Primary pan-computed tomography for blunt multiple trauma: can the whole be better than its parts?

Injury

Volumn 40, Issue SUPPL. 4, 2009, Pages

  Stengel, Dirk ^a   Frank, Matthias ^a   Matthes, Gerrit ^a   Schmucker, Uli ^a   Seifert, Julia ^a   Mutze, Sven ^b   Wich, Michael ^a   Hanson, Beate ^c   Giannoudis, Peter V ^d   Ekkernkamp, Axel ^a  

^a UNIVERSITY OF GREIFSWALD   (Germany)

^b UNFALLKRANKENHAUS BERLIN   (Germany)

^c AO Clinical Investigation and Documentation   (Switzerland)

^d UNIVERSITY OF LEEDS   (United Kingdom)

Author keywords

Bias; Computed tomography; Migration; Mortality; Multi detector row; Multiple trauma; Prognosis; Sensitivity, Stage; Tomography, Accuracy; Whole body computed

Indexed keywords

ARTICLE; BODY REGIONS; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; HEALTH CARE PERSONNEL; HUMAN; INJURY SCALE; MEDICAL TECHNOLOGY; MORTALITY; MULTIPLE TRAUMA; PATIENT CARE; PRIORITY JOURNAL; SURVIVAL RATE; TRAUMATOLOGY;

BIAS (EPIDEMIOLOGY); DIAGNOSTIC ERRORS; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MALE; MIDDLE AGED; MULTIPLE TRAUMA; PREDICTIVE VALUE OF TESTS; RADIATION DOSAGE; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 72149131486     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2009.10.035     Document Type: Article

References (115)

