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Prävalenz von Zufallsbefunden des Achsenskeletts in computertomographischen Untersuchungen polytraumatisierter Patienten


Scheyerer, Max J; Hollenstein, Michael; Doering, Robert; Werner, Clement M L; Sprengel, Kai; Alkadhi, Hatem; Simmen, Hans-Peter (2014). Prävalenz von Zufallsbefunden des Achsenskeletts in computertomographischen Untersuchungen polytraumatisierter Patienten. Praxis, 103(14):819-846.

Abstract

Computed tomography has become an important component in the initial assessment of severely injured patients over the last years. The liberal use coupled with advances in imaging technology often result in incidental findings. In our present investigation, the prevalence incidence of incidental findings of the spine and skull amounted to 58% of all patients with trauma. Degenerative changes were most commonly found, followed by congenital defects and neoplasms. Within the latter, further investigation was necessary in six cases, of which two findings proved to be malignant neoplasms. The high incidence of incidental findings calls for a uniform documentation, handling and clarification of responsibility in treatment and insurance-related competence.

Abstract

Computed tomography has become an important component in the initial assessment of severely injured patients over the last years. The liberal use coupled with advances in imaging technology often result in incidental findings. In our present investigation, the prevalence incidence of incidental findings of the spine and skull amounted to 58% of all patients with trauma. Degenerative changes were most commonly found, followed by congenital defects and neoplasms. Within the latter, further investigation was necessary in six cases, of which two findings proved to be malignant neoplasms. The high incidence of incidental findings calls for a uniform documentation, handling and clarification of responsibility in treatment and insurance-related competence.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2014
Deposited On:09 Jul 2014 12:16
Last Modified:05 Apr 2016 17:57
Publisher:Hans Huber
ISSN:1661-8157
Publisher DOI:https://doi.org/10.1024/1661-8157/a001717
PubMed ID:24985227

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