{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:13:13Z","timestamp":1788779593280,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"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 Med Imag Rad Onc"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Whole\u2010body CT (WBCT) is central to major trauma assessment, but indiscriminate use carries a substantial radiation burden. The Central Region Trauma Network's Early Radiological Imaging in Major Trauma Guideline (CPG154), adopted at this centre, specifies criteria for WBCT and excludes low\u2010energy falls from standing height. This pilot audit evaluated WBCT practice against CPG154 at a regional New Zealand emergency department.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All adult trauma WBCT scans performed between 2 September and 31 October 2025 were reviewed retrospectively against three predefined standards: Criteria compliance (S1, target \u2265\u200990%); chest radiograph (CXR) before WBCT (S2, \u2265\u200995%); and documented follow\u2010up of incidental findings (S3, 100%).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 73 scans identified, 70 were included. S1 compliance was 47.1% (33\/70; 95% CI 35.9%\u201358.7%). Twenty\u2010two scans (31.4%) were standing\u2010height falls, which CPG154 excludes; among the remaining 48 cases, compliance was 68.8% (33\/48). S2 compliance was 15.7% (11\/70). Incidental findings occurred in 32.9% (23\/70), all with documented follow\u2010up (S3 100%). Acute traumatic injury was identified in 57.6% (19\/33) of criteria\u2010compliant scans and 27.3% (6\/22) of standing\u2010height fall scans. All six standing\u2010height fall injuries occurred in patients taking anticoagulant or antiplatelet agents; none occurred in the seven patients taking neither (0\/7).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Criteria compliance was below target, principally because the standing\u2010height exclusion was not applied at the point of request. The concentration of injuries among antithrombotic\u2010treated fallers is hypothesis\u2010generating and supports prospective evaluation of antithrombotic status as a possible clinical modifier.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1754-9485.70177","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:57:12Z","timestamp":1788778632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Whole\u2010Body\n CT<\/scp>\n Utilisation in Adult Trauma: Guideline Compliance, Incidental Findings, and the Role of Anticoagulation in Low\u2010Energy Falls at a Regional New Zealand Centre"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6508-7088","authenticated-orcid":false,"given":"Vamsi","family":"Thammandra","sequence":"first","affiliation":[{"name":"Emergency Department, Hawke's Bay Hospital Te Whatu Ora \u2013 Health New Zealand Hastings Hawke's Bay New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonny","family":"Russell","sequence":"additional","affiliation":[{"name":"Emergency Department, Hawke's Bay Hospital Te Whatu Ora \u2013 Health New Zealand Hastings Hawke's Bay New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(09)60232\u20104"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)30932\u20101"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010018\u20100926\u20107"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.08.036"},{"key":"e_1_2_12_6_1","unstructured":"Central Region Trauma Network and Regional Radiology Steering Group \u201cEarly Radiological Imaging in Major Trauma Guideline (TMMHB\/CPG\/154). Version 1. Wellington: Central Region Trauma Network; 2022. Adopted by Te Whatu Ora \u2013 Health New Zealand Te Matau a M\u0101ui Hawke's Bay\u201d."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjr\/tqaf070"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010024\u201000537\u20108"},{"key":"e_1_2_12_9_1","volume-title":"2023 Census Population Counts by Ethnic Group, Age, and M\u0101ori Descent","author":"Stats NZ Tatauranga Aotearoa","year":"2024"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330\u2010016\u20104598\u20106"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140\u2010023\u201002138\u20105"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl\u20102013\u2010002045"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2024.06.008"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/apm.12278"},{"key":"e_1_2_12_15_1","volume-title":"ATLS: Advanced Trauma Life Support","author":"American College of Surgeons Committee on Trauma","year":"2018"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010539"},{"key":"e_1_2_12_17_1","unstructured":"National Institute for Health and Care Excellence \u201cHead Injury: Assessment and Early Management. NICE Guideline NG232 2023\u201d."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/JETS.JETS_52_17"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002985"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.70177","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1754-9485.70177","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.70177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:57:15Z","timestamp":1788778635000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.70177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":18,"alternative-id":["10.1111\/1754-9485.70177"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.70177","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"2026-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1754-9485.70177"}}