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Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain
Published on: August 8, 2019
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Repeat spine imaging in transferred emergency department patients
Jesse E Bible1, Rishin J Kadakia, Harrison F Kay
1From the Vanderbilt Orthopaedic Institute, Vanderbilt University School of Medicine, Nashville, TN.
Spine
|December 5, 2013
Summary
Repeat spine imaging after patient transfer is common, with CT scans frequently repeated unnecessarily. Improving communication and scan protocols could reduce repeat imaging and associated risks.
Area of Science:
- Radiology
- Trauma Surgery
- Medical Imaging
Background:
- Repeat imaging after transfer of patients with spine injuries is a recognized problem.
- Concerns include unnecessary radiation exposure and potential iatrogenic injury from patient movement.
Purpose of the Study:
- To assess the frequency of repeat spine imaging in patients transferred with known spine injuries.
- To identify reasons for repeat imaging and its impact on patient management.
Main Methods:
- Retrospective review of 1427 adult patients transferred with spine injuries over 51 months.
- Analysis of imaging studies and reports from outside hospitals (OSH) and the receiving institution (RI).
- Definition of repeat imaging as the same modality on the same spinal region.
Main Results:
- Overall repeat spine imaging rate was 23%, with 29% for computed tomography (CT).
- Repeat CT scans, including those as part of full-body scans, were frequent.
- Repeat imaging rarely changed management or provided essential surgical information (8%).
Conclusions:
- A substantial rate of repeat spine imaging, particularly CT, occurs in transferred patients with known spine injuries.
- Minimal changes in patient care resulted from repeat imaging.
- Recommendations include optimizing OSH imaging and enhancing inter-institutional communication.
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