Blunt polytrauma: Evaluation with 64-section whole-body CT angiography

Radiographics

Volumn 32, Issue 3, 2012, Pages 609-632

  Dreizin, David ^a   Munera, Felipe ^a  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOGRAPHY; ARTICLE; BLUNT TRAUMA; COMPUTER ASSISTED TOMOGRAPHY; HUMAN; METHODOLOGY; MULTIPLE TRAUMA; RADIOGRAPHY; WHOLE BODY IMAGING;

ANGIOGRAPHY; HUMANS; MULTIPLE TRAUMA; TOMOGRAPHY, X-RAY COMPUTED; WHOLE BODY IMAGING; WOUNDS, NONPENETRATING;

EID: 84861171824     PISSN: 02715333     EISSN: 15271323     Source Type: Journal    
DOI: 10.1148/rg.323115099     Document Type: Article

References (115)

1. Scaglione M, Pinto A, Pedrosa I, Sparano A, Romano L. Multi-detector row computed tomography and blunt chest trauma. Eur J Radiol 2008;65(3): 377-388.
2. National Center for Injury Prevention and Control. 10 Leading Causes of Death by Age Group, United States Programming. Atlanta, Ga: Centers for Disease Control and Prevention, 2007.
3. Nguyen D, Platon A, Shanmuganathan K, Mirvis SE, Becker CD, Poletti PA. Evaluation of a single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma. AJR Am J Roentgenol 2009;192(1):3-10.
4. Poletti PA, Wintermark M, Schnyder P, Becker CD. Traumatic injuries: role of imaging in the management of the polytrauma victim (conservative expectation). Eur Radiol 2002;12(5):969-978.
5. Douglas-Akinwande AC, Buckwalter KA, Rydberg J, Rankin JL, Choplin RH. Multichannel CT: evaluating the spine in postoperative patients with orthopedic hardware. RadioGraphics 2006;26(suppl 1): S97-S110.
6. Geijer M, El-Khoury GY. MDCT in the evaluation of skeletal trauma: principles, protocols, and clinical applications. Emerg Radiol 2006;13(1):7-18.
7. Fung Kon Jin PH, van Geene AR, Linnau KF, Jurkovich GJ, Ponsen KJ, Goslings JC. Time factors associated with CT scan usage in trauma patients. Eur J Radiol 2009;72(1):134-138.
8. Stanescu L, Talner LB, Mann FA. Diagnostic errors in polytrauma: a structured review of the recent literature. Emerg Radiol 2006;12(3):119-123.
9. Trauma.org. ISS scoring and ISS score calculator. http://www.trauma.org/archive/scores/iss.html. Accessed April 1, 2011.
10. Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14(3):187-196.
11. Huber-Wagner S, Lefering R, Qvick LM, et al. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet 2009;373(9673):1455-1461.
12. Kilic Y, Konan A, Yorganci K, Sayek I. A novel fuzzy-logic inference system for predicting trauma-related mortality: emphasis on the impact of response to resuscitation. Eur J Trauma Emerg Surg 2010;36(6): 543-550.
13. Sampson MA, Colquhoun KB, Hennessy NL. Computed tomography whole body imaging in multi-trauma: 7 years experience. Clin Radiol 2006; 61(4):365-369.
14. Broghammer JA, Fisher MB, Santucci RA. Conservative management of renal trauma: a review. Urology 2007;70(4):623-629.
15. Nicolaou S, Eftekhari A, Sedlic T, et al. The utilization of dual source CT in imaging of polytrauma. Eur J Radiol 2008;68(3):398-408.
16. Taourel P, Vernhet H, Suau A, Granier C, Lopez FM, Aufort S. Vascular emergencies in liver trauma. Eur J Radiol 2007;64(1):73-82.
17. Brody JM, Leighton DB, Murphy BL, et al. CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis. RadioGraphics 2000;20(6):1525-1536.
18. Kertesz JL, Anderson SW, Murakami AM, Pieroni S, Rhea JT, Soto JA. Detection of vascular injuries in patients with blunt pelvic trauma by using 64-channel multidetector CT. RadioGraphics 2009;29(1): 151-164.
19. Miller-Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. RadioGraphics 2005;25(suppl 1):S133-S142.
20. Brofman N, Atri M, Hanson JM, Grinblat L, Chughtai T, Brenneman F. Evaluation of bowel and mesenteric blunt trauma with multidetector CT. RadioGraphics 2006;26(4):1119-1131.
