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Table 4 Scanning practices identifying BCVI, COW anomalies, and strokes

From: The effect of circle of willis anatomy and scanning practices on outcomes for blunt cerebrovascular injuries

 

Index

BCVI Diagnosis

n = 561

% (n)

Scan Identifying COW Anomalies

BCVI Diagnosis

n = 93

% (95 % CI)

Index Scan with COW Normal

n = 468

% (95% CI)

p

Scan Type

    

Computed Tomography Angiography

95.7% (537)

96.8% (94.0-99.8)

96.5% (96.3–99.0)

0.38

Computed Tomography

2.5% (14)

1.1% (0.6–7.5)

2.6% (1.5–4.4)

Magnetic Resonance Imaging

1.6% (9)

1.1% (0.2–5.8)

1.7% (0.9–3.3)

Magnetic Resonance Angiography

0.2% (1)

0% (0-3.2)

0.2% (0.2–43.5)

Four Vessel Cerebral Angiography

0% (0)

1.1% (0.6–7.8)

0% (0-0.6)

Digital Subtraction Angiography

0% (0)

0% (0-3.2)

0% (0-0.6)

Ultrasound

0% (0)

0% (0-3.2)

0% (0-0.6)

Contrast Used

97.7% (548)

97.9% (94.2–99.8)

97.4% (95.6–98.5)

> 0.99

CT-Slice, for CTs/CTAs1

    

16

3.6% (20)

4.6% (1.8–11.1)

3.6% (2.2–5.7)

0.002

32

1.3% (7)

4.6% (1.8–11.1)

0.7% (0.2–1.9)

64

71.6% (395)

81.6% (72.5–88.5)

71.8% (67.5–75.7)

128

20.5% (113)

9.2% (4.7–16.9)

23.3% (19.7–27.5)

512

0.5% (3)

0% (0-3.2)

0.7% (0.2–1.9)

Region Scanned

    

Head and Neck only

20.4% (115)

52.9% (39.2–62.2)

29.3% (24.2–35.0)

0.001

Head only

1.1% (6)

0% (0-3.2)

2.2% (1.0-4.7)

Neck only

39.4% (221)

47.1% (37.8–60.8)

68.5% (62.8–73.7)

During Whole-Body Scan

38.8% (218)

24.7% (18.0-35.5)

41.5% (37.2–46.1)

0.002

Head and Neck Included2

12.8% (72)

39.1% (21.2–57.3)

32.5% (26.3–39.4)

0.01

Head included2

0.4% (2)

8.7% (2.3–25.9)

0% (0-0.6)

Neck included2

26.0% (144)

52.2% (35.1–72.1)

67.5% (60.7–73.7)

  1. BCVI: Blunt cerebrovascular injury, CI: confidence interval, CT: computed tomography, CTA: computed tomography angiography. 1 = There were 10 scans for transfer patients with an unknown slice-count on the first BCVI scan, all of these scans occurred at the index facility before transferring to one of the participating centers. 2=During whole-body scan. Bold p-values indicate statistical significant differences between groups