In 2016, amendments to the Statutory Accident Benefits Schedule opened the door to the more frequent use of single-photon emission computerized tomography (SPECT) scan imaging as a diagnostic tool for brain injuries to qualify someone as catastrophically impaired, but as recent court decisions show, there is far from consensus in the medical and medical-legal community when it comes to the accepted use of these scans.
As outlined in s3.1(1) ss4(i) of the Schedule, an injured party has sustained a catastrophic impairment in the form of a traumatic brain injury, where “the injury shows positive findings on a computerized axial tomography scan, a magnetic resonance imaging or any other medically recognized brain diagnostic technology indicating intracranial pathology that is a result of the accident, including, but not limited to, intracranial contusions or haemorrhages, diffuse axonal injury, cerebral edema, midline shift or pneumocephaly.”
“Catastrophic Impairment, due to traumatic brain injury, led to the introduction to the medical-legal community of SPECT scans as a way to achieve that designation,” says Yoni Silberman, partner at Bogoroch & Associates LLP. “But the legislative wording – more specifically, the requirement of positive findings on ‘a medically recognized brain diagnostic technology’ – has led us to scrutinize whether or not SPECT scan meets this criteria.”