Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-22T08:51:43.691Z Has data issue: false hasContentIssue false

The use of the C. A.T. Head Scanner in Clinical Psychiatry

Published online by Cambridge University Press:  29 January 2018

J. K. A. Roberts
Affiliation:
Neuropsychiatry Unit, Royal Ottawa Hospital, Ottawa, Ontario, K1Z 7K4, Canada
W. A. Lishman
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, SE5 8AF, England

Summary

Three hundred and twenty-three patients were referred by psychiatrists for scanning with a 160 x 160 matrix CT 1010 Head Scanner at the Maudsley Hospital during the first year this machine was in use (1977/1978). Two hundred and one referrals were for clinical and 122 for research reasons, 50% of the former and 57% of the latter showed some abnormality on their scans. Review of the patients' notes identified data that were significantly predictive of abnormal scan results; and the referring psychiatrists were significantly more able to predict the scan results correctly during the second six months of the study. Diagnosis, management, and/or prognosis were influenced in 11.7% of those patients scanned for clinical reasons.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1984 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bingley, T. (1958) Mental symptoms in temporal lobe epilepsy and temporal lobe gliomas. Acta Psychiatrica et Neurologica Scandinavica, Suppl. 120, 33, 8891.Google Scholar
Evans, N. J. R. (1982) Cranial computed tomography in clinical psychiatry: 100 consecutive cases. Comprehensive Psychiatry, 23, 445–50.CrossRefGoogle ScholarPubMed
Haug, J. O. (1962) Pneumoencephalographic Studies in mental disease. Acta Psychiatrica Scandinavica, Supp. 165, 38, 3848.Google ScholarPubMed
Haugen, A. & Hove, J. (1948) Encephalographic investigations of psychiatric patients. Acta Psychiatrica et Neurologica Scandinavica, 23, 7993.CrossRefGoogle ScholarPubMed
Hillbom, E. (1960) After-effects of brain injuries. Acta Psychiatrica et Neurologica Scandinavica, Supp. 142, 35, 96–7.Google ScholarPubMed
Holt, R. E., Rawak, S., Beresford, T. P. & Hall, R. C. W. (1982) Computed tomography of the brain and the psychiatric consultation. Psychosomatics, 23, 1007–19.CrossRefGoogle ScholarPubMed
Hounsfield, G. N. (1973) Computerised transverse axial scanning (Tomography): Part 1. Description of system. British Journal of Radiology, 46, 1016–22.CrossRefGoogle Scholar
Jacoby, R. J., Levy, R. & Dawson, J. M. (1980) Computed tomography in the elderly. 1. The normal population. British Journal of Psychiatry, 136, 249–55.Google Scholar
Knaus, W. A. & Davis, D. O. (1978) Utilisation and cost-effectiveness of cranial computed tomography at a university hospital. Journal of Computer Assisted Tomography, 2, 209–14.CrossRefGoogle ScholarPubMed
Larson, E. B., Mack, L. A., Watts, B. & Cromwell, L. D. (1981) Computed tomography in patients with psychiatric illness: Advantage of a ‘rule-in’ approach. Annals of Internal Medicine, 95, 360–4.CrossRefGoogle ScholarPubMed
Lishman, W. A. (1981) Cerebral disorder in alcoholism. Brain, 104, 120.CrossRefGoogle ScholarPubMed
Pearlson, G. D., Veroff, A. E. & HcHugh, P. R. (1981) The use of computed tomography in psychiatry: recent applications to schizophrenia, manic-depressive illness and dementia syndrome. Johns Hopkins Medical Journal, 149, 194202.Google Scholar
Ron, M. A. (1983) The alcoholic brain: CT scan and psychological findings. Psychological Medicine Monograph, Suppl. 3, 10.CrossRefGoogle Scholar
Siegel, S. (1956) Non-Parametric Statistics for the Behavioural Sciences. New York: McGraw-Hill.Google Scholar
Tsai, L. & Tsuang, M. T. (1981) How can we avoid unnecessary CT scanning for psychiatric patients? Journal of Clinical Psychiatry, 43, 452–4.Google Scholar
Woods, B. T. (1976) C-T scanning in an adult psychiatric population. McLean Hospital Journal, 1, 150–4.Google Scholar
World Health Organisation (1978) Mental Disorders: Glossary and Guide to their Classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organization.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.