvis is not useful in detecting a fracture of iliac wing or os sacrum.
AB - Conflicting opinions exist to what extent interpreters of an acute anterioposterior (AP) radiograph of the pelvis underdiagnose pelvic injury. We have prospectively evaluated the usefulness of a plain AP radiograph of the pelvis in detecting injuries, using CT as the gold standard. Seventy-three haemodynamically stable blunt trauma patients, who had an AP radiograph of the pelvis and an abdominopelvic CT as part of their initial imaging evaluation, were included. There were 14 women and 59 men, with a mean age of 30 (3-61) years. Two senior radiologists, with special interest in CT examinations evaluating trauma, reviewed the radiographs and a month later the CT scans, blinded and independently. Usefulness index of the plain AP radiograph of the pelvis in detecting specific injuries was calculated using CT as the gold standard. A radiograph is regarded as useful if the usefulness index is 0.35 or more. The usefulness index for a plain AP radiograph of the pelvis for detecting a fracture of iliac wing and os sacrum was 0.25 and 0.01, respectively. An acute AP radiograph of the pelvis is not useful in detecting a fracture of iliac wing or os sacrum.
KW - Fracture
KW - Pelvis
KW - Radiography
KW - Skeletal
KW - Spiral CT
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UR - http://www.scopus.com/inward/citedby.url?scp=33947268244&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1673.2007.01684.x
DO - 10.1111/j.1440-1673.2007.01684.x
M3 - Article
C2 - 17419859
AN - SCOPUS:33947268244
SN - 0004-8461
VL - 51
SP - 147
EP - 149
JO - Australasian Radiology
JF - Australasian Radiology
IS - 2
ER -