The top 100 articles in the radiology of trauma: a bibliometric analysis

The purpose of this study was to identify the 100 top-cited articles in the radiology of trauma, analyze the resulting database to understand factors resulting in highly cited works, and establish trends in trauma imaging. An initial database was created via a Web of Science (WOS) search of all scientific journals using the search terms “trauma” and either “radiology” or a diagnostic modality. Articles were ranked by citation count and screened by two attending radiologists plus a tiebreaker for appropriateness. The following information was collected from each article: WOS all database citations, year, journal, authors, department affiliation, study type and design, sample size, imaging modality, subspecialty, organ, and topic. Citations for the top 100 articles ranged from 82–252, and citations per year ranged from 2.6–37.2. A plurality of articles were published in the 1990s (n = 45) and 1980s (n = 31). Articles were published across 24 journals, most commonly Radiology (n = 31) and Journal of Trauma—Injury, Infection, and Critical Care (n = 28). Articles had an average of five authors and 35 % of first authors were affiliated with a department other than radiology. Forty-six articles had sample sizes of 100 or fewer. Computed tomography (CT) was the most common modality (n = 67), followed by magnetic resonance (MR; n = 22), and X-ray (XR; n = 11). Neuroradiology (n = 48) and abdominal radiology (n = 36) were the most common subspecialties. The 100 top-cited articles in the radiology of trauma are diverse. Subspecialty bibliometric analyses identify the most influential articles of a particular field, providing more implications to clinical radiologists, trainees, researchers, editors, and reviewers than radiology-wide lists.

[1]  J. Morris,et al.  The clinical utility of computed tomographic scanning and neurologic examination in the management of patients with minor head injuries. , 1992, The Journal of trauma.

[2]  Y. Ben-menachem,et al.  Computed tomography in blunt trauma. , 1981, Radiologic clinics of North America.

[3]  Harris L Cohen,et al.  Understanding bibliometric parameters and analysis. , 2015, Radiographics : a review publication of the Radiological Society of North America, Inc.

[4]  B. Green,et al.  Acute traumatic central cord syndrome: MRI-pathological correlations , 2004, Neuroradiology.

[5]  Dae Young Yoon,et al.  Citation classics in radiology journals: the 100 top-cited articles, 1945-2012. , 2013, AJR. American journal of roentgenology.

[6]  J. W. Pate,et al.  Prospective study of blunt aortic injury: helical CT is diagnostic and antihypertensive therapy reduces rupture. , 1998, Annals of surgery.

[7]  P. Kleinman Diagnostic Imaging of Child Abuse , 1987 .

[8]  A Gregory Sorensen,et al.  Diffusion-Weighted Imaging for the Evaluation of Diffuse Axonal Injury in Closed Head Injury , 2003, Journal of computer assisted tomography.

[9]  M. Kulkarni,et al.  Acute Spinal Cord Injury: A Study Using Physical Examination and Magnetic Resonance Imaging , 1990 .

[10]  W. Bradley,et al.  Cervical spine hyperextension injuries: MR findings. , 1991, Radiology.

[11]  R. Jeffrey,et al.  Computed tomography of pancreatic trauma. , 1983, Radiology.

[12]  A. V. van Vugt,et al.  Sonography in a clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. , 1999, AJR. American journal of roentgenology.

[13]  W. Chiu,et al.  Hemoperitoneum as the sole indicator of abdominal visceral injuries: a potential limitation of screening abdominal US for trauma. , 1999, Radiology.

[14]  R. Lavery,et al.  Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. , 2003, The Journal of trauma.

[15]  J. Woodring,et al.  Limitations of cervical radiography in the evaluation of acute cervical trauma. , 1993, The Journal of trauma.

[16]  M. Dolister Mild head injury: A plea for routine early CT scanning: Stein SC, Ross SE J Trauma 33:11–13 Jul 1992 , 1992 .

[17]  D. Oakes,et al.  Intestinal injuries missed by computed tomography. , 1990, The Journal of trauma.

[18]  A. Peitzman,et al.  Blunt splenic injury in adults: clinical and CT criteria for management, with emphasis on active extravasation. , 1998, Radiology.

