{"id":182684,"date":"2026-04-01T21:17:54","date_gmt":"2026-04-01T21:17:54","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-ny\/182684\/"},"modified":"2026-04-01T21:17:54","modified_gmt":"2026-04-01T21:17:54","slug":"brain-injuries-are-being-diagnosed-with-a-blood-test-rather-than-a-costly-ct-scan","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-ny\/182684\/","title":{"rendered":"Brain injuries are being diagnosed with a blood test rather than a costly CT scan"},"content":{"rendered":"<p>It happens every day at North Shore University Hospital\u2019s busy emergency department in Manhasset \u2014 patients who have fallen and hit their head are brought in for evaluation and possible treatment.<\/p>\n<p>That process can take time and involve exposure to radiation, through a computed tomography (CT) scan that may not even be necessary.<\/p>\n<p>For the past four\u00a0months, the hospital has been using a new tool that can help determine whether a patient\u00a0has suffered a brain injury with the use of blood instead of radiation.<\/p>\n<p>North Shore is the first facility in the state, officials said,\u00a0to implement the i-STAT Alinity TBI test by Abbott, which measures the\u00a0presence of two proteins\u00a0\u2014 biomarkers \u2014 in blood that signal brain injury.<\/p>\n<p>WHAT NEWSDAY FOUNDNorth Shore University Hospital&#8217;s emergency department is the first in the state to use\u00a0a\u00a0blood test to check for brain injury in patients.The i-STAT Alinity TBI test searches for the presence of two proteins, biomarkers, that should be in the brain but not the blood.The test could cut down on the number of computed tomography (CT) scans, which exposes patients to radiation,\u00a0to check for brain injuries.<\/p>\n<p>&#8220;These are proteins that are found in the brain so they shouldn&#8217;t be in your blood,&#8221; said Dr. Tylis Chang, vice chair of pathology at Northwell Health. &#8220;By measuring them and seeing you have it in your\u00a0blood, that tells us there&#8217;s a problem.<\/p>\n<p>If both the\u00a0proteins are below a certain threshold, doctors can be confident the patient doesn\u2019t have a significant enough traumatic brain injury to warrant a CT, said Dr. Chidubem Iloabachie, associate chair of emergency medicine at North Shore.<\/p>\n<p>The results are available within 15 minutes on a handheld device. Northwell has chosen to run the test through its own lab, which returns results in about 30 minutes.\u00a0<\/p>\n<p>The current test, which uses whole blood, was approved by the\u00a0<a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/abbott.mediaroom.com\/2024-04-01-Abbott-Receives-FDA-Clearance-for-Whole-Blood-Rapid-Test-to-Help-with-Assessment-of-Concussion-at-the-Patients-Bedside\" rel=\"nofollow noopener\">Food and Drug Administration in 2024<\/a>\u00a0for people 18 years of age and older. Whole blood contains red and white blood cells as well as platelets suspended by plasma.<\/p>\n<p>Research into a blood-based test for brain injuries started over a decade ago with funding from the\u00a0<a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/cdmrp.health.mil\/pubs\/press\/2024\/TBIDiagnosticTool\" rel=\"nofollow noopener\">U.S. Department of Defense<\/a>,\u00a0which was looking for a way to diagnose traumatic brain injuries in the field.<\/p>\n<p>The technology also can be useful for youth athletics, and officials at Abbott said they were currently having clinical trials for the test focused on children under 18. Last year,\u00a0the motorcycle racing organization, MotoAmerica, <a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/www.motoamerica.com\/motoamerica-becomes-first-to-use-abbotts-rapid-blood-test-for-concussion-evaluation-at-its-events\/\" rel=\"nofollow noopener\">became\u00a0the first professional sports organization<\/a> to use the test on-site.<\/p>\n<p>At North Shore, many of their patients with possible traumatic brain injury are\u00a0senior citizens\u00a0who have fallen.<\/p>\n<p>&#8220;One of the most common causes for people to come to the emergency department is a mild traumatic brain injury,&#8221; Iloabachie said. &#8220;We would define it as a blunt force trauma event where something hits your head or your head hits something.