Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding
Wu X, Malhotra A, Geng B, Kalra VB, Abbed K, Forman HP, Sanelli P. Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding. JAMA Surgery 2018, 153: 625-632. PMID: 29541757, PMCID: PMC5875318, DOI: 10.1001/jamasurg.2018.0099.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingBlunt traumaResonance imagingCervical clearanceNeurologic deficitsTomographic findingsHealth benefitsNational Spinal Cord Injury DatabaseSpinal Cord Injury DatabaseCost of MRISpecificity of MRIUse of MRIPermanent neurologic deficitsGroup of patientsComputed tomographic findingsNegative predictive valueProbabilistic sensitivity analysesCost-effectiveness analysisLower health benefitsCervical CTCT findingsInitial CTNormal CTCervical collarCervical spineUtility of MRI for cervical spine clearance in blunt trauma patients after a negative CT
Malhotra A, Durand D, Wu X, Geng B, Abbed K, Nunez DB, Sanelli P. Utility of MRI for cervical spine clearance in blunt trauma patients after a negative CT. European Radiology 2018, 28: 2823-2829. PMID: 29450715, DOI: 10.1007/s00330-017-5285-y.Peer-Reviewed Original ResearchConceptsBlunt trauma evaluationCervical spine CTCervical spine MRIUnstable injuriesBlunt traumaTrauma evaluationSpine CTSpine MRIBlunt cervical spine traumaCervical spine clearanceCT cervical spineAbnormal neurological examinationBlunt trauma patientsPercent of patientsCervical spine traumaCervical spine studiesSoft tissue injuriesUtility of MRICervical CTSpine clearanceAdult patientsSubsequent MRINeurological examinationSpine traumaTrauma patients