An algorithmic approach to the roentgenographic evaluation of head trauma: medical and financial implications

Invest Radiol. Jul-Aug 1983;18(4):390-5. doi: 10.1097/00004424-198307000-00019.


An algorithm was devised for the evaluation of patients with acute head trauma. The effectiveness of this strategy was tested with a retrospective chart review of 608 patients seen in a community hospital emergency room. The results of the algorithmic approach were compared to the original management of the patients. A financial savings of 65% was achieved and no significant intracranial pathology was missed using this approach.

MeSH terms

  • Brain Injuries / diagnostic imaging*
  • Emergency Service, Hospital / economics
  • Humans
  • Michigan
  • Radiography / economics
  • Radiography / statistics & numerical data
  • Skull Fractures / diagnostic imaging*
  • Tomography, X-Ray Computed / economics
  • Tomography, X-Ray Computed / statistics & numerical data