&#8221;<\/p>\n<p>Clinicians use the <a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK513298\/\" rel=\"nofollow noopener\">Glasgow Coma Scale<\/a>,\u00a0which measures speech, eye opening and motor response as a first level of evaluation. If that response is high enough, then the head injury is determined to be mild and the blood test can be used.<\/p>\n<p>&#8220;Even\u00a0when those algorithms are followed, we still perform head CTs on an exorbitant number of these patients with mild traumatic brain injuries,&#8221; Iloabachie said. &#8220;The overwhelming majority of these CT scans are negative so it begs the question if they are even necessary to do in the first place.&#8221;<\/p>\n<p>He pointed out each CT scan exposes patients to ionizing radiation, costs money to be performed and read by a radiologist and adds time to an emergency department stay.<\/p>\n<p>There are a few caveats for the blood test. Patients must be tested within the first 24 hours of their injury, cannot be on blood thinners, have seizures or have penetrating trauma, such as a gunshot wound or a stab wound.<\/p>\n<p>So far, North Shore has run 135 tests on patients and avoided CT scans on about one-third of them, officials said.<\/p>\n<p>&#8220;The test cannot replace a CT scan, that&#8217;s a really high bar,&#8221; Chang said. &#8220;But what it can do is in the right patient population, we can say, &#8216;You don&#8217;t need a CT scan.&#8217; &#8220;<\/p>\n<p>According to the Department of Defense, members of the U.S. military suffered\u00a0<a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/www.health.mil\/Military-Health-Topics\/Centers-of-Excellence\/Traumatic-Brain-Injury-Center-of-Excellence\/DOD-TBI-Worldwide-Numbers\" rel=\"nofollow noopener\">over 436,000 traumatic brain injuries<\/a> classified as mild between 2000 and 2025.<\/p>\n<p>The agency funded\u00a0research that led to the first test to detect the\u00a0proteins by California based-Banyan Biomarkers in 2018. Abbott was brought in to make the<a class=\"nd-link\" target=\"_blank\" href=\"https:\/\/www.dvidshub.net\/news\/386851\/army-announces-fda-clearance-field-deployable-tbi-blood-test\" rel=\"nofollow noopener\"> technology more accessible<\/a>. Earlier versions of the test had a 12-hour testing window instead of 24 and tested plasma that\u00a0had to be separated from the\u00a0whole blood.<\/p>\n<p>&#8220;The original\u00a0prototypes took four hours,&#8221; said\u00a0Dr. Beth McQuiston, a neuroscientist and medical director for Abbott&#8217;s diagnostics business. &#8220;You have to optimize it so that it fits into the normal course of health care. And then you want to make it repeatable, so\u00a0that it works the same in one hospital versus another hospital &#8230; we are making the invisible visible&#8221;<\/p>\n<p><img alt=\"Lisa L. Colangelo\" loading=\"lazy\" width=\"88\" height=\"104\" decoding=\"async\" data-nimg=\"1\" style=\"color:transparent\"  src=\"https:\/\/www.newsbeep.com\/us-ny\/wp-content\/uploads\/2026\/04\/1775078274_603_image.jpeg\"\/><\/p>\n<p>\n\tLisa joined Newsday as a staff writer in 2019. She previously worked at amNewYork, the New York Daily News and the Asbury Park Press covering politics, government and general assignment.<\/p>\n","protected":false},"excerpt":{"rendered":"It happens every day at North Shore University Hospital\u2019s busy emergency department in Manhasset \u2014 patients who have&hellip;\n","protected":false},"author":2,"featured_media":182685,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[2953,9,24,63,122,124,123],"class_list":{"0":"post-182684","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-queens","8":"tag-health","9":"tag-new-york","10":"tag-new-york-city","11":"tag-nyc","12":"tag-queens","13":"tag-queens-headlines","14":"tag-queens-news"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/182684","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/comments?post=182684"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/posts\/182684\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media\/182685"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/media?parent=182684"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/categories?post=182684"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ny\/wp-json\/wp\/v2\/tags?post=182684"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}