[19]  G. Murray,et al.  The value of the "worst" computed tomographic scan in clinical studies of moderate and severe head injury. European Brain Injury Consortium. , 2000, Neurosurgery.

[20]  R. Ashikaga,et al.  MRI of head injury using FLAIR , 1997, Neuroradiology.

[21]  D. Gens,et al.  Diaphragmatic rupture due to blunt trauma: sensitivity of plain chest radiographs. , 1991, AJR. American journal of roentgenology.

[22]  R. Deyo,et al.  Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis. , 1999, Radiology.

[23]  L Schweiberer,et al.  Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. , 1997, The Journal of trauma.

[24]  S. Rijcke,et al.  Bibliometrics: The Leiden Manifesto for research metrics , 2015, Nature.

[25]  D. Trunkey,et al.  Computed tomography in the diagnosis of blunt intestinal and mesenteric injuries. , 1987, The Journal of trauma.

[26]  R A Novelline,et al.  Helical CT in emergency radiology. , 1999, Radiology.

[27]  S. Mirvis,et al.  Value of chest radiography in excluding traumatic aortic rupture. , 1987, Radiology.

[28]  K. Shanmuganathan,et al.  Value of contrast-enhanced CT in detecting active hemorrhage in patients with blunt abdominal or pelvic trauma. , 1993, AJR. American journal of roentgenology.

[29]  A. Flanders,et al.  Vertebral artery injury after acute cervical spine trauma: rate of occurrence as detected by MR angiography and assessment of clinical consequences. , 1995, AJR. American journal of roentgenology.

[30]  I. Tocino,et al.  CT detection of occult pneumothorax in head trauma. , 1984, AJR. American journal of roentgenology.

[31]  P. Poletti,et al.  Helical computed tomography of bowel and mesenteric injuries. , 2001, Journal of Trauma.

[32]  P. Parizel,et al.  Imaging findings in diffuse axonal injury after closed head trauma , 1998, European Radiology.

[33]  J. Woodring,et al.  The role and limitations of computed tomographic scanning in the evaluation of cervical trauma. , 1992, The Journal of trauma.

[34]  D. Larson,et al.  National trends in CT use in the emergency department: 1995-2007. , 2011, Radiology.

[35]  M. Westergaard Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: Is MR imaging needed when multi-detector row CT findings are normal? , 2006 .

[36]  B. Thompson,et al.  MR imaging of head trauma: review of the distribution and radiopathologic features of traumatic lesions. , 1988, AJR. American journal of roentgenology.

[37]  J. Morris,et al.  Prospective comparison of admission computed tomographic scan and plain films of the upper cervical spine in trauma patients with altered mental status. , 2001, The Journal of trauma.

[38]  D. Cooney,et al.  The role of computed tomography in the evaluation of blunt abdominal trauma in children. , 1981, Journal of pediatric surgery.

[39]  Henk F. Moed,et al.  New developments in the use of citation analysis in research evaluation , 2009, Archivum Immunologiae et Therapiae Experimentalis.

[40]  D. Lloyd,et al.  Predictive value of skull radiography for intracranial injury in children with blunt head injury , 1997, The Lancet.

[41]  R. Karmy-Jones,et al.  Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectives. , 2008, The Journal of trauma.

[42]  R. Alfidi,et al.  Head trauma evaluated by magnetic resonance and computed tomography: a comparison. , 1984, Radiology.

[43]  M. Federle,et al.  Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. , 1989, Radiology.

[44]  F S Chew The scientific literature in diagnostic radiology for American readers: a survey and analysis of journals, papers, and authors. , 1986, AJR. American journal of roentgenology.

[45]  R. Jeffrey,et al.  Computed tomography of splenic trauma. , 1981, Radiology.

[46]  T A Gennarelli,et al.  Prevalence of MR evidence of diffuse axonal injury in patients with mild head injury and normal head CT findings. , 1994, AJNR. American journal of neuroradiology.

[47]  B. Thompson,et al.  Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. , 1988, AJR. American journal of roentgenology.

[48]  K. Davis,et al.  Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms. , 1997, The Journal of trauma.