1. Aaland M.O., and Smith K. Delayed diagnosis in a rural trauma center. Surgery 120 4 (1996) 774-778
2. Agostini C., Durieux M., Milot L., Kamaoui I., et al. [Value of double reading of whole body CT in polytrauma patients]. J Radiol. 89 3 Pt 1 (2008) 325-330
3. Ahvenjarvi L., Mattila L., Ojala R., and Tervonen O. Value of multidetector computed tomography in assessing blunt multitrauma patients. Acta Radiol. 46 2 (2005) 177-183
4. Ahvenjarvi L., Niinimaki J., Halonen J., Tervonen O., et al. Reliability of the evaluation of multidetector computed tomography images from the scanner's console in high-energy blunt-trauma patients. Acta Radiol. 48 1 (2007) 64-70
5. Al Salamah S.M., Mirza S.M., Ahmad S.N., and Khalid K. Role of ultrasonography, computed tomography and diagnostic peritoneal lavage in abdominal blunt trauma. Saudi Med J. 23 11 (2002) 1350-1355
6. Allen T.L., Mueller M.T., Bonk R.T., Harker C.P., et al. Computed tomographic scanning without oral contrast solution for blunt bowel and mesenteric injuries in abdominal trauma. J Trauma. 56 2 (2004) 314-322
7. Atri M., Hanson J.M., Grinblat L., Brofman N., et al. Surgically important bowel and/or mesenteric injury in blunt trauma: accuracy of multidetector CT for evaluation. Radiology 249 2 (2008) 524-533
8. Berne J.D., Velmahos G.C., El Tawil Q., Demetriades D., et al. Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study. J Trauma. 47 5 (1999) 896-902
9. Biberthaler P., Linsenmeier U., Pfeifer K.J., Kroetz M., et al. Serum S-100B concentration provides additional information fot the indication of computed tomography in patients after minor head injury: a prospective multicenter study. Shock 25 5 (2006) 446-453
10. Biffl W.L., Harrington D.T., and Cioffi W.G. Implementation of a tertiary trauma survey decreases missed injuries. J Trauma. 54 1 (2003) 38-43
11. Born C.T., Ross S.E., Iannacone W.M., Schwab C.W., et al. Delayed identification of skeletal injury in multisystem trauma: the fracture. J Trauma. 29 12 (1989) 1643-1646
12. Brenner D.J., and Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med. 357 22 (2007) 2277-2284
13. Brink M., Kool D.R., Dekker H.M., Deunk J., et al. Predictors of abnormal chest CT after blunt trauma: a critical appraisal of the literature. Clin Radiol. 64 3 (2009) 272-283
14. Brohi K., Healy M., Fotheringham T., Chan O., et al. Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient. J Trauma. 58 5 (2005) 897-901
15. Brooks A., Holroyd B., and Riley B. Missed injury in major trauma patients. Injury 35 4 (2004) 407-410
16. Bruckner B.A., DiBardino D.J., Cumbie T.C., Trinh C., et al. Critical evaluation of chest computed tomography scans for blunt descending thoracic aortic injury. Ann Thorac Surg. 81 4 (2006) 1339-1346
17. Buduhan G., and McRitchie D.I. Missed injuries in patients with multiple trauma. J Trauma. 49 4 (2000) 600-605
18. Burdett-Smith P., Airey M., and Franks A. Improvements in trauma survival in Leeds. Injury 26 7 (1995) 455-458
19. Butela S.T., Federle M.P., Chang P.J., Thaete F.L., et al. Performance of CT in detection of bowel injury. AJRAm J Roentgenol. 176 1 (2001) 129-135
20. Campillo-SotoA, Soria-Aledo V, Renedo-VillarroyaA, Millan MJ et al. [Computerised tomography in the diagnosis of intestinal and mesenteric injuries in closed abdominal trauma.]. Cir Esp. 2009 Jun 12. [Epub ahead of print].
21. Celso B., Tepas J., Langland-Orban B., Pracht E., et al. A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems. J Trauma. 60 2 (2006) 371-378
22. Chan R.N., Ainscow D., and Sikorski J.M. Diagnostic failures in the multiple injured. J Trauma. 20 8 (1980) 684-687
23. Diaz Jr. J.J., Gillman C., Morris Jr. J.A., May A.K., et al. Are fiveview plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental status. J Trauma. 55 4 (2003) 658-663
24. Duane T.M., Dechert T., Brown H., Wolfe L.G., et al. Is the lateral cervical spine plain film obsolete?. J Surg Res. 147 2 (2008) 267-269
25. Duane T.M., Dechert T., Wolfe L.G., Brown H., et al. Clinical examination is superior to plain films to diagnose pelvic fractures compared to CT. Am Surg. 74 6 (2008) 476-479
