Gaze dwell times on plain film abnormalities in abdominal contrast studies. Invest Radiol 1993 28:191–201.īerbaum KS, Franken EA Jr, Dorfman DD, et al. The influence of clinical history on visual search with single and multiple abnormalities. Radiology 1995 194:895–902.īerbaum KS, Franken EA Jr, Anderson KL, et al. Mechanism of satisfaction of search: eye position recordings in the reading of chest radiographs. Emerg Radiol 1994 1:242–9.īerbaum KS, Franken EA Jr, Dorfman DD, et al. Missed fractures resulting from satisfaction of search. Invest Radiol 1994 29:403–9.īerbaum KS, El-Khoury GY, Franken EA Jr, et al. Satisfaction of search in the detection of plain film abnormalities in abdominal contrast studies. Invest Radiol 1990 25:133–40.įranken EA Jr, Berbaum KS, Lu CH, et al. Baltimore: Williams & Wilkins, 1993.īerbaum KS, Franken EA Jr, Dorfman, DD, et al., Satisfaction of search in diagnostic radiology. Acute cervical spine trauma: diagnostic performance of single-view versus three-view screening. West OC, Anbari MM, Pilgram TK, Wilson AJ. Radiographic evaluation of cervical spine injuries. J Trauma 1987 27:980–6.Ĭlark CR, Igram CM, El-Khoury GY, Ehara S. Etiology and clinical course of missed spine fractures. ![]() Reid DC, Henderson R, Saboe L, Miller JDR. Accuracy of standard radiographic views in detecting cervical spine fractures. Streitweiser DR, Knopp R, Wales LR, Williams JL, Tonnemacher K. Efficacy of the postraumatic, cross table lateral view of the cervical spine. J Trauma 1993 34:342–6.īlahd WH, Iserson KV, Bjelland JC. The etiology of missed cervical spine injuries. AJR Am J Roentgenol 1990 115:465–72.ĭavis JW, Phreaner DL, Hoyt DB, Mackersie RC. Radiology of the cervical spine in trauma patients: practice pitfalls and recommendations for improving efficiency and communication. For 26 injuries (55%), no extrinsic cause was evident, and 23 of these (88%) involved the C1–C2 region or the laminar/articular pillar region. Analysis revealed one or more possible contributing causes for the diagnostic error in 21 injuries: marked osteopenia (2), overlying structures (4), a combination of overexposure and overlying structures (2), and satisfaction of search (13). Analysis of 38 cases with 47 fractures missed by two or more readers showed that 20 *43%) involved the C1–C2 area, and 14 (30%) involved the laminae, and articular pillars. ![]() The most frequently missed injuries were laminar fractures, atlantoaxial subluxations, pillar fractures, and fractures of C1 and C2. The false-negative rate was 17% (2646 readings). One hundred eighty-nine examinations (three views), including 97 patients with acute injuries and 92 normal controls from the same emergency room population, were presented to 14 radiologists. We undertook this study to identify causes of false-negative cervical spine plain radiographic interpretations in a series of experimental readings.
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