5 Minute 'HOT' Trauma CT Rates Of Detection Study

NCT07314437 | Not Yet Recruiting

• 3 other identifiers: 25/RAD/17636187770122
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.

Conditions

Trauma (Including Fractures); Trauma Abdomen; Trauma Blunt; Trauma Centers

Keywords

Trauma; CT; Hot Report; Radiology; HOT-RODs

Outcome Measures

Primary Outcomes (1)

• Rates of detection and error of a hot CT report.

  Measure using percentage difference in hot report accuracy rates between those who receive the educational package and those who did not. Participants will submit their answers onto the platform and these will be evaluated by Radiologists familiar with the trauma scans the participants have reviewed. The primary analysis will be comparative between the pickup rate between the first and second imaging set within groups 1 and 2. Group 3 will act a control group to determine the effect of repetition on skill development rather than the education package.

  1 year

Study Arms (3)

Group 3 Control Group

NO INTERVENTION

No intervention. Control Group.

Group 1 Intervention Group A Images

EXPERIMENTAL

Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist.

Other: Education

Group 2 Intervention Group B Images

EXPERIMENTAL

Group 2 will report image bank B, receive the educational intervention and then report image bank A.

Other: Education

Interventions

Education OTHER

The three groups will report 2 image banks of 15 CT images each. Image bank A will contain 15 CT images each with a brief history including the mechanism of injury. Image bank B will contain 10 new CT images and 5 CT images contained within image bank A, but with an altered but compatible mechanism of injury. Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. Group 2 will report image bank B, receive the educational intervention and then report image bank A. Group 3 will report image bank A and B without any intervention.

Group 1 Intervention Group A Images; Group 2 Intervention Group B Images

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Medical professionals involved in trauma image review.
• This includes clinicians who are emergency department doctors, radiologists and other specialties.
• Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.

You may not qualify if:

• Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
• Under 18 years old.
• Not a medical professional or clinician.

Sponsors & Collaborators

• University Hospital Plymouth NHS Trust: lead

Study Sites (1)

University Hospitals Plymouth

Plymouth, Devon, PL6 8DH, United Kingdom

Location

MeSH Terms

Conditions

Wounds and Injuries; Abdominal Injuries; Wounds, Nonpenetrating

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Central Study Contacts

Paul Jenkins, BMBS, BSc (Hons), FRCR, EBIR

CONTACT

+441752430838; pjenkins1@nhs.net

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Each Group will not be aware of the intervention or education or content the other Group receives.
• Purpose: DIAGNOSTIC
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant Interventional Radiologist

Model Details: The primary analysis will be comparative between the pickup rate between the first and second imaging set within groups 1 and 2. Group 3 will act a control group to determine the effect of repetition on skill development rather than the education package. Subgroup analysis of clinicians by demographics including trauma experience will be performed.

Study Record Dates

• First Submitted: November 25, 2025
• First Posted: January 2, 2026
• Study Start: January 30, 2026
• Primary Completion (Estimated): January 30, 2027
• Study Completion (Estimated): February 28, 2027
• Last Updated: January 12, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, CSR
• Time Frame: The IPD and supporting information will be made available via the request process outlined below after the project's first publication with the data analysed. We anticipate this will be a maximum of one year following the anticipated completion date of the study (15th January 2027).
• Access Criteria: Requests for data sharing can be made after publication of the primary results paper. Requests should be made to the Chief Investigator in the first instance. Requesters will be asked to complete an application form detailing specific requirements, rationale, and proposed usage. The CI and study sponsor (including the sponsor's Research Governance Manager (or deputy), the Information Governance Team, Calidcott Guardian, IM\&T Security Officer and the researcher funder, as appropriate) will review all requests. Consideration will be given to: 1. The viability and suitability of the request 2. Appropriate steps have been taken to minimise the risk of identifying participants 3. Data security policies and procedures of recipient organisation (including country if abroad) and other regulatory requirements are applicable 4. The credentials of the requestor Where access to requested data is granted, requesters organisation must sign a data sharing agreement before they can access any

Locations

GB (1)