26. Eastman A.L., Chason D.P., Perez C.L., McAnulty A.L., et al. Computed tomographic angiography for the diagnosis of blunt cervical vascular injury: is it ready for primetime?. J Trauma 60 5 (2006) 925-929
27. Elmali M., Baydin A., Nural M.S., Arslan B., et al. Lung parenchymal injury and its frequency in blunt thoracic trauma: the diagnostic value of chest radiography and thoracic CT. Diagn Interv Radiol. 13 4 (2007) 179-182
28. Elton C., Riaz A.A., Young N., Schamschula R., et al. Accuracy of computed tomography in the detection of blunt bowel and mesenteric injuries. Br J Surg. 92 8 (2005) 1024-1028
29. Enderson B.L., and Maull K.I. Missed injuries. The trauma surgeon>s nemesis. Surg Clin North Am. 71 2 (1991) 399-418
30. Enderson B.L., Reath D.B., Meadors J., W D., et al. The tertiary trauma survey: a prospective study of missed injury. J Trauma. 30 6 (1990) 666-669
31. Exadaktylos A.K., Sclabas G., Schmid S.W., Schaller B., et al. Do we really need routine computed tomographic scanning in the primary evaluation of blunt chest trauma in patients with «normal» chest radiograph?. J Trauma. 51 6 (2001) 1173-1176
32. Fabian T.C., Mangiante E.C., White T.J., Patterson C.R., et al. A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J Trauma. 26 7 (1986) 602-608
33. Frame S.B., Browder I.W., Lang E.K., and McSwain Jr. N.E. Computed tomography versus diagnostic peritoneal lavage: usefulness in immediate diagnosis of blunt abdominal trauma. Ann Emerg Med. 18 5 (1989) 513-516
34. Gonzalez R.P., Ickler J., and Gachassin P. Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma. J Trauma. 51 6 (2001) 1128-1134
35. Griffen M.M., Frykberg E.R., Kerwin A.J., Schinco M.A., et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan?. J Trauma. 55 2 (2003) 222-226
36. Guillamondegui O.D., Pryor J.P., Gracias V.H., Gupta R., et al. Pelvic radiography in blunt trauma resuscitation: a diminishing role. J Trauma. 53 6 (2002) 1043-1047
37. Hilty M.P., Behrendt I., Benneker L.M., Martinolli L., et al. Pelvic radiography in ATLS algorithms: A diminishing role?. World J Emerg Surg. (2008) 311
38. Holmes J.F., and Akkinepalli R. Computed tomography versus plain radiography to screen for cervical spine injury: a metaanalysis. J Trauma. 58 5 (2005) 902-905
39. Holmes J.F., Offerman S.R., Chang C.H., Randel B.E., et al. Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries. Ann Emerg Med. 43 1 (2004) 120-128
40. Houshian S., Larsen M.S., and Holm C. Missed injuries in a level I trauma center. J Trauma. 52 4 (2002) 715-719
41. Howard J., Sundararajan R., Thomas S.G., Walsh M., et al. Reducing missed injuries at a level II trauma center. J Trauma Nurs. 13 3 (2006) 89-95
42. Huber-Wagner S., Lefering R., Qvick L.M., Korner M., et al. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet 373 9673 (2009) 1455-1461
43. Hui C.M., MacGregor J.H., Tien H.C., and Kortbeek J.B. Radiation dose from initial trauma assessment and resuscitation: review of the literature. Can J Surg. 52 2 (2009) 147-152
44. Inaba K., Munera F., McKenney M., Schulman C., et al. Visceral torso computed tomography for clearance of the thoracolumbar spine in trauma: a review of the literature. J Trauma. 60 4 (2006) 915-920
45. Janjua K.J., Sugrue M., and Deane S.A. Prospective evaluation of early missed injuries and the role of tertiary trauma survey. J Trauma. 44 6 (1998) 1000-1006
46. Jimenez-Gomez L.M., Amunategui I., Sanchez J.M., Colon A., et al. [Missed injuries in patients with multiple trauma: analysis of a trauma registry]. Cir Esp. 78 5 (2005) 303-307
47. Juhl M., Moller-Madsen B., and Jensen J. Missed injuries in an orthopaedic department. Injury 21 2 (1990) 110-112
48. Kailidou E., Pikoulis E., Katsiva V., Karavokyros I.G., et al. Contrastenhanced spiral CT evaluation of blunt abdominal trauma. JBR-BTR. 88 2 (2005) 61-65
49. Kalemoglu M., Demirbas S., Akin M.L., Yildirim I., et al. Missed injuries in military patients with major trauma: original study. Mil Med. 171 7 (2006) 598-602
