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    A comparison of computerized tomography and flair-SWI MRI results of patients with head injury attending the emergency department
    (Verduci Publisher, 2022) Durak, M. A.; Gurbuez, S.; Derya, S.; Yildirim, I. o.; Ekmekyapar, M.; Tetik, B.; Colak, C.
    - OBJECTIVE: Detection of trau-matic brain injury (TBI) is of vital importance in patients who apply to the emergency depart-ment with a history of trauma. The aim of initial imaging in patients with suspected TBI is to de-tect trauma-related injury quickly and accurate-ly. In this study, the effectiveness of prospec-tively cranial computed tomography (CT) and fluid attenuation inversion recovery (FLAIR) and susceptibility weighted imaging (SWI) sequence magnetic resonance imaging (MRI) examination results of patients diagnosed with TBI in the emergency department in terms of bleeding de-tection was investigated in the light of the liter-ature. PATIENTS AND METHODS: Patients with traumatic brain injury who applied to the emer-gency department between 2016 and 2020 were included in this prospective study. Crani-al CT and MRI images containing SWI-FLAIR se-quence were taken on the same day, immediate-ly after cranial CT, for a total of 500 patients. RESULTS: In our study, TBI was detected in 242 males (70.8%) and 100 females (29.2%), for a total of 342 patients. The mean age was 41.45, the mean GCS was 13.35. There was a history of trauma such as falling in 155 patients (45.3%), traffic accidents in 171 patients (50%), and trau-ma in 16 patients (4.7%). In the comparative eval-uation of CT and FLAIR-SWI MRI examinations no bleeding was detected in the FLAIR-SWI sec-tions of 239 patients who did not have bleed-ing on CT; however, bleeding was detected in FLAIR-SWI sections in 14 patients who did not have bleeding on CT. CONCLUSIONS: FLAIR-SWI MR, which is a more reliable examination method, should be per-formed before control CT, especially in patients with incompatible clinical and admission CT.