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Is MRA more Accurate in Diagnosing Cervical Vascular Injury in Trauma Patients than CTA?

المصدر: مجلة رماح للبحوث والدراسات
الناشر: مركز البحث وتطوير الموارد البشرية - رماح
المؤلف الرئيسي: Almansour, Hamad Abayan S. (Author)
مؤلفين آخرين: Almansour, Mohammed Hussain Ali (Co-Author) , Almansour, Mohammed Hamad Hadi (Co-Author) , Almansour, Yousef Ali Hadi (Co-Author) , Al-Mehthel, Ali Hussain Hamad (Co-Author)
المجلد/العدد: ع74
محكمة: نعم
الدولة: الأردن
التاريخ الميلادي: 2022
الشهر: كانون الاول
الصفحات: 413 - 459
DOI: 10.33953/1371-000-074-071
ISSN: 2392-5418
رقم MD: 1338509
نوع المحتوى: بحوث ومقالات
اللغة: الإنجليزية
قواعد المعلومات: EcoLink
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LEADER 02969nam a22002657a 4500
001 2095171
024 |3 10.33953/1371-000-074-071 
041 |a eng 
044 |b الأردن 
100 |9 710012  |a Almansour, Hamad Abayan S.  |e Author 
245 |a Is MRA more Accurate in Diagnosing Cervical Vascular Injury in Trauma Patients than CTA? 
260 |b مركز البحث وتطوير الموارد البشرية - رماح  |c 2022  |g كانون الاول 
300 |a 413 - 459 
336 |a بحوث ومقالات  |b Article 
520 |b Aim The aim of this systematic review was to evaluate the diagnostic accuracy of magnetic resonance angiography (MRA) versus computed tomography angiography (CTA) for cervical vascular injury secondary to trauma. Background CTA is widely used in practice to diagnose cervical vascular injuries, largely supplanting the gold standard of digital subtraction angiography (DSA). However, the use of CTA is limited by the exposure to ionising radiation and lack of sensitivity in some contexts. Hence, evaluation of the potential diagnostic accuracy of MRA in this context is justified. Methods A systematic literature review was completed using online databases and a clear search strategy. Diagnostic accuracy studies involving the use of CTA and/or MRA in the diagnosis of cervical vascular injuries were sought, with a focus on human studies, primary studies and literature published between 2011 and 2021. Studies were subjected to formal critical appraisal using the Critical Appraisal Skills Programme toolkit and were synthesised using a narrative framework. Results The results of the literature search identified seven studies that met the review inclusion criteria. Five studies evaluated the diagnostic accuracy of CTA, noting sensitivity ranging from 51% to 72% for cervical vascular injury, high specificity (63–97%) and a high overall diagnostic accuracy (95%) compared with DSA. MRA diagnostic accuracy was not as robustly assessed in the two included studies, although evidence suggests consistency with expert consensus imaging and CTA/DSA imaging standards in specific contexts. No study directly compared CTA and MRA in the diagnosis of cervical vascular injury secondary to trauma 
653 |a الأوعية الدموية  |a الرنين المغناطيسي  |a الأشعة المقطعية  |a إصابات الرقبة 
700 |9 710016  |a Almansour, Mohammed Hussain Ali  |e Co-Author 
700 |9 710017  |a Almansour, Mohammed Hamad Hadi  |e Co-Author 
700 |9 710019  |a Almansour, Yousef Ali Hadi  |e Co-Author 
700 |9 710020  |a Al-Mehthel, Ali Hussain Hamad  |e Co-Author 
773 |4 الاقتصاد  |4 الإدارة  |6 Economics  |6 Management  |c 071  |e Remah Review for Research and Studies  |f Rimāḥ li-l-buḥūṯ wa al-dirāsāt  |l 074  |m ع74  |o 1371  |s مجلة رماح للبحوث والدراسات  |v 000  |x 2392-5418 
856 |u 1371-000-074-071.pdf 
930 |d y  |p y  |q n 
995 |a EcoLink 
999 |c 1338509  |d 1338509 

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