50. Kessel B., Sevi R., Jeroukhimov I., Kalganov A., et al. Is routine portable pelvic X-ray in stable multiple trauma patients always justified in a high technology era?. Injury 38 5 (2007) 559-563
51. Killeen K.L., Shanmuganathan K., Poletti P.A., Cooper C., et al. Helical computed tomography of bowel and mesenteric injuries. J Trauma. 51 1 (2001) 26-36
52. Kremli M.K. Missed musculoskeletal injuries in a University Hospital in Riyadh: types of missed injuries and responsible factors. Injury 27 7 (1996) 503-506
53. Laasonen E.M., and Kivioja A. Delayed diagnosis of extremity injuries in patients with multiple injuries. J Trauma. 31 2 (1991) 257-260
54. Lecky F., Woodford M., and Yates D.W. Trends in trauma care in England and Wales 1989-97. UK Trauma Audit and Research Network. Lancet. 355 9217 (2000) 1771-1775
55. Leidner B., Adiels M., Aspelin P., Gullstrand P., et al. Standardized CT examination of the multitraumatized patient. Eur Radiol. 8 9 (1998) 1630-1638
56. Liu M., Lee C.H., and P'eng F.K. Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning, and ultrasonography for the diagnosis of blunt abdominal trauma. J Trauma. 35 2 (1993) 267-270
57. Livingston D.H., Lavery R.F., Passannante M.R., Skurnick J.H., et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial. J Trauma. 44 2 (1998) 273-280
58. Lobato R.D., Alen J.F., Perez-Nunez A., Alday R., et al. [Value of serial CT scanning and intracranial pressure monitoring for detecting new intracranial mass effect in severe head injury patients showing lesions type I-II in the initial CT scan]. Neurocirugia (Astur). 16 3 (2005) 217-234
59. Malhotra A.K., Fabian T.C., Katsis S.B., Gavant M.L., et al. Blunt bowel and mesenteric injuries: the role of screening computed tomography. J Trauma. 48 6 (2000) 991-998
60. Marmery H., Shanmuganathan K., Mirvis S.E., Richard III H., et al. Correlation of multidetector CT findings with splenic arteriography and surgery: prospective study in 392 patients. J Am Coll Surg. 206 4 (2008) 685-693
61. Marx J.A., Moore E.E., Jorden R.C., and Eule Jr. J. Limitations of computed tomography in the evaluation of acute abdominal trauma: a prospective comparison with diagnostic peritoneal lavage. J Trauma. 25 10 (1985) 933-937
62. Mathen R., Inaba K., Munera F., Teixeira P.G., et al. Prospective evaluation of multislice computed tomography versus plain radiographic cervical spine clearance in trauma patients. J Trauma. 62 6 (2007) 1427-1431
63. Matthes G., Stengel D., Seifert J., Rademacher G., et al. Blunt liver injuries in polytrauma: results from a cohort study with the regular use of whole-body helical computed tomography. World J Surg. 27 10 (2003) 1124-1130
64. McCulloch P.T., France J., Jones D.L., Krantz W., et al. Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after high-energy trauma. J Bone Joint Surg Am. 87 11 (2005) 2388-2394
65. Meijer J.M., Janssens M., and Hammacher E.R. [Injuries missed in diagnosing severely injured accident victims in the emergency room]. Ned Tijdschr Geneeskd. 143 34 (1999) 1742-1745
66. Meredith J.W., Ditesheim J.A., Stonehouse S., and Wolfman N. Computed tomography and diagnostic peritoneal lavage. Complementary roles in blunt trauma. Am Surg. 58 1 (1992) 44-48
67. Meyer D.M., Thal E.R., Weigelt J.A., and Redman H.C. The role of abdominal CT in the evaluation of stab wounds to the back. J Trauma. 29 9 (1989) 1226-1228
68. Muchow R.D., Resnick D.K., Abdel M.P., Munoz A., et al. Magnetic resonance imaging (MRI) in the clearance of the cervical spine in blunt trauma: a meta-analysis. J Trauma. 64 1 (2008) 179-189
69. Mutze S., Madeja C., Paris S., Ostermann P., et al. Helical CT examination of multiple trauma patients in a digitized radiology department. Emerg Radiol. 6 2 (1999) 77-80
70. Oakley P.A., MacKenzie G., Templeton J., Cook A.L., et al. Longitudinal trends in trauma mortality and survival in Stoke-on-Trent 1992-1998. Injury 35 4 (2004) 379-385
71. ObaidAK, BarlebenA, Porral D., Lush S., et al. Utility of plain film pelvic radiographs in blunt trauma patients in the emergency department. Am Surg. 72 10 (2006) 951-954
