Initial experience with Lodox Statscan imaging system for detecting injuries of the pelvis and appendicular skeleton

The purpose of this study is to assess detection of pelvic and extremity injuries employing a rapid whole-body imaging system (Lodox Statscan). We retrospectively reviewed 37 consecutive cases. The study was approved by our hospital review board and carried out with Health Insurance Portability and Accountability Act (HIPAA) compliance. Anterior-posterior (AP) whole-body Lodox Statscan (LS) exams, obtained in 10-13 s, were reviewed by two musculoskeletal radiologists. Each patient's concurrent computed radiographs (CR) and computed tomographic (CT) studies were reviewed at a later date. There were 23 males and 14 females; ages ranged from 14 to 103 years (average 40 years). Sixteen patients had a total of 73 abnormalities seen on LS, CR or CT. The LS examination identified 47 abnormalities (64.4%) in 15 patients. Twenty-six additional abnormalities were detected with the other modalities (CR, CT) in 11 patients; 8 were evident on LS images in retrospect, with the remaining 18 not identified even retrospectively. Of these retrospectively occult injuries, only one was deemed significant to the acute management of the patient. The LS imaging system seems to be a useful tool for rapid screening of multitrauma patients.