THORACIC AORTIC TRAUMA - ROLE OF DYNAMIC CT

被引:39
作者
MADAYAG, MA [1 ]
KIRSHENBAUM, KJ [1 ]
NADIMPALLI, SR [1 ]
FANTUS, RJ [1 ]
CAVALLINO, RP [1 ]
CRYSTAL, GJ [1 ]
机构
[1] ILLINOIS MASON MED CTR,DEPT ANESTHESIA,TRAUMA SERV,CHICAGO,IL 60657
关键词
AORTA; CT; INJURIES; AORTOGRAPHY; EFFICACY STUDY; TRAUMA;
D O I
10.1148/radiology.179.3.2028005
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Two protocols were developed to study the efficacy of both chest radiography and dynamic computed tomography (CT) of the thorax in screening for traumatic aortic injury. Both protocols demonstrated a definite role for dynamic CT in excluding aortic injury in patients with normal initial chest radiographs. The authors studied 164 patients, and preliminary results indicated a high reliability for this method. Their algorithm, with 6-month follow-up, yielded both 100% sensitivity and a 100% negative predictive value. Unnecessary aortography, with its associated morbidity and cost, was decreased by 73%.
引用
收藏
页码:853 / 855
页数:3
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