72. Ong A.W., Cohn S.M., Cohn K.A., Jaramillo D.H., et al. Unexpected findings in trauma patients dying in the intensive care unit: results of 153 consecutive autopsies. J Am Coll Surg. 194 4 (2002) 401-406
73. Pal J.D., and Victorino G.P. Defining the role of computed tomography in blunt abdominal trauma: use in the hemodynamically stable patient with a depressed level of consciousness. Arch Surg. 137 9 (2002) 1029-1032
74. Pehle B., Kuehne C.A., Block J., Waydhas C., et al. [The significance of delayed diagnosis of lesions in multiply traumatised patients.Astudy of 1,187 shock roompatients]. Unfallchirurg 109 11 (2006) 964-974
75. Peitzman A.B., Makaroun M.S., Slasky B.S., and Ritter P. Prospective study of computed tomography in initial management of blunt abdominal trauma. J Trauma. 26 7 (1986) 585-592
76. Pereira S.J., O'Brien D.P., Luchette F.A., Choe K.A., et al. Dynamic helical computed tomography scan accurately detects hemorrhage in patients with pelvic fracture. Surgery 128 4 (2000) 678-685
77. Perno J.F., Schunk J.E., Hansen K.W., and Furnival R.A. Significant reduction in delayed diagnosis of injury with implementation of a pediatric trauma service. Pediatr Emerg Care. 21 6 (2005) 367-371
78. Poletti P.A., Mirvis S.E., Shanmuganathan K., Takada T., et al. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography?. J Trauma. 57 5 (2004) 1072-1081
79. Probst C., Pape H.C., Hildebrand F., Regel G., et al. 30 years of polytrauma care: An analysis of the change in strategies and results of 4849 cases treated at a single institution. Injury 40 1 (2009) 77-83
80. Rademacher G., Stengel D., Siegmann S., Petersein J., et al. Optimization of contrast agent volume for helical CT in the diagnostic assessment of patients with severe and multiple injuries. J Comput Assist Tomogr. 26 1 (2002) 113-118
81. Richards J.R., and Derlet R.W. Computed tomography and blunt abdominal injury: patient selection based on examination, haematocrit and haematuria. Injury 28 3 (1997) 181-185
82. Rizoli S.B., Boulanger B.R., McLellan B.A., and Sharkey P.W. Injuries missed during initial assessment of blunt trauma patients. Accid Anal Prev. 26 5 (1994) 681-686
83. Robertson R., Mattox R., Collins T., Parks-Miller C., et al. Missed injuries in a rural area trauma center. Am J Surg. 172 5 (1996) 564-567
84. Rohrl B., Sadick M., Diehl S., Obertacke U., et al. [Whole-body MSCT of patients after polytrauma: abdominal injuries]. Rofo. 177 12 (2005) 1641-1648
85. Ruchholtz S., Waydhas C., Schroeder T., Piepenbrink K., et al. [The value of computed tomography in the early treatment of seriously injured patients]. Chirurg. 73 10 (2002) 1005-1012
86. Salim A., Sangthong B., Martin M., Brown C., et al. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arch Surg. 141 5 (2006) 468-473
87. Sanchez B., Waxman K., Jones T., Conner S., et al. Cervical spine clearance in blunt trauma: evaluation of a computed tomography-based protocol. J Trauma. 59 1 (2005) 179-183
88. Scarborough K., Slone D.S., Uribe P., Craun M., et al. Reduced mortality at a community hospital trauma center: the impact of changing trauma level designation From II to I. Arch Surg. 143 1 (2008) 22-27
89. Schenarts P.J., Diaz J., Kaiser C., Carrillo Y., et al. Prospective comparison of admission computed tomographic scan and plain films of the upper cervical spine in trauma patients with altered mental status. J Trauma. 51 4 (2001) 663-668
90. Schneidereit N.P., Simons R., Nicolaou S., Graeb D., et al. Utility of screening for blunt vascular neck injuries with computed tomographic angiography. J Trauma. 60 1 (2006) 209-215
91. Shanmuganathan K., Mirvis S.E., Boyd-Kranis R., Takada T., et al. Nonsurgical management of blunt splenic injury: use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology. 217 1 (2000) 75-82
92. Sherck J., Shatney C., Sensaki K., and Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg. 168 6 (1994) 670-675
