Repeat CT Imaging for Traumatic Brain Injury – When and Who?

Wednesday, December 10, 2025, 12:00 PM - 1:00 PM, Orange, CA, Teleconference, Orange, CA


AMA PRA Category 1 Credits™ (1.00 hours), ABS CC (1.00 hours), Non-Physician Attendance (1.00 hours)

UCI Departments of Neurological Surgery & Neurology Neurotrauma Conferences

Objective(s): 1 Review current evidence and guidelines regarding the use of repeat head CT in patients with traumatic brain injury, including factors that predict radiographic progression and influence clinical decision-making. 2 Discuss the impact of anticoagulant and antiplatelet therapies on intracranial hemorrhage progression in TBI patients, and evaluate contemporary strategies for rapid reversal and hemostatic optimization. 3 Compare different institutional and specialty-specific approaches to monitoring, imaging, and managing TBI in anticoagulated patients, highlighting areas of consensus and ongoing controversy. 4 Examine the role of patient characteristics such as age, comorbidities (e.g., cirrhosis), mechanism of injury, and neurologic examination in guiding individualized imaging schedules, reversal protocols, and repeat CT utilization; this will allow us to discuss the BIG guidelines. 5 Determine when repeat imaging meaningfully changes management, when it does not, and how multidisciplinary collaboration can improve outcomes in complex neurotrauma patients.
Location: Orange, CA, Teleconference

Faculty Disclosures:
Areg Grigorian, MD (Nothing to disclose - 05/14/2025)
Download Handout

1. Review current evidence and guidelines regarding the use of repeat head CT in patients with traumatic brain injury, including factors that predict radiographic progression and influence clinical decision-making.
2. Discuss the impact of anticoagulant and antiplatelet therapies on intracranial hemorrhage progression in TBI patients, and evaluate contemporary strategies for rapid reversal and hemostatic optimization.
3. Compare different institutional and specialty-specific approaches to monitoring, imaging, and managing TBI in anticoagulated patients, highlighting areas of consensus and ongoing controversy.
4. Examine the role of patient characteristics such as age, comorbidities (e.g., cirrhosis), mechanism of injury, and neurologic examination in guiding individualized imaging schedules, reversal protocols, and repeat CT utilization; this will allow us to discuss the BIG guidelines.
5. Determine when repeat imaging meaningfully changes management, when it does not, and how multidisciplinary collaboration can improve outcomes in complex neurotrauma patients.

 

Successful completion of this CME activity enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

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Mitigation of Relevant Financial Relationships

University of California, Irvine School of Medicine Continuing Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Date	Empty Column	Title
12/10/2025 12:00:00 PM	Repeat CT Imaging for Traumatic Brain Injury – When and Who? 12/10/2025 12:00:00 PM 12/10/2025 1:00:00 PM 6 Orange, CA, Teleconference False MM/DD/YYYY	Repeat CT Imaging for Traumatic Brain Injury – When and Who? UCI Departments of Neurological Surgery & Neurology Neurotrauma Conferences Objective(s): 1 Review current evidence and guidelines regarding the use of repeat head CT in patients with traumatic brain injury, including factors that predict radiographic progression and influence clinical decision-making. 2 Discuss the impact of anticoagulant and antiplatelet therapies on intracranial hemorrhage progression in TBI patients, and evaluate contemporary strategies for rapid reversal and hemostatic optimization. 3 Compare different institutional and specialty-specific approaches to monitoring, imaging, and managing TBI in anticoagulated patients, highlighting areas of consensus and ongoing controversy. 4 Examine the role of patient characteristics such as age, comorbidities (e.g., cirrhosis), mechanism of injury, and neurologic examination in guiding individualized imaging schedules, reversal protocols, and repeat CT utilization; this will allow us to discuss the BIG guidelines. 5 Determine when repeat imaging meaningfully changes management, when it does not, and how multidisciplinary collaboration can improve outcomes in complex neurotrauma patients. Location: Orange, CA, Teleconference Faculty Disclosures: Areg Grigorian, MD (Nothing to disclose - 05/14/2025) Download Handout Location: Orange, CA, Teleconference