Cervical spine MRI after CT may have limited effectiveness, study shows: 3 insights

Imaging

Cervical spine MRI in blunt trauma evaluation after a negative non-contrast cervical spine CT may only be useful in patients with persistent abnormal neurological examination, according to a study in European Radiology.

Here are three things to know:

1. The study authors reviewed the medical records of adult patients who underwent cervical spine CT followed by MRI within 48 hours over a 33-month period.

2. Of the 1,080 patients included in the study analysis, 66 percent who received a cervical spine CT had a negative study.

3. Of those patients, the subsequent cervical spine MRI had positive findings in 20.9 percent of cases: 92.6 percent had stable ligamentous or osseous injuries, 6 percent had unstable injuries and 1.3 percent had potentially unstable injuries.

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