[49]  E. M. Miller,et al.  CT in the evaluation of spine trauma. , 1981, AJR. American journal of roentgenology.

[50]  A. Flanders,et al.  Acute cervical spine trauma: correlation of MR imaging findings with degree of neurologic deficit. , 1990, Radiology.

[51]  C. White,et al.  Traumatic aortic injury: diagnosis with contrast-enhanced thoracic CT--five-year experience at a major trauma center. , 1996, Radiology.

[52]  R. Jeffrey,et al.  Computed tomography in blunt abdominal trauma. , 1982, Archives of surgery.

[53]  Harris L Cohen,et al.  Highly cited works in radiology: the top 100 cited articles in radiologic journals. , 2014, Academic radiology.

[54]  J. Sullivan,et al.  Renal trauma: radiological studies. Comparison of urography, computed tomography, angiography, and radionuclide studies. , 1985, Radiology.

[55]  D. Gens,et al.  Rupture of the bowel after blunt abdominal trauma: diagnosis with CT. , 1992, AJR. American journal of roentgenology.

[56]  J. Taveras,et al.  Computerized tomography (CT) in acute head trauma. , 1976, AJR. American journal of roentgenology.

[57]  S. Stein,et al.  Mild head injury: a plea for routine early CT scanning. , 1992, The Journal of trauma.

[58]  T. Scalea,et al.  Penetrating torso trauma: triple-contrast helical CT in peritoneal violation and organ injury--a prospective study in 200 patients. , 2004, Radiology.

[59]  D. Schriger,et al.  Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. , 1992, Annals of emergency medicine.

[60]  S. J. Evans,et al.  Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. , 1996, AJR. American journal of roentgenology.

[61]  R. Bynoe,et al.  Noninvasive diagnosis of vascular trauma by duplex ultrasonography. , 1991, Journal of vascular surgery.

[62]  Alexander L. Eastman,et al.  Computed tomographic angiography for the diagnosis of blunt cervical vascular injury: is it ready for primetime? , 2005, The Journal of trauma.

[63]  R A Zimmerman,et al.  Cranial computed tomography in diagnosis and management of acute head trauma. , 1978, AJR. American journal of roentgenology.

[64]  Julius Cuong Pham,et al.  Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998-2007. , 2010, JAMA.

[65]  F. Geisler,et al.  Acute cervical spine trauma: evaluation with 1.5-T MR imaging. , 1988, Radiology.

[66]  J. Sherck,et al.  The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. , 1994, American journal of surgery.

[67]  T. Scalea,et al.  Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. , 1995, The Journal of trauma.

[68]  E. Benzel,et al.  Magnetic resonance imaging for the evaluation of patients with occult cervical spine injury. , 1996, Journal of neurosurgery.

[69]  B. Ghelman,et al.  Unsuspected sacral fractures: detection by radionuclide bone scanning. , 1985, AJR. American journal of roentgenology.

[70]  T. Fabian,et al.  Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management. , 1995, The Journal of trauma.

[71]  J. Soto,et al.  Focal arterial injuries of the proximal extremities: helical CT arteriography as the initial method of diagnosis. , 2001, Radiology.

[72]  A. Dublin,et al.  Computed tomography in head trauma. , 1977, Radiology.

[73]  F S Chew AJR: the 50 most frequently cited papers in the past 50 years. , 1988, AJR. American journal of roentgenology.

[74]  L. Jacobs,et al.  A prospective analysis of a two-year experience using computed tomography as an adjunct for cervical spine clearance. , 1991, The Journal of trauma.

[75]  D. Grob,et al.  Clinical Validation of Functional Flexion/Extension Radiographs of the Cervical Spine , 1993, Spine.

[76]  L. Lewis,et al.  Analysis of Costs, Length of Stay, and Utilization of Emergency Department Services By Frequent Users: Implications for Health Policy , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[77]  J. Thornbury,et al.  Skull x-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. , 1987, The New England journal of medicine.

[78]  H. Imhof,et al.  Radiographically occult scaphoid fractures: value of MR imaging in detection. , 1997, Radiology.

