58% Original Reports Overlooked CCI

Unveiling Critical Insights: A Comparison of Original Radiology Opinion Reports to 2nd Radiology Opinion Reports

Our dedicated team of Consultant Radiologists, specializing in the intricate field of CCI and its common comorbidities, strives to offer comprehensive reports, particularly when original, minimum standard reports fall short.

We understand the challenges faced by patients seeking answers in the realm of craniocervical junction disorders. Often, these disorders go unnoticed because treating physicians and radiologists may not initially suspect their presence, leading to insufficient investigation.

In 2022, a PhD. Bioinformatics (a person with an advanced research degree who conducts data analysis in “data science”) was contracted to study the differences between patient’s first opinion reports and Spine and Brain Consultant Radiologist’s second opinion reports, and the results were jaw-dropping:

58% of the original radiology reports missed CCI findings.

Data Collection and Analysis Process: To compile the data for this analysis, Spine and Brain Advocate with prior written consent, meticulously gathered Original Radiology Report and 2nd Opinion Radiology Report data from 2021 to December 31, 2022. This data was organized an Excel spreadsheet, with an initial “data cleanse” involving the replacement of patient names with initials (e.g. Mary Cox = MC) and the removal of personal information such as addresses. The data analysis and report compilation were entrusted to accomplished individuals with validated credentials in PhD. Bioinformatics.

KEY FINDINGS

Original Radiology Reports Missed CCI Findings

– 12% of participants showed positive CCI findings.
– 32% displayed negative CCI findings.
– CCI information was unavailable or not investigated in 43% of cases.

Radiology Opinion Reports by Spine and Brain Advocate’s Radiologists Found A Significant Number of CCI Findings

– 70% of participant’s imaging reports exhibited positive CCI findings.
– 30% showed negative CCI findings.

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For a detailed exploration, please refer to the full report and accompanying images below.

Majority of participants were from USA, followed by Australia, Sweden, Canada and UK.

3/4 of the participants were female and 1/4 male.

The participants were of a wide range of age, from 10 to 70 years old.

35% of participants were not sure what triggered their illness onset whereas roughly 40% had some form of physical trauma) and 15% reported a virus triggered the onset of their illness.

A summary of participants Original Radiology Reports included: 12% Positive Craniocervical Instability (CCI) findings, 32% had a negative CCI findings, 43% CCI information was not available / investigated and 11% of the participants did not submit an Original Report.

2nd Opinion Radiology Reports, completed by Spine and Brain Advocate Consultant Radiologists: 70% Positive Craniocervical Instability (CCI) findings and 30% had a negative CCI findings.

On the 2nd Opinion Radiology Reports, a predominant 50% of participants had horizontal CCI.

Horizontal CCI and vertical CCI at the same time are observed in 17% of the participants.

Participants 2nd Radiology Report Summary of Findings: 49% disc bulges, 21% degenerative facets, 8% atlanto-occiptial degenerative changes and spinal canal or lateral narrowing 22%. Elongated Styloid Processes 19%. Retroflexed Dens 14%. Chiari Malformation 1%. Sub-axial Cervical Spine Instability 21%. Craniocervical Junction Measurements: Grabb-Oakes Line (GOL) 28% + borderline 6%; Clivo-axial angle (CXA) 28% – borderline 3%. Harris Measurements: Basion-dens interval (BDI) 14%, Basion-axial Interval (BAI) 7%, translational-BDI 10% and translational-BAI 14%.

SBA 2nd Radiology Opinion Report Compiled Summary 2022 — Other diagnosis of the participants included: 43% Ehlers-danlos syndrome/Hypermobility Disorder; 6% Chiari Malformation, 35% Arthritis, 22% ME / CFS (note, graph and descriptions should read CFS and not CSF – corrections to be made shortly), 9% Fibromyalgia and 70% Craniocervical Instability (CCI).

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