Diagnostic accuracy, biohazard safety, and cost effectiveness-the Lodox/Statscan provides a beneficial alternative for the primary evaluation of patients with multiple injuries

Ray Jade Chen, Chih Yuan Fu, Shih Chi Wu, Yu Chun Wang, Ping Kuei Chung, Hung Chang Huang, Jui Chien Huang, Chih Wei Lu

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Lodox/Statscan is a new digital X-ray machine with a low dose of radiation exposure that provides rapid, whole-body scans. In the setting of acute trauma management, the importance of image study is well recognized. Here, we report the accuracy of diagnoses made using Lodox/Statscan in patients with multiple injuries. We analyze the cost effectiveness, biohazard safety, and detection rate for treatment using the Lodox/Statscan and evaluate whether it is a viable alternative to the conventional trauma X-ray. Methods: We retrospectively reviewed patients who received a Lodox/Statscan between November 2007 and January 2009. All patients who had received both a Lodox/Statscan and a computed tomographic (CT) scan were enrolled. The CT scan was used to make the final diagnosis. The detection rate for treatment, sensitivity, and specificity of the Lodox/Statscan in diagnosis was analyzed. Results: One hundred eighty-four patients were eligible for the study during the 15-month study period. The detection rates for treatment using the Lodox/Statscan for pneumothorax, pelvic fracture, cervical spine injury, and thoracic-lumbar spine injury were 95%, 96.0%, and 57.1%, and 100%, respectively. Conclusion: In our series, the Lodox/Statscan provided similar quality images and conventional series to the CT scans. Although the Lodox/Statscan missed some injuries, most of the subsequent treatments were not changed. Overall, there were several advantages to using this system, including the short interval of study, low-radiation exposure, and low cost. The Lodox/Statscan could therefore be used as an alternative to the traditional trauma X-ray for evaluation of acute trauma patients.

Original languageEnglish
Pages (from-to)826-830
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume69
Issue number4
DOIs
Publication statusPublished - Oct 2010
Externally publishedYes

Fingerprint

Hazardous Substances
Multiple Trauma
Cost-Benefit Analysis
Safety
Wounds and Injuries
X-Rays
Spine
Whole Body Imaging
Thoracic Injuries
Pneumothorax
Therapeutics
Costs and Cost Analysis
Sensitivity and Specificity

Keywords

  • Biohazard safety
  • Cost/effectiveness
  • Hemothorax
  • Lodox/statscan
  • Pelvic fracture
  • Pneumothorax

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Diagnostic accuracy, biohazard safety, and cost effectiveness-the Lodox/Statscan provides a beneficial alternative for the primary evaluation of patients with multiple injuries. / Chen, Ray Jade; Fu, Chih Yuan; Wu, Shih Chi; Wang, Yu Chun; Chung, Ping Kuei; Huang, Hung Chang; Huang, Jui Chien; Lu, Chih Wei.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 69, No. 4, 10.2010, p. 826-830.

Research output: Contribution to journalArticle

Chen, Ray Jade ; Fu, Chih Yuan ; Wu, Shih Chi ; Wang, Yu Chun ; Chung, Ping Kuei ; Huang, Hung Chang ; Huang, Jui Chien ; Lu, Chih Wei. / Diagnostic accuracy, biohazard safety, and cost effectiveness-the Lodox/Statscan provides a beneficial alternative for the primary evaluation of patients with multiple injuries. In: Journal of Trauma - Injury, Infection and Critical Care. 2010 ; Vol. 69, No. 4. pp. 826-830.
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abstract = "Background: Lodox/Statscan is a new digital X-ray machine with a low dose of radiation exposure that provides rapid, whole-body scans. In the setting of acute trauma management, the importance of image study is well recognized. Here, we report the accuracy of diagnoses made using Lodox/Statscan in patients with multiple injuries. We analyze the cost effectiveness, biohazard safety, and detection rate for treatment using the Lodox/Statscan and evaluate whether it is a viable alternative to the conventional trauma X-ray. Methods: We retrospectively reviewed patients who received a Lodox/Statscan between November 2007 and January 2009. All patients who had received both a Lodox/Statscan and a computed tomographic (CT) scan were enrolled. The CT scan was used to make the final diagnosis. The detection rate for treatment, sensitivity, and specificity of the Lodox/Statscan in diagnosis was analyzed. Results: One hundred eighty-four patients were eligible for the study during the 15-month study period. The detection rates for treatment using the Lodox/Statscan for pneumothorax, pelvic fracture, cervical spine injury, and thoracic-lumbar spine injury were 95{\%}, 96.0{\%}, and 57.1{\%}, and 100{\%}, respectively. Conclusion: In our series, the Lodox/Statscan provided similar quality images and conventional series to the CT scans. Although the Lodox/Statscan missed some injuries, most of the subsequent treatments were not changed. Overall, there were several advantages to using this system, including the short interval of study, low-radiation exposure, and low cost. The Lodox/Statscan could therefore be used as an alternative to the traditional trauma X-ray for evaluation of acute trauma patients.",
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AU - Wang, Yu Chun

AU - Chung, Ping Kuei

AU - Huang, Hung Chang

AU - Huang, Jui Chien

AU - Lu, Chih Wei

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AB - Background: Lodox/Statscan is a new digital X-ray machine with a low dose of radiation exposure that provides rapid, whole-body scans. In the setting of acute trauma management, the importance of image study is well recognized. Here, we report the accuracy of diagnoses made using Lodox/Statscan in patients with multiple injuries. We analyze the cost effectiveness, biohazard safety, and detection rate for treatment using the Lodox/Statscan and evaluate whether it is a viable alternative to the conventional trauma X-ray. Methods: We retrospectively reviewed patients who received a Lodox/Statscan between November 2007 and January 2009. All patients who had received both a Lodox/Statscan and a computed tomographic (CT) scan were enrolled. The CT scan was used to make the final diagnosis. The detection rate for treatment, sensitivity, and specificity of the Lodox/Statscan in diagnosis was analyzed. Results: One hundred eighty-four patients were eligible for the study during the 15-month study period. The detection rates for treatment using the Lodox/Statscan for pneumothorax, pelvic fracture, cervical spine injury, and thoracic-lumbar spine injury were 95%, 96.0%, and 57.1%, and 100%, respectively. Conclusion: In our series, the Lodox/Statscan provided similar quality images and conventional series to the CT scans. Although the Lodox/Statscan missed some injuries, most of the subsequent treatments were not changed. Overall, there were several advantages to using this system, including the short interval of study, low-radiation exposure, and low cost. The Lodox/Statscan could therefore be used as an alternative to the traditional trauma X-ray for evaluation of acute trauma patients.

KW - Biohazard safety

KW - Cost/effectiveness

KW - Hemothorax

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KW - Pelvic fracture

KW - Pneumothorax

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