O. Clark West

Learn More
Computed tomography (CT) is the modality of choice in the evaluation of blunt renal injury. Intravenous urography is used primarily for gross assessment of renal function in hemodynamically unstable patients. Selective renal arteriography or venography can provide detailed information regarding vascular injury. Retrograde pyelography is valuable in(More)
Computed tomographic (CT) angiography is a reliable and convenient imaging modality for diagnosing arterial injuries after blunt and penetrating trauma to the extremities. It is a noninvasive modality that could replace conventional arteriography as the initial diagnostic study for arterial injuries after trauma to the extremities. The technique requires(More)
OBJECTIVE To define the genetic basis of susceptibility to ankylosing spondylitis (AS), especially non-major histocompatibility complex (MHC) genes. METHODS The study group comprised 244 affected sibling pairs from 180 pedigrees of primarily European ancestry. Sibling pairs were concordant for AS by the modified New York criteria and had available(More)
Pregnant patients who sustain severe blunt trauma are infrequently encountered in most practices. However, detection of internal injuries including those to the gravid uterus is essential since maternal disability or fetal loss are physical and psychologic catastrophes that have long-term effects on the mother and her family. Computed tomography (CT) is(More)
Timely localization of a bleeding source can improve the efficacy of trauma management, and improvements in the technology of computed tomography (CT) have expedited the work-up of the traumatized patient. The classic pattern of active extravasation (ie, administered contrast agent that has escaped from injured arteries, veins, or urinary tract) at dual(More)
Computed tomography plays an important role for the evaluation of most patients with suspected renal injury after trauma. Intravenous urography is used for gross assessment of renal function in hemodynamically unstable patients. Renal injuries can be classified into four large groups: (1) minor renal contusion, lacerations, subcapsular hematoma, and small(More)
The authors studied computed tomographic (CT) scans obtained in 40 patients with transsphenoid basilar skull fractures to establish if there were reproducible patterns of fracture along lines of weakness. Medical records were reviewed. Four major fracture patterns were identified: anterior transverse (n = 22), lateral frontal diagonal (n = 7), posterior(More)
Vertical linear lucencies through the atlas may be due to congenital clefts or fractures. We report a case of an isolated midline vertical fracture through the anterior atlas arch. The absence of corticated fracture margins on computed tomography distinguished this fracture from a congenital cleft. In similar cases, computed tomography is recommended to(More)
CT imaging of complex maxillofacial fractures is common practice now, but the relative diagnostic value of spiral computed tomography (CT), multiplanar reformations (MPR), and three-dimensional (3D) reconstructions in evaluating maxillofacial fractures is not established with independent validation of correct diagnosis. We studied these modalities and(More)
We undertook this study to identify causes of false-negative cervical spine plain radiographic interpretations in a series of experimental readings. One hundred eighty-nine examinations (three views), including 97 patients with acute injuries and 92 normal controls from the same emergency room population, were presented to 14 radiologists. The(More)