ISSN (Print): Awaited ISSN (Online): 3107-5932
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THE RADPAC

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Open Access Journal

Original Research

Role of Non-Contrast Computed Tomography in the Initial Evaluation of Traumatic Brain Injury: A Cross-Sectional Study

THE RADPAC | Volume 1, Issue 2 | September 2025
Authors: Amitesh Kumar
Received: Jun 20, 2025 Accepted: Aug 18, 2025 Published: Sep 20, 2025
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Abstract

Background: Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide, particularly in emergency settings. Rapid and accurate imaging is essential for early diagnosis and management. Non-contrast computed tomography (NCCT) remains the first-line imaging modality for evaluating acute head trauma.

Aim: To assess the diagnostic role and spectrum of findings of non-contrast CT in the initial evaluation of patients with traumatic brain injury.

Materials and Methods: A hospital-based cross-sectional study was conducted on 156 patients with suspected TBI who underwent NCCT of the brain. CT findings were analyzed in relation to demographic data, mechanism of injury, and Glasgow Coma Scale (GCS) score.

Results: Abnormal CT findings were observed in 112 patients (71.8%). The most common findings were cerebral contusions (38.5%), skull fractures (34.6%), and intracranial hemorrhage (31.4%). Severe TBI cases showed a significantly higher incidence of multiple CT abnormalities.

Conclusion: Non-contrast CT plays a crucial role in the early evaluation of traumatic brain injury by rapidly identifying life-threatening intracranial lesions and guiding emergency management decisions.

Keywords: Traumatic brain injury, non-contrast CT, head trauma, intracranial hemorrhage, emergency imaging

Article Information
DOI: 10.62502/tr/v1i2art3
Journal: THE RADPAC
Abbreviation: THE RADPAC
ISSN (Print): Awaited
ISSN (Online): 3107-5932
Volume/Issue: 1(2)
Pages: 9-12
References
  1. Maas AIR, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008;7(8):728–741.
  2. Menon DK, Schwab K, Wright DW, Maas AI. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010;91(11):1637–1640.
  3. Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007;22(5):341–353.
  4. Roozenbeek B, Maas AIR, Menon DK. Changing patterns in the epidemiology of traumatic brain injury. Nat Rev Neurol. 2013;9(4):231–236.
  5. Werner C, Engelhard K. Pathophysiology of traumatic brain injury. Br J Anaesth. 2007;99(1):4–9.
  6. Bullock MR, Chesnut R, Ghajar J, et al. Surgical management of traumatic brain injury. Neurosurgery. 2006;58(Suppl 3):S2-1–S2-62.
  7. Jagoda AS, Bazarian JJ, Bruns JJ Jr, et al. Clinical policy: neuroimaging and decision making in adult mild traumatic brain injury. Ann Emerg Med. 2008;52(6):714–748.
  8. Wintermark M, Sanelli PC, Anzai Y, et al. Imaging evidence and recommendations for traumatic brain injury. AJNR Am J Neuroradiol. 2015;36(8):E1–E11.
  9. Shenton ME, Hamoda HM, Schneiderman JS, et al. A review of MRI and DTI findings in mild traumatic brain injury. Brain Imaging Behav. 2012;6(2):137–192.
  10. Provenzale JM. Imaging of traumatic brain injury: a review of the recent medical literature. Radiology. 2010;254(3):672–689.
  11. Livingston DH, Lavery RF, Passannante MR, et al. Emergency department discharge of patients with a negative head CT scan. Ann Surg. 2000;232(1):126–132.
  12. Jha PK, et. Al., Traumatic Brain Injury Patient Management In CT Scan', International Journal of CurrentAdvanced Research, 11(05), pp. 932-938. DOI: http://dx.doi.org/10.24327/ijcar.2022. 938.0212
How to Cite
Vancouver Style:
Kumar A. Role of Non-Contrast Computed Tomography in the Initial Evaluation of Traumatic Brain Injury: A Cross-Sectional Study. THE RADPAC 2025;1(2):9-12. doi: 10.62502/tr/v1i2art3
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Article Details

Article Type:
Original Research

Volume/Issue:
1(2)

Year:
2025

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