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Non-CT radiological investigation of facial trauma
James Smirniotopoulos james-smirnio at usuhs.milFri Jan 20 10:53:59 GMT 2012
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The current "standard of care" is thin section MDCT with 3D or other reconstructions as needed. Radiologists in North America are no longer being trained to read plain films. MR is better for somethings, but CT for facial trauma is still the standard. James G. Smirniotopoulos, M.D. Professor of Radiology, Neurology, and Biomedical Informatics Chief Editor, MedPix Teaching File Director, Imaging and Diagnostics Center for Neuroscience and Regenerative Medicine Uniformed Services University 4301 Jones Bridge Road Bethesda, MD 20814 FAX: 301-295-3893 TEL: 301-295-3145 Website - http://rad.usuhs.edu/medpix/parent.php3?mode=cow_sorter#top "Success is not measured by who gets credit. Success is measured by getting things done." Connie Morella "May we never confuse honest dissent with disloyal subversion." Dwight D. Eisenhower >>> Stephen Richey 01/20/12 1:40 AM >>> I have a question for the members of the list regarding assessment of facial trauma using x-rays in the setting where CT or MRI is not available. What studies would you want done to as completely as possible rule out facial and anterior cranial fossa fracture? I am working on a paper advocating for more complete documentation of injuries in trauma victims at autopsy (for reasons of studying injury biomechanics) and one of the major problems with the current data is that it is lacking in sufficient detail. One way of remedying this is to advocate increased radiographic techniques. CT or MRI while optimal is not always an option although it seems to be becoming more and more popular. Thank you to everyone who has any input on this matter. -- Stephen Richey Founder and Chief Researcher/Designer Kolibri Aviation Safety Research 5174-B Winterberry Circle Indianapolis, IN 46254 317-985-4740 "I think the best thing, and the only thing in our infinite inadequacy in making up for the loss of life, is to say something we have been able to say in a lot of other accidents to grieving families. That is 'Those deaths will not be in vain. We will not let them be in vain. Every one of those lives will be made to count in terms of making sure that three, four, five or ten other people do not die."- John J. Nance -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/index.php?/community/ Classification: UNCLASSIFIED Caveats: None Classification: UNCLASSIFIED Caveats: None
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