{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:20:58Z","timestamp":1783056058250,"version":"3.54.6"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n In 2016 the National Institute for Health and Care Excellence (NICE) published guidance in England recommending computed tomography (CT) as the first line imaging for cervical spine (C\u2010spine) injury in adults. However anecdotal evidence suggests that X\u2010rays are still being performed. The aim of this evaluation was to determine the imaging referral patterns following C\u2010spine trauma and compare with national guidance.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Within a single English organisation emergency department patient attendance data, X\u2010ray and CT referral criteria and acquisition information for patients \u2265\u200916\u2009years undergoing imaging of the C\u2010spine was collated from a 12\u2010month period (01.01.23\u201331.12.23).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The cohort contained 302 females and 301 males, with a median age of 55\u2009years. According to the clinical information 12.1% (\n n<\/jats:italic>\n \u2009=\u200973\/603) of the patients had no risk of C\u2010spine injury and therefore should not have required diagnostic imaging. Almost two thirds of patients (\n n<\/jats:italic>\n \u2009=\u2009395\/603; 65.5%) had first line CT imaging consistent with national guidance. Of those where imaging was justified, 135 patients had the incorrect initial diagnostic test (X\u2010ray as opposed to CT) with 26 also having a subsequent CT. The quality of all of the X\u2010rays were reviewed and only 39.5% (\n n<\/jats:italic>\n \u2009=\u200973\/185) of cases were diagnostic.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In 2023, the organisation was 65.5% compliant with the guidance, with a number of patients referred for unjustified imaging examinations and\/or the wrong initial imaging modality. The consequences of this included treatment delays, prolonged immobilisation, over\u2010irradiation and impact upon resources, along with potentially missed pathology due to inconclusive X\u2010rays.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jmrs.70105","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:00:47Z","timestamp":1783054847000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Compliance With\n NICE<\/scp>\n Guidance for Cervical Spine Trauma Imaging: A Single Centre Retrospective Evaluation"],"prefix":"10.1002","author":[{"given":"Nikoll","family":"Walker","sequence":"first","affiliation":[{"name":"Radiology Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster Royal Infirmary Doncaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jas","family":"Sawhney","sequence":"additional","affiliation":[{"name":"Radiology Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster Royal Infirmary Doncaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6296-0889","authenticated-orcid":false,"given":"Beverly","family":"Snaith","sequence":"additional","affiliation":[{"name":"Faculty of Health & Social Care University of Bradford Bradford UK"},{"name":"Radiology Mid Yorkshire Teaching NHS Trust Wakefield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1007\/s11739-020-02567-x","article-title":"Clinical Outcomes in Patients Admitted to Hospital With Cervical Spine Fractures or With Hip Fractures","volume":"16","author":"Baxter J.","year":"2021","journal-title":"Internal and Emergency Medicine"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.mpaic.2023.04.006","article-title":"Spinal Cord Injury","volume":"24","author":"Patek M.","year":"2023","journal-title":"Anaesthesia & Intensive Care Medicine"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1097\/BRS.0000000000002923","article-title":"Epidemiology of Spinal Fractures in a Level One Trauma Center in The Netherlands: A 10\u2009Years Review","volume":"44","author":"Ouden L. 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