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Retrospective review of traumatic brain injury: is skull X-ray still clinically relevant? Cover

Retrospective review of traumatic brain injury: is skull X-ray still clinically relevant?

Open Access
|Oct 2026
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Figures & Tables

FIGURE 1.

Imaging utilization.

TABLE 1.

Imaging findings in skull X-ray and head CT

Head CT findingsN (%)Skull X-ray findingsN (%)
No evidence of bone or brain injury2,093 (67.5)No reliable signs of injury5,960 (97.0)
Fracture without intracranial haemorrhage261 (8.4)Skull fracture153 (2.5)
Fracture with intracranial haemorrhage308 (9.9)Isolated nasal bone fracture33 (0.5)
Intracranial haemorrhage without fracture441 (14.2)
TABLE 2.

Diagnostic performance metrics of skull X-ray for fractures

SensitivitySpecificityPPVNPV
43.6 %91.4 %48.1 %89.9 %

[i] NPV = negative predictive value; PPV = positive predictive value

TABLE 3.

Association between skull X-ray findings and intracranial haemorrhage on CT

Head CTNo intracranial haemorrhageIntracranial haemorrhageTotal
Skull X-ray
No fracture58073653
Fracture7828106
Total658101759
TABLE 4.

Association between skull X-ray findings and clinically significant traumatic brain injury (csTBI)

Head CTNo csTBIcsTBITotal
Skull X-ray
No fracture64112653
Fracture1015106
Total74217759
DOI: https://doi.org/10.2478/raon-2026-0053 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Submitted on: May 20, 2026
Accepted on: Aug 10, 2026
Published on: Oct 22, 2026
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Anze Lecnik, Ziga Samsa, Borut Hribernik, Janez Ravnik, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.