ABSTRACT

Introduction The importance of plain radiography of the skull has diminished in recent years due to the widespread availability of other imaging modalities, i.e. computed tomography (CT) and magnetic resonance imaging (MRI). The specificity of both modalities does allow for a faster and more definitive diagnosis than plain radiography. Skull radiography can play a significant role in the management of patients with certain skeletal conditions and, to a limited extent in trauma, e.g. when a depressed or penetrating injury is suspected or if the patient is difficult to assess. Also the ability to refer patients for multiplanar skull/head imaging may be dependent upon local availability. Consequently, a significant number of referrals are still received from the accident and emergency department.