[79]  A. Peitzman,et al.  Prospective study of computed tomography in initial management of blunt abdominal trauma. , 1986, The Journal of trauma.

[80]  R. Jeffrey,et al.  The role of computed tomography in renal trauma. , 1981, Radiology.

[81]  B. Holman The research that radiologists do: perspective based on a survey of the literature. , 1990, Radiology.

[82]  D. Gens,et al.  Blunt hepatic trauma in adults: CT-based classification and correlation with prognosis and treatment. , 1989, Radiology.

[83]  P. Kim,et al.  CT and MR imaging findings of bowel ischemia from various primary causes. , 2000, Radiographics : a review publication of the Radiological Society of North America, Inc.

[84]  W. O. Crawford,et al.  Classification of parenchymal injuries of the lung. , 1988, Radiology.

[85]  T. Fabian,et al.  Blunt bowel and mesenteric injuries: the role of screening computed tomography. , 2000, The Journal of trauma.

[86]  G. Shaftan,et al.  The diagnostic superiority of computerized tomography. , 1985, The Journal of trauma.

[87]  E. Garfield Citation analysis as a tool in journal evaluation. , 1972, Science.

[88]  A. V. van Vugt,et al.  Abdominal ultrasound as a reliable indicator for conclusive laparotomy in blunt abdominal trauma. , 1993, The Journal of trauma.

[89]  Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study. , 1999, The Journal of trauma.

[90]  Sam Soo Kim,et al.  Characteristics and trends of radiology research: a survey of original articles published in AJR and Radiology between 2001 and 2010. , 2012, Radiology.

[91]  D. Kuhl,et al.  Computed tomography of pediatric head trauma: acute general cerebral swelling. , 1978, Radiology.

[92]  A. Southall,et al.  Patient ED turnaround times: a comparative review. , 1999, The American journal of emergency medicine.

[93]  J. Soto,et al.  Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography. , 2000, Radiology.

[94]  K. Shanmuganathan,et al.  Helical CT of diaphragmatic rupture caused by blunt trauma. , 1999, AJR. American journal of roentgenology.

[95]  L. Heier,et al.  Head trauma: comparison of MR and CT--experience in 100 patients. , 1988, AJNR. American journal of neuroradiology.

[96]  N. Jouriles Pelvic fractures: Value of plain radiography in early assessment and management , 1987 .

[97]  J. Holmes,et al.  Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. , 2005, The Journal of trauma.

[98]  Maximilian Reiser,et al.  Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study , 2009, The Lancet.

[99]  Aurelio Rodríguez,et al.  Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury. , 1998, The Journal of trauma.

[100]  P. Joseph,et al.  Hemorrhage and edema in acute spinal cord compression: demonstration by MR imaging. , 1986, Radiology.

[101]  T. Egglin,et al.  Sixteen-slice computed tomographic angiography is a reliable noninvasive screening test for clinically significant blunt cerebrovascular injuries. , 2006, The Journal of trauma.

[102]  K. Davis,et al.  Splenic embolization revisited: a multicenter review. , 2004, The Journal of trauma.

[103]  L. Bui-Mansfield,et al.  Top 100 cited AJR articles at the AJR's Centennial. , 2006, AJR. American journal of roentgenology.

[104]  Mahbubur Rahman,et al.  Research articles published in clinical radiology journals: trend of contribution from different countries. , 2005, Academic radiology.

[105]  J. L. Williams,et al.  Clearing the cervical spine in obtunded patients: the use of dynamic fluoroscopy. , 1995, The Journal of trauma.

[106]  R. Jeffrey,et al.  Evaluation of abdominal trauma by computed tomography. , 1981, Radiology.

[107]  C. F. Richards Blunt traumatic aortic rupture: Detection with helical CT of the chest , 1996 .

[108]  C. R. Patterson,et al.  A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. , 1986, The Journal of trauma.

[109]  P. Grabb,et al.  Magnetic resonance imaging in the evaluation of spinal cord injury without radiographic abnormality in children. , 1994, Neurosurgery.

[110]  C. Franke,et al.  Acute whiplash injury: is there a role for MR imaging?--a prospective study of 100 patients. , 1996, Radiology.