21. Donnelly LF. Imaging issues in CT of blunt trauma to the chest and abdomen. Pediatr Radiol 2009;39 (suppl 3):406-413.
22. Sangster GP, González-Beicos A, Carbo AI, et al. Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol 2007;14(5):297-310.
23. Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA. Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. RadioGraphics 2004;24(5):1381-1395.
24. Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. RadioGraphics 2008;28(6):1555-1570.
25. Morgan TA, Steenburg SD, Siegel EL, Mirvis SE. Acute traumatic aortic injuries: posttherapy multidetector CT findings. RadioGraphics 2010;30(4): 851-867.
26. Anderson SW, Lucey BC, Varghese JC, Soto JA. Sixty-four multi-detector row computed tomography in multitrauma patient imaging: early experience. Curr Probl Diagn Radiol 2006;35(5):188-198.
27. Jayashankar A, Udayasankar U, Sebastian S, Lee EK, Kalra M, Small W. MDCT of thoraco-abdominal trauma: an evaluation of the success and limitations of primary interpretation using multiplanar reformatted images vs axial images. Emerg Radiol 2008;15(1):29-34.
28. Falchi M, Rollandi GA. CT of pelvic fractures. Eur J Radiol 2004;50(1):96-105.
29. Saigal K, Winokur RS, Finden S, Taub D, Pribitkin E. Use of three-dimensional computerized tomography reconstruction in complex facial trauma. Facial Plast Surg 2005;21(3):214-220.
30. Harris JH Jr, Lee JS, Coupe KJ, Trotscher T. Acetabular fractures revisited: part 1-redefinition of the Letournel anterior column. AJR Am J Roentgenol 2004;182(6):1363-1366.
31. Atri M, Hanson JM, Grinblat L, Brofman N, Chughtai T, Tomlinson G. Surgically important bowel and/or mesenteric injury in blunt trauma: accuracy of multidetector CT for evaluation. Radiology 2008;249(2):524-533.
32. Mirvis SE, Shanmuganathan K. Diagnosis of blunt traumatic aortic injury 2007: still a nemesis. Eur J Radiol 2007;64(1):27-40.
33. Sliker CW, Shanmuganathan K, Mirvis SE. Diagnosis of blunt cerebrovascular injuries with 16-MDCT: accuracy of whole-body MDCT compared with neck MDCT angiography. AJR Am J Roentgenol 2008;190(3):790-799.
34. Anderson SW, Soto JA, Lucey BC, Burke PA, Hirsch EF, Rhea JT. Blunt trauma: feasibility and clinical utility of pelvic CT angiography performed with 64-detector row CT. Radiology 2008;246(2): 410-419.
35. Anderson SW, Lucey BC, Rhea JT, Soto JA. 64 MDCT in multiple trauma patients: imaging manifestations and clinical implications of active extravasation. Emerg Radiol 2007;14(3):151-159.
36. Ptak T, Rhea JT, Novelline RA. Radiation dose is reduced with a single-pass whole-body multi-detector row CT trauma protocol compared with a conventional segmented method: initial experience. Radiology 2003;229(3):902-905.
37. Lim JEA. Utility of arterial phase in active hemorrhage and vascular injuries in splenic trauma: use of 64-MDCT. Presented at the 2011 Annual Meeting of the American Society of Emergency Radiology, Key Biscayne, Fla, September 14-17, 2011.
38. Bae KT. Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology 2010;256(1):32-61.
39. Awai K, Imuta M, Utsunomiya D, et al. Contrast enhancement for whole-body screening using multidetector row helical CT: comparison between uniphasic and biphasic injection protocols. Radiat Med 2004;22(5):303-309.
40. Bae KT, Tran HQ, Heiken JP. Multiphasic injection method for uniform prolonged vascular enhancement at CT angiography: pharmacokinetic analysis and experimental porcine model. Radiology 2000; 216(3):872-880.
41. Heiken JP, Brink JA, McClennan BL, Sagel SS, Forman HP, DiCroce J. Dynamic contrast-enhanced CT of the liver: comparison of contrast medium injection rates and uniphasic and biphasic injection protocols. Radiology 1993;187(2):327-331.
42. Loupatatzis C, Schindera S, Gralla J, et al. Whole-body computed tomography for multiple traumas using a triphasic injection protocol. Eur Radiol 2008;18(6):1206-1214.
