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Are reporting clinicians getting the message? Audit investigating the reporting of vertebral fractures on computed tomography scans in older adults
Poster Title: Are reporting clinicians getting the message? Audit investigating the reporting of vertebral fractures on computed tomography scans in older adults
Submitted on 04 Nov 2020
Author(s): Dr Nazia Malik, Mr Gavin Cain, Mr Will Verrier and Dr Madhavi Venumbaka
Affiliations: Colchester Hospital, East Suffolk and North Essex Foundation Trust
This poster was presented at BIR Annual Congress 2020
Poster Views: 456
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Poster Information
Abstract: AIM: To determine the prevalence of vertebral fractures and the proportion correctly reported using the appropriate terminology and advice on further management
METHOD: Retrospective analysis of 150 acute CT scans including the thoracic +/ lumbar spine performed for non-musculoskeletal reasons on patients ≥50 years. Sagittal reconstructions reviewed for vertebral fractures and examined against National Osteoporosis Society audit standards
Vertebral fractures were identified in 26 scans. 15 patients with moderate or severe grade vertebral fractures. Of these only 9 scans (60%) were correctly reported. Only 2 reports with moderate/severe grade vertebral fractures used the correct terminology; and none included appropriate recommendations for further investigation or management.
The reporting of vertebral fractures on CT is found to be deficient despite recent guidance. The results correspond with previous research in this area. When vertebral fractures are reported they must be reported unambiguously as a “vertebral fracture” with appropriate recommendations for further management.
Summary: Vertebral body fractures are the most common fragility fracture and can be used to predict future vertebral and non-vertebral insufficiency fractures. Reporting clinicians actively seeking vertebral fractures on diagnostic imaging studies can help to identify patients with osteoporosis and inform their management.
References: 1. staff (2014). "Medical gallery of Blausen Medical 2014". WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436.
2. Griffith, J.F., 2015. Identifying osteoporotic vertebral fracture. Quantitative imaging in medicine and surgery, 5(4), p.592.
3. Black, D. M., Arden, N. K., Palermo, L., Pearson, J., & Cummings, S. R. (1999). Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group. Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research, 14(5), 821–828.
4. Kado DM, Browner WS, Palermo L, et al. Vertebral Fractures and Mortality in Older Women A Prospective Study. Arch Intern Med. 1999;159(11), 1215–1220
5. Woo, E.K. et al. (2008) Incidental vertebral fractures on multidetector CT images of the chest: prevalence and recognition. Clinical Radiology, 63(2), 160-164
6. Williams, A Al-B
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