April 24, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215110

External validation of the emergency CT head score to reduce non-trauma imaging: a multicentre retrospective study

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This study aimed to externally validate the Emergency CT Head Score (ECHS) in a French population to determine its effectiveness in reducing unnecessary cerebral CT scans in emergency departments. The results indicated that the ECHS demonstrated high sensitivity (100%) for detecting abnormalities, suggesting that nearly half of the scans could be avoided without adverse outcomes. The authors conclude that while the ECHS shows promise, further prospective studies are necessary for implementation.

Romain Seingier, Jeremy Pasco, Jean-Luc Hanouz, Richard Macrez, Mathieu Goetz, Félix Amiot

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