43. Holmes JF, Offerman SR, Chang CH, et al. Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries. Ann Emerg Med 2004;43(1):120-128.
44. Foley M, Munera F, Rivas L, Ferrari MG, Henry RP Jr, Caban KM. Whole body CT angiography for blunt trauma: the role of dual phase image acquistion for solid abdominal organ injury evaluation [abstr]. In: Radiological Society of North America Scientific Assembly and Annual Meeting Program. Oak Brook, Ill: Radiological Society of North America, 2010; 247.
45. Hilbert P, zur Nieden K, Hofmann GO, Hoeller I, Koch R, Stuttmann R. New aspects in the emergency room management of critically injured patients: a multi-slice CT-oriented care algorithm. Injury 2007;38(5):552-558.
46. Asensio JA, Roldán G, Petrone P, et al. Operative management and outcomes in 103 AAST-OIS grades IV and V complex hepatic injuries: trauma surgeons still need to operate, but angioembolization helps. J Trauma 2003;54(4):647-653; discussion 653-654.
47. Haan JM, Bochicchio GV, Kramer N, Scalea TM. Nonoperative management of blunt splenic injury: a 5-year experience. J Trauma 2005;58(3):492-498.
48. Howell GM, Peitzman AB, Nirula R, et al. Delay to therapeutic interventional radiology postinjury: time is of the essence. J Trauma 2010;68(6): 1296-1300.
49. Sliker CW, Mirvis SE. Imaging of blunt cerebrovascular injuries. Eur J Radiol 2007;64(1):3-14.
50. Stein DM, Scalea TM. Nonoperative management of spleen and liver injuries. J Intensive Care Med 2006;21(5):296-304.
51. Becker CD, Mentha G, Schmidlin F, Terrier F. Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries. II. Gastrointestinal tract and retroperitoneal organs. Eur Radiol 1998;8(5):772-780.
52. Mirvis SE. Invited commentary. RadioGraphics 2000;20(6):1536-1537.
53. Harbrecht BG. Is anything new in adult blunt splenic trauma? Am J Surg 2005;190(2):273-278.
54. Yoon W, Jeong YY, Kim JK, et al. CT in blunt liver trauma. RadioGraphics 2005;25(1):87-104.
55. Lubner M, Menias C, Rucker C, et al. Blood in the belly: CT findings of hemoperitoneum. RadioGraphics 2007;27(1):109-125.
56. Wintermark M, Schnyder P. MDCT of chest trauma. In: Schoepf UJ, ed. Multidetector-row CT of the thorax. Berlin, Germany: Springer, 2006; 409-421.
57. Berg R, Talving P, Inaba K. Cardiac rupture following blunt trauma. Trauma 2011;13(1):35-45.
58. Ambrose G, Barrett LO, Angus GL, Absi T, Shaftan GW. Main pulmonary artery laceration after blunt trauma: accurate preoperative diagnosis. Ann Thorac Surg 2000;70(3):955-957.
59. Restrepo CS, Lemos DF, Lemos JA, et al. Imaging findings in cardiac tamponade with emphasis on CT. RadioGraphics 2007;27(6):1595-1610.
60. Prêtre R, Chilcott M. Blunt trauma to the heart and great vessels. N Engl J Med 1997;336(9): 626-632.
61. Novelline RA, Rhea JT, Rao PM, Stuk JL. Helical CT in emergency radiology. Radiology 1999;213 (2):321-339.
62. Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Burch JM. Blunt carotid arterial injuries: implications of a new grading scale. J Trauma 1999;47(5):845-853.
63. Biffl WL, Moore EE, Offner PJ, Burch JM. Blunt carotid and vertebral arterial injuries. World J Surg 2001;25(8):1036-1043.
64. Chokshi FH, Munera F, Rivas LA, Henry RP, Quencer RM. 64-MDCT angiography of blunt vascular injuries of the neck. AJR Am J Roentgenol 2011;196(3):W309-W315.
65. Biffl WLRC, Ray CE Jr, Moore EE, et al. Treatment-related outcomes from blunt cerebrovascular injuries: importance of routine follow-up arteriography. Ann Surg 2002;235(5):699-706; discussion 706-707.
66. Rozycki GS, Tremblay LN, Feliciano DV, McClelland WB. Blunt vascular trauma in the extremity: diagnosis, management, and outcome. J Trauma 2003;55(5):814-824.
67. Piffaretti G, Tozzi M, Lomazzi C, et al. Endovascular treatment for traumatic injuries of the peripheral arteries following blunt trauma. Injury 2007;38(9):1091-1097.
