CT imaging was conducted using a second-generation 128-slice dual-source CT (
Somatom Definition Flash, Siemens Healthcare, Erlangen, Germany). Image series (axial, coronal, and sagittal: section thickness 1 mm, increment 0.75 mm) were reconstructed with a dedicated bone kernel. The CT protocols used in the setting of acute trauma in our institution include unenhanced head and cervical spine images and split-bolus contrast enhanced imaging of the lung, abdomen and thoracolumbar spine, adapted as needed.
MR imaging was conducted with a
1.5-T Magnetom Avanto,
1.5- T Magnetom Espree, or
3-T Magnetom Trio system (all from Siemens Healthcare) using similar protocols with a body spine-array coil and fast spin-echo imaging. As per institutional guidelines, T1-weighted, T2-weighted, and T2 turbo inversion recovery magnitude (TIRM) images were obtained in the sagittal plane, and T1-and T2-weighted images were obtained in the axial plane, patient supine. For sagittal imaging, a FOV of 32 cm, matrix of 512 × 256, and slice thickness of 4 mm were used, and for axial images a FOV of 22 cm, matrix of 320 × 320 and slice thickness of 3 mm were used.
The image series were automatically transferred to the picture archiving and communication system (PACS; General Electric Company).
Gruenewald L.D., Koch V., Eichler K., Bauer J., Gruber-Rouh T., Booz C., Yel I., Mahmoudi S., Vogl T.J, & El Saman A. (2023). Injury patterns of the spine following blunt trauma: A per-segment analysis of spinal structures and their detection rates in CT and MRI. Heliyon, 9(6), e17396.