Shehzad Khan* and Rashid Mehmood
Department of Radiology, CMH College Colony Saidu Sharif Swat, PakistanFulltext PDF
Background: The aim of the research is to explore the various types of brain injuries in patients with brain injuries caused by mines and Improvised Explosive Devices (IEDs) by using CT as an imaging modality. The motivation behind the study is the growing conflict intensity in Afghanistan where the radiologists in hospitals increased in numbers due to the fact that a one-hour turnaround was not sufficient. The coordination of imaging was becoming more difficult especially in a multiple casualty situation. Through this study, a statistic will be provided defining the brain injuries and the ratio of the injuries that have been identified using MDCT that will assist the health care providers to understand the number of brain injuries in each category that can be effectively assessed through CT imaging.
Methods: The study was conducted through mixed methodologies where the qualitative data was gathered through interview with the radiologists of the CMH hospital in Peshawar. The quantitative data was gathered through questionnaire which was filed by the radiologists. The data was further analyzed (i) parallel analysis, (ii) sequential analysis, and (iii) multilevel analysis which subsequently corresponds to the designs of joining the two methods described above and data synthesis. The data is analyzed in this research through specific data analysis techniques, which means that key word coding or thematic analysis will be conducted on the qualitative data, whereas cross-tabulations and regression modeling will be used to analyze quantitative data.
Result: The data result is shown through three main injuries that are (i) primary blast injury (ii) secondary blast injury and (iii) tertiary blast injury where the results were 7%, 53% and 47% respectively.
Conclusion: The study concluded the role of the CT imaging as significant in IED and mines blasts where it has been found that the radiography and Computed Tomography (CT) are the modalities of choice since images are acquired quickly and are able to readily detect fractures. In addition, it can also detect metallic and glass fragments that are embedded in the body and most importantly, the brain injuries. Thus, based on the above research the CT imaging is recommended at war zone and tertiary hospitals.
Khan S, Mehmood R. To Assess the Prevalence of Various Traumatic Brain Injuries (TBI) By Using CT as Imaging Tool a Research on Improvised Explosive Devices (IED) and Mines Blast Patients on Pakistan-Afghanistan Border a Retrospective Cohort Study. Am J Leuk Res. 2019;3(1):1016.