68. Thompson BE, Munera F, Cohn SM, et al. Novel computed tomography scan scoring system predicts the need for intervention after splenic injury. J Trauma 2006;60(5):1083-1086.
69. Mohr AM, Lavery RF, Barone A, et al. Angiographic embolization for liver injuries: low mortality, high morbidity. J Trauma 2003;55(6):1077-1081; discussion 1081-1082.
70. Fang JF, Wong YC, Lin BC, Hsu YP, Chen MF. The CT risk factors for the need of operative treatment in initially hemodynamically stable patients after blunt hepatic trauma. J Trauma 2006;61(3): 547-553; discussion 553-554.
71. Poletti PA, Mirvis SE, Shanmuganathan K, Killeen KL, Coldwell D. CT criteria for management of blunt liver trauma: correlation with angiographic and surgical findings. Radiology 2000;216(2): 418-427.
72. MacLean AA, Durso A, Cohn SM, Cameron J, Munera F. A clinically relevant liver injury grading system by CT: preliminary report. Emerg Radiol 2005;12(1-2):34-37.
73. Haan J, Scott J, Boyd-Kranis RL, Ho S, Kramer M, Scalea TM. Admission angiography for blunt splenic injury: advantages and pitfalls. J Trauma 2001;51(6):1161-1165.
74. Federle MP, Courcoulas AP, Powell M, Ferris JV, Peitzman AB. Blunt splenic injury in adults: clinical and CT criteria for management, with emphasis on active extravasation. Radiology 1998;206(1): 137-142.
75. Rogers CG, Knight V, MacUra KJ, Ziegfeld S, Paidas CN, Mathews RI. High-grade renal injuries in children: is conservative management possible? Urology 2004;64(3):574-579.
76. Kawashima A, Sandler CM, Corl FM, et al. Imaging of renal trauma: a comprehensive review. RadioGraphics 2001;21(3):557-574.
77. Dinkel HP, Danuser H, Triller J. Blunt renal trauma: minimally invasive management with microcatheter embolization experience in nine patients. Radiology 2002;223(3):723-730.
78. Nuñez D Jr, Becerra JL, Fuentes D, Pagson S. Traumatic occlusion of the renal artery: helical CT diagnosis. AJR Am J Roentgenol 1996;167(3): 777-780.
79. Ramchandani P, Buckler PM. Imaging of genitourinary trauma. AJR Am J Roentgenol 2009;192 (6):1514-1523.
80. Alonso RC, Nacenta SB, Martinez PD, Guerrero AS, Fuentes CG. Kidney in danger: CT findings of blunt and penetrating renal trauma. RadioGraphics 2009;29(7):2033-2053.
81. Rekhi S, Anderson SW, Rhea JT, Soto JA. Imaging of blunt pancreatic trauma. Emerg Radiol 2010;17(1):13-19.
82. Lawson CM, Daley BJ, Ormsby CB, Enderson B. Missed injuries in the era of the trauma scan. J Trauma 2011;70(2):452-456; discussion 456-458.
83. Oláh A, Issekutz Á, Haulik L, Makay R. Pancreatic transection from blunt abdominal trauma: early versus delayed diagnosis and surgical management. Dig Surg 2003;20(5):408-414.
84. Krige JE, Beningfield SJ, Nicol AJ, Navsaria P. The management of complex pancreatic injuries. S Afr J Surg 2005;43(3):92-102.
85. Linsenmaier U, Wirth S, Reiser M, Körner M. Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. RadioGraphics 2008;28(6):1591-1602.
86. Venkatesh SK, Wan JM. CT of blunt pancreatic trauma: a pictorial essay. Eur J Radiol 2008;67(2): 311-320.
87. Soto JA, Alvarez O, Múnera F, Yepes NL, Sepúlveda ME, Pérez JM. Traumatic disruption of the pancreatic duct: diagnosis with MR pancreatography. AJR Am J Roentgenol 2001;176(1): 175-178.
88. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma 2000;48(3):408-414; discussion 414-415.
89. Becker CD, Poletti PA. The trauma concept: the role of MDCT in the diagnosis and management of visceral injuries. Eur Radiol 2005;15(suppl 4): D105-D109.
90. Yu J, Fulcher AS, Wang DB, et al. Frequency and importance of small amount of isolated pelvic free fluid detected with multidetector CT in male patients with blunt trauma. Radiology 2010;256(3): 799-805.
