Evidence map›Paper›PMID 37953368›Full record

ArticleEuropean radiology2024

Imaging of alert patients after non-self-inflicted strangulation: MRI is superior to CT.

Thomas D Ruder, Alexandra Gonzenbach, Jakob Heimer, Leonie Arneberg, Jolanta Klukowska-Rötzler, Simone Blunier, Aristomenis K Exadaktylos, Wolf-Dieter Zech, Franca Wagner

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. The current state of forensic imaging- clinical forensic imaging.International journal of legal medicine · 2025
    Review
  5. Article
  6. [Strangulation].Radiologie (Heidelberg, Germany) · 2024
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thomas D RuderInstitute of Diagnostic, Interventional and Pediatric Radiology, InselspitaI, Bern University Hospital, University of Bern, CH-3010 Bern, Freiburgstrasse, Switzerland. thomas.ruder@insel.ch.ORCID http://orcid.org/0000-0002-3110-9143
Alexandra GonzenbachDepartment of Emergency Medicine, InselspitaI, Bern University Hospital and University of Bern, Bern, Switzerland.
Jakob HeimerDepartment of Mathematics, Seminar for Statistics, ETH Zurich, Zurich, Switzerland.
Leonie ArnebergDepartment of Emergency Medicine, InselspitaI, Bern University Hospital and University of Bern, Bern, Switzerland.
Jolanta Klukowska-RötzlerDepartment of Emergency Medicine, InselspitaI, Bern University Hospital and University of Bern, Bern, Switzerland.
Simone BlunierDepartment of Emergency Medicine, InselspitaI, Bern University Hospital and University of Bern, Bern, Switzerland.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, InselspitaI, Bern University Hospital and University of Bern, Bern, Switzerland.
Wolf-Dieter ZechInstitute of Forensic Medicine, University of Bern, Bern, Switzerland.
Franca WagnerInstitute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the accuracy of CT and MRI reports of alert patients presenting after non-self-inflicted strangulation (NSIS) and evaluate the appropriateness of these imaging modalities in NSIS. MATERIAL AND

methodsThe study was a retrospective analysis of patient characteristics and strangulation details, with a comparison of original radiology reports (ORR) to expert read-outs (EXR) of CT and MRI studies of all NSIS cases seen from 2008 to 2020 at a single centre.

resultsThe study included 116 patients (71% women, p < .001, χ

conclusionsThe results indicate that MRI is more appropriate than CT for alert patients presenting after non-self-inflicted strangulation and underline the need for radiologists with specialist knowledge to report these cases in order to add value to both patient care and potential future medico-legal investigations. CLINICAL RELEVANCE STATEMENT: MRI should be preferred over CT for the investigation of strangulation related injuries in alert patients because MRI has a higher accuracy than CT and does not expose this usually young patient population to ionizing radiation. KEY POINTS: • Patients presenting after strangulation are often young women with a history of intimate partner violence while men typically present after assault by an unknown offender. • Expert read-outs of CT and MRI revealed potentially dangerous injuries in one of 14 patients. • MRI has a significantly higher sensitivity than CT and appears to be more appropriate for the diagnostic workup of alert patients after strangulation.

Indexed as

AsphyxiaMagnetic Resonance ImagingSensitivity and SpecificityTomography, X-Ray ComputedAdolescentAdultAgedFemaleHumansIntimate Partner ViolenceMaleMiddle AgedNeck InjuriesRetrospective StudiesYoung AdultBlunt cerebrovascular injuryEmergency radiologyLarynx fractureNon-accidental injuryNon-fatal strangulation

Identifiers

PMID37953368
PMCPMC11166758

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.