Diagnostic accuracy, biohazard safety, and cost effectiveness-the Lodox/Statscan provides a beneficial alternative for the primary evaluation of patients with multiple injuries

J Trauma. 2010 Oct;69(4):826-30. doi: 10.1097/TA.0b013e3181bb86ce.


Background: Lodox/Statscan is a new digital X-ray machine with a low dose of radiation exposure that provides rapid, whole-body scans. In the setting of acute trauma management, the importance of image study is well recognized. Here, we report the accuracy of diagnoses made using Lodox/Statscan in patients with multiple injuries. We analyze the cost effectiveness, biohazard safety, and detection rate for treatment using the Lodox/Statscan and evaluate whether it is a viable alternative to the conventional trauma X-ray.

Methods: We retrospectively reviewed patients who received a Lodox/Statscan between November 2007 and January 2009. All patients who had received both a Lodox/Statscan and a computed tomographic (CT) scan were enrolled. The CT scan was used to make the final diagnosis. The detection rate for treatment, sensitivity, and specificity of the Lodox/Statscan in diagnosis was analyzed.

Results: One hundred eighty-four patients were eligible for the study during the 15-month study period. The detection rates for treatment using the Lodox/Statscan for pneumothorax, pelvic fracture, cervical spine injury, and thoracic-lumbar spine injury were 95%, 96.0%, and 57.1%, and 100%, respectively.

Conclusion: In our series, the Lodox/Statscan provided similar quality images and conventional series to the CT scans. Although the Lodox/Statscan missed some injuries, most of the subsequent treatments were not changed. Overall, there were several advantages to using this system, including the short interval of study, low-radiation exposure, and low cost. The Lodox/Statscan could therefore be used as an alternative to the traditional trauma X-ray for evaluation of acute trauma patients.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / injuries
  • Contusions / diagnostic imaging
  • Contusions / mortality
  • Cost-Benefit Analysis
  • Female
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / mortality
  • Hemothorax / diagnostic imaging
  • Hemothorax / mortality
  • Hospital Mortality*
  • Humans
  • Injury Severity Score
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / injuries
  • Lung Injury / diagnostic imaging
  • Lung Injury / mortality
  • Male
  • Middle Aged
  • Multiple Trauma / diagnostic imaging*
  • Multiple Trauma / economics*
  • Multiple Trauma / mortality
  • Pelvic Bones / injuries
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / mortality
  • Radiation Dosage
  • Radiation Protection / economics*
  • Radiographic Image Enhancement / economics*
  • Retrospective Studies
  • Safety Management / economics
  • Sensitivity and Specificity
  • Spinal Injuries / diagnostic imaging
  • Spinal Injuries / mortality
  • Taiwan
  • Tomography, X-Ray Computed / economics
  • Whole Body Imaging / economics*
  • Young Adult