91. Mirvis SE, Shanmuganathan K, Erb R. Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol 1994;163 (6):1375-1379.
92. Dowe MF, Shanmuganathan K, Mirvis SE, Steiner RC, Cooper C. CT findings of mesenteric injury after blunt trauma: implications for surgical intervention. AJR Am J Roentgenol 1997;168(2): 425-428.
93. Poletti PA, Platon A, Becker CD. Role of imaging in the management of trauma victims. In: Marincek B, Dondelinger RF, eds. Emergency radiology. Berlin, Germany: Springer, 2007; 3-23.
94. Sandler CM, Hall JT, Rodriguez MB, Corriere JN Jr. Bladder injury in blunt pelvic trauma. Radiology 1986;158(3):633-638.
95. Vaccaro JP, Brody JM. CT cystography in the evaluation of major bladder trauma. RadioGraphics 2000;20(5):1373-1381.
96. Chan DP, Abujudeh HH, Cushing GL Jr, Novelline RA. CT cystography with multiplanar reformation for suspected bladder rupture: experience in 234 cases. AJR Am J Roentgenol 2006;187(5): 1296-1302.
97. Shin SS, Jeong YY, Chung TW, et al. The sentinel clot sign: a useful CT finding for the evaluation of intraperitoneal bladder rupture following blunt trauma. Korean J Radiol 2007;8(6):492-497.
98. Quagliano PV, Delair SM, Malhotra AK. Diagnosis of blunt bladder injury: a prospective comparative study of computed tomography cystography and conventional retrograde cystography. J Trauma 2006;61(2):410-421; discussion 421-422.
99. Corriere JN Jr, Sandler CM. Bladder rupture from external trauma: diagnosis and management. World J Urol 1999;17(2):84-89.
100. Laufik M, Buono D, Casola G, Sirlin C. Delayed traumatic bladder rupture. AJR Am J Roentgenol 2005;184(3 suppl):S99-S101.
101. Titton RL, Gervais DA, Hahn PF, Harisinghani MG, Arellano RS, Mueller PR. Urine leaks and urinomas: diagnosis and imaging-guided intervention. RadioGraphics 2003;23(5):1133-1147.
102. Silverman PM, Cooper CJ, Weltman DI, Zeman RK. Helical CT: practical considerations and potential pitfalls. RadioGraphics 1995;15(1):25-36.
103. Levatter R. Radiation risk, screening, and standard CT: further reply to Brenner and Ellison. Radiology 2005;237(1):376-377; author reply 377.
104. Brenner DJ, Elliston CD. Estimated radiation risks potentially associated with full-body CT screening. Radiology 2004;232(3):735-738.
105. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States: 1993 to 2003. Ann Emerg Med 2008;51(6):769-774.
106. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med 2007;357(22):2277-2284.
107. Ferrera PC, Verdile VP, Bartfield JM, Snyder HS, Salluzzo RF. Injuries distracting from intraabdominal injuries after blunt trauma. Am J Emerg Med 1998;16(2):145-149.
108. Compoginis JM, Akopian G. CT imaging in motorcycle collision victims: routine or selective? Am Surg 2009;75(10):892-896.
109. Tillou A, Gupta M, Baraff LJ, et al. Is the use of pan-computed tomography for blunt trauma justified? A prospective evaluation. J Trauma 2009;67 (4):779-787.
110. Salim A, Sangthong B, Martin M, Brown C, Plurad D, Demetriades D. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arch Surg 2006;141(5):468-473; discussion 473-475.
111. Kanz KG, Körner M, Linsenmaier U, et al. Priority-oriented shock trauma room management with the integration of multiple-view spiral computed tomography [in German]. Unfallchirurg 2004;107 (10):937-944.
112. Wurmb TE, Frühwald P, Hopfner W, et al. Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time. J Trauma 2009;66(3): 658-665.
113. Clarke JR, Trooskin SZ, Doshi PJ, Greenwald L, Mode CJ. Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes. J Trauma 2002;52(3):420-425.
114. Brink M, Deunk J, Dekker HM, et al. Criteria for the selective use of chest computed tomography in blunt trauma patients. Eur Radiol 2010;20(4): 818-828.
115. Brink M, Deunk J, Dekker HM, et al. Added value of routine chest MDCT after blunt trauma: evaluation of additional findings and impact on patient management. AJR Am J Roentgenol 2008; 190(6):1591-1598.