Children's Hospital uses latest CT technology in ER for better diagnoses

May 01, 2006

WINSTON-SALEM, N.C. - Brenner Children's Hospital is one of few children's hospitals in the United States using the latest computed tomography (CT) technology in an emergency setting - providing a more accurate diagnosis in a shorter period of time.

Pediatric radiologists at the hospital use 64-slice CT and both two-dimensional (2-D) and three-dimensional (3-D) images, according to Craig Barnes, M.D., a pediatric radiologist at the children's hospital. Barnes presented his experience with the technology at the American Roentgen Ray Society Meeting in Vancouver, British Columbia on May 1. Brenner Children's Hospital has used this technology in the emergency department since August of 2005.

"There are very few, if any, pediatric trauma centers in the United States that have both the 64 slice, multi-detector CT scanner and use the 2-D and 3-D images to evaluate pediatric trauma CT studies," Barnes said. "For many years physicians in the ED have used by default the same technology for both pediatric and adult patients, rather than selecting the most appropriate technology for the patient's age and condition." he said

"At Brenner Children's Hospital, we have four radiologists trained in pediatrics who are able to use the best technology in conjunction with their understanding of the pediatric patient to make an accurate diagnosis. Working with children is very different and requires specific knowledge, especially in a trauma situation where every moment counts."

Barnes and three other pediatric radiologists use these high-tech tools to give physicians a 360-degree view of the patient's body, helping pediatric surgeons and pediatric emergency room physicians make an accurate diagnosis and treatment plan. A 64-slice multi-detector CT takes X-ray images or measurements within seconds. Each image is called a "slice." The more slices taken, the more complete the picture.

"The more information we have the better," Barnes said. "For example, when I use traditional imaging, I can see that a child's spleen has been injured. When I use a 2-D or 3-D image of the injury, I can better locate the rupture and define how far and how wide the injury extends. These images aid our pediatric surgeons who may decide whether to perform surgery or monitor the patient closely. The ability to view the CT images in multiple planes is a superior and more complete method of evaluating pediatric trauma patients. This ultimately improves our ability to help the patient on their road to recovery."

The images that Barnes used in his presentation were taken from pediatric trauma cases in the children's hospital emergency department.
-end-
Brenner Children's Hospital is part of Wake Forest University Baptist Medical Center.

Media Contacts: Rae Bush, rbush@wfubmc.edu, or Shannon Koontz, shkoontz@wfubmc.edu, at 336-716-4587.

Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital, Wake Forest University Health Sciences and Brenner Children's Hospital. The system comprises 1,187 acute care, rehabilitation, psychiatry and long-term care beds and is consistently ranked as one of "America's Best Hospitals" by U.S. News & World Report. Brenner Children's was named one of the top children's hospitals in the nation by Child magazine.

Wake Forest Baptist Medical Center

Related Emergency Department Articles from Brightsurf:

Deep learning in the emergency department
Harnessing the power of deep learning leads to better predictions of patient admissions and flow in emergency departments

Checklist for emergency department team's COVID-19 surge
After reviewing the literature on COVID-19 scientific publications the authors developed a checklist to guide emergency departments.

Why is appendicitis not always diagnosed in the emergency department?
A new study examines the factors associated with a potentially missed diagnosis of appendicitis in children and adults in the emergency department.

Providing contraceptive care in the pediatric emergency department
A new study found that two-thirds of female adolescents ages 16-21 seen in a pediatric Emergency Department (ED) were interested in discussing contraception, despite having a high rate of recent visits to a primary care provider.

Low back pain accounts for a third of new emergency department imaging in the US
The use of imaging for the initial evaluation of patients with low back pain in the emergency department (ED) continues to occur at a high rate -- one in three new emergency visits for low back pain in the United States -- according to the American Journal of Roentgenology (AJR).

Emergency department admissions of children for sexual abuse
This study analyzed emergency department admissions of children for sexual abuse between 2010 and 2016 using a nationwide database of emergency visits and US Census Bureau data.

30-day death rates after emergency department visits
Researchers used Medicare data from 2009 to 2016 to see how 30-day death rates associated with emergency department visits have changed.

Preventing smoking -- evidence from urban emergency department patients
A new study from the Prevention Research Center of the Pacific Institute for Research and Evaluation offers a more in-depth understanding of smoking among patients in an urban emergency department.

When a freestanding emergency department comes to town, costs go up
Rather than functioning as substitutes for hospital-based emergency departments, freestanding emergency departments have increased local market spending on emergency care in three of four states' markets where they have entered, according to a new paper by experts at Rice University.

Emoji buttons gauge emergency department sentiments in real time
Simple button terminals stationed around emergency departments featuring 'emoji' reflecting a range of emotions are effective in monitoring doctor and patient sentiments in real time.

Read More: Emergency Department News and Emergency Department Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.