93. Sliker C.W., Shanmuganathan K., and Mirvis S.E. Diagnosis of blunt cerebrovascular injuries with 16-MDCT: accuracy of wholebody MDCT compared with neck MDCT angiography. AJR Am J Roentgenol. 190 3 (2008) 790-799
94. Smits M., Dippel D.W., de Haan G.G., Dekker H.M., et al. External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT scanning in patients with minor head injury. JAMA. 294 12 (2005) 1519-1525
95. Snyder G.E. Whole-body imaging in blunt multisystem trauma patients who were never examined. Ann Emerg Med. 52 2 (2008) 101-103
96. Soundappan S.V., Holland A.J., and Cass D.T. Role of an extended tertiary survey in detecting missed injuries in children. J Trauma. 57 1 (2004) 114-118
97. Stafford R.E., McGonigal M.D., Weigelt J.A., and Johnson T.J. Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg. 134 6 (1999) 622-626
98. Stein D.M., Boswell S., Sliker C.W., Lui F.Y., et al. Blunt cerebrovascular injuries: does treatment always matter?. J Trauma. 66 1 (2009) 132-143
99. Stengel D., Bauwens K., Rademacher G., Mutze S., et al. Association between compliance with methodological standards of diagnostic research and reported test accuracy: metaanalysis of focused assessment of US for trauma. Radiology. 236 1 (2005) 102-111
100. Stengel D, Bauwens K, Sehouli J, Rademacher G et al. Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma. Cochrane Database Syst Rev. 2005 (2):CD004446.
101. Stengel D., Rademacher G., Hanson B., Ekkernkamp A., et al. Screening for blunt cerebrovascular injuries: the essential role of computed tomography angiography. Semin Ultrasound CT MR. 28 2 (2007) 101-108
102. Stephan P.J., McCarley M.C., O'Keefe G.E., and Minei J.P. 23-Hour observation solely for identification of missed injuries after trauma: is it justified?. J Trauma. 53 5 (2002) 895-900
103. Stiell I.G., Clement C.M., Rowe B.H., Schull M.J., et al. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury. JAMA. 294 12 (2005) 1511-1518
104. Stuhlfaut J.W., Soto J.A., Lucey B.C., Ulrich A., et al. Blunt abdominal trauma: performance of CT without oral contrast material. Radiology. 233 3 (2004) 689-694
105. Their M.E., Bensch F.V., Koskinen S.K., Handolin L., et al. Diagnostic value of pelvic radiography in the initial trauma series in blunt trauma. Eur Radiol. 15 8 (2005) 1533-1537
106. Tien H.C., Tremblay L.N., Rizoli S.B., Gelberg J., et al. Radiation exposure fromdiagnostic imaging in severely injured trauma patients. J Trauma. 62 1 (2007) 151-156
107. Tillou A, Gupta M, Baraff L, Schriger D et al. Is the use of Pan-CT for blunt trauma justified? A prospective evaluation [Paper 66]. American Association for the Surgery of Trauma, 67th Annual Meeting. 2008.
108. Ursic C., Curtis K., Zou Y., and Black D. Improved trauma patient outcomes after implementation of a dedicated trauma admitting service. Injury. 40 1 (2009) 99-103
109. Vles W.J., Veen E.J., Roukema J.A., Meeuwis J.D., et al. Consequences of delayed diagnoses in trauma patients: a prospective study. J Am Coll Surg. 197 4 (2003) 596-602
110. Wei C.J., Tsai W.C., Tiu C.M., Wu H.T., et al. Systematic analysis of missed extremity fractures in emergency radiology. Acta Radiol. 47 7 (2006) 710-717
111. Weiss N., Galanaud D., CarpentierA, Naccache L., et al. Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma. Crit Care. 11 5 (2007) 230
112. Weninger P., Mauritz W., Fridrich P., Spitaler R., et al. Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exemplified by an urban trauma center. J Trauma. 62 3 (2007) 584-591
113. Widder S., Doig C., Burrowes P., Larsen G., et al. Prospective evaluation of computed tomographic scanning for the spinal clearance of obtunded trauma patients: preliminary results. J Trauma. 56 6 (2004) 1179-1184
114. Wurmb T.E., Fruhwald P., Hopfner W., Keil T., et al. Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time. J Trauma. 66 3 (2009) 658-665
115. Wurmb T.E., Fruhwald P., Hopfner W., Roewer N., et al. Wholebody multislice computed tomography as the primary and sole diagnostic tool in patients with blunt trauma: searching for its appropriate indication. Am J Emerg Med. 25 9 (2007) 1057-1062