ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2012
Accuracy of single-pass whole-body computed tomography for detection of injuries in patients with major blunt trauma.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Imaging strategies for patients with multiple and/or severe injuries in the resuscitation room: a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma.The Cochrane database of systematic reviews · 2018Pooled it
- Indications for total-body computed tomography in blunt trauma patients: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Pooled it
- Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma.The Cochrane database of systematic reviews · 2015Pooled it
- Dose reduction in whole-body computed tomography of multiple injuries (DoReMI): protocol for a prospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2014Trial
- CT in adult patients with Polytrauma: current practices, protocol optimization, structured reporting and future directions.Emergency radiology · 2026Review
- Identifying Transfusion Triggers in Trauma Patients and Developing the Vellore Trauma Transfusion Score: A Retrospective Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Whole-Body Computed Tomography (WBCT) for the initial assessment of trauma patients: a retrospective observational study.Emergency radiology · 2026Observational
- Comparison of image quality of split-bolus computed tomography versus dual-phase computed tomography in abdominal trauma.Polish journal of radiology · 2025Article
- Feasibility and diagnostic accuracy of fast whole-body MRI in slightly to moderately injured trauma patients.European radiology · 2025Article
- Influencing factors for delayed diagnosed injuries in multiple trauma patients - introducing the 'Risk for Delayed Diagnoses Score' (RIDD-Score).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Management and treatment of liver injuries after blunt abdominal trauma].Chirurgie (Heidelberg, Germany) · 2023Review
- Page phenomenon in a transplanted kidney: is it salvageable?BMJ case reports · 2022Article
- Usefulness and outcome of whole-body computed tomography (pan-scan) in trauma patients: A prospective study.Annals of medicine and surgery (2012) · 2022Article
- Assessment of cervical spine CT scans by emergency physicians: A comparative diagnostic accuracy study in a non-clinical setting.Journal of the American College of Emergency Physicians open · 2022Article
- Deep learning reconstruction for contrast-enhanced CT of the upper abdomen: similar image quality with lower radiation dose in direct comparison with iterative reconstruction.European radiology · 2021Article
- Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnoses and Radiation Exposure in Patients With Blunt Multiple Trauma.JAMA surgery · 2020Article
- Assessment of sensitivity of whole body CT for major trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- [The TraumaRegister DGU® dataset, its development over 25 years and advances in the care of severely injured patients].Der Unfallchirurg · 2018Review
- A review of split-bolus single-pass CT in the assessment of trauma patients.Emergency radiology · 2018Review
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundContrast-enhanced whole-body computed tomography (also called "pan-scanning") is considered to be a conclusive diagnostic tool for major trauma. We sought to determine the accuracy of this method, focusing on the reliability of negative results.
methodsBetween July 2006 and December 2008, a total of 982 patients with suspected severe injuries underwent single-pass pan-scanning at a metropolitan trauma centre. The findings of the scan were independently evaluated by two reviewers who analyzed the injuries to five body regions and compared the results to a synopsis of hospital charts, subsequent imaging and interventional procedures. We calculated the sensitivity and specificity of the pan-scan for each body region, and we assessed the residual risk of missed injuries that required surgery or critical care.
resultsA total of 1756 injuries were detected in the 982 patients scanned. Of these, 360 patients had an Injury Severity Score greater than 15. The median length of follow-up was 39 (interquartile range 7-490) days, and 474 patients underwent a definitive reference test. The sensitivity of the initial pan-scan was 84.6% for head and neck injuries, 79.6% for facial injuries, 86.7% for thoracic injuries, 85.7% for abdominal injuries and 86.2% for pelvic injuries. Specificity was 98.9% for head and neck injuries, 99.1% for facial injuries, 98.9% for thoracic injuries, 97.5% for abdominal injuries and 99.8% for pelvic injuries. In total, 62 patients had 70 missed injuries, indicating a residual risk of 6.3% (95% confidence interval 4.9%-8.0%).
interpretationWe found that the positive results of trauma pan-scans are conclusive but negative results require subsequent confirmation. The pan-scan algorithms reduce, but do not eliminate, the risk of missed injuries, and they should not replace close monitoring and clinical follow-up of patients with major trauma.
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