ACR Appropriateness Criteria Blunt Chest Trauma

Chung, Jonathan H.; Cox, Christian W.; Mohammed, Tan-Lucien; Kirsch, Jacobo; Brown, Kathleen; Dyer, Debra S.; Ginsburg, Mark E.; Heitkamp, Darel E.; Kanne, Jeffrey P.; Kazerooni, Ella A.; Ketai, Loren H.; Ravenel, James G.; Saleh, Anthony G.; Shah, Rakesh; Steiner, Robert M.; Suh, Robert D.

doi:10.1016/j.jacr.2013.12.019

Cited by 48 publications

(28 citation statements)

References 38 publications

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“…As a matter of fact, in this study of 374 patients with blunt trauma, approximately half of all pneumothorax, rib fractures, and pulmonary contusions were not apparent on AP chest radiograph (9). Nevertheless, some studies have shown that posteroanterior (PA) radiograph has a good specificity but not sensitivity for rib fracture, although its sensitivity is higher than those of AP radiograph (10). In fact, up to 50% of rib fractures are missed at radiography, even when images with dedicated oblique rib views are obtained.…”

Section: Rib Fracturesmentioning

confidence: 68%

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Tomás¹,

Facenda²,

Vaz³

et al. 2017

Quant. Imaging Med. Surg.

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Blunt injuries to the chest wall are an important chapter on emergency room (ER) departments, being the third most common injuries in trauma patients which ominous complications could appear. This article describes different types of traumatic events affecting the chest wall, which maybe misdiagnosed with conventional X-ray. Special emphasis has been done in computed tomography (CT) and multidetector CT (MDCT) imaging. This technique is considered the "gold-standard" for those traumatic patients, due to its fast acquisition covering the whole area of interest in axial plane, reconstructing multiplanar (2D, 3D) volume-rendered images with a superb quality and angiographic CT capabilities for evaluating vascular damage. Complementary techniques such as ultrasonography (US) and magnetic resonance imaging (MRI) may improve the diagnostic accuracy due to its great capacity in visualising soft-tissue trauma (muscletendinous tears) and subtle fractures. All these imaging methods have an important role in quantifying the severity of chest wall trauma. The findings of this study have been exposed with cases of our archives in a didactic way.

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Section: Rib Fracturesmentioning

confidence: 68%

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Tomás¹,

Facenda²,

Vaz³

et al. 2017

Quant. Imaging Med. Surg.

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“…The remaining half of the APR-DRGs were associated with a decrease in CT that exceeded increases in ultrasound/ MRI, suggesting that it was not only a desire to avoid ionizing radiation that drove the decision to not use CT, but a general decline in imaging volume. 39 Other factors also may be at play, such as new or updated national guidelines discouraging routine use of CT for simple febrile or first nonfebrile seizure, 40,41 or the growing use of imaging appropriateness criteria [42][43][44][45][46] and clinical pathways in emergency department and inpatient settings that provide guidance and evidence base for the use or nonuse of certain diagnostic approaches.…”

Section: Figurementioning

confidence: 99%

Computed Tomography and Shifts to Alternate Imaging Modalities in Hospitalized Children

et al. 2015

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Many studies have demonstrated a rise in computed tomography (CT) utilization in children's hospitals. However, CT utilization may be declining, perhaps due to awareness of potential hazards of pediatric ionizing radiation, such as increased risk of malignancy. The objective is to assess the trend in CT utilization in hospitalized children at freestanding children's hospitals from 2004 to 2012 and we hypothesize decreases are associated with shifts to alternate imaging modalities.

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“…Lungenröntgen Das Lungenröntgen zur Abklärung von Thoraxtraumapatienten ist ein Routineverfahren [19]. Es dient in der initialen Evaluierung polytraumatisierter Patienten zur Diagnose eines ausgeprägten Pleuraergusses, eines Pneumothorax, einer Verbreiterung des Mediastinums oder muskuloskelettaler Verletzungen [19].…”

Section: Bildgebende Verfahren Zur Abklärung Stumpfer Thoraxtraumenunclassified

“…Es dient in der initialen Evaluierung polytraumatisierter Patienten zur Diagnose eines ausgeprägten Pleuraergusses, eines Pneumothorax, einer Verbreiterung des Mediastinums oder muskuloskelettaler Verletzungen [19]. Weiter wird es zur Überprüfung der korrekten Lage eingebrachter zentralvenöser Zugänge oder Trachealtuben herangezogen [19]. Da Lungenröntgen bei schwerverletzten Patienten meist nur im Liegen durchgeführt wird, hat es in vielen Fäl-len nur eine eingeschränkte diagnostische Aussagekraft.…”

Section: Bildgebende Verfahren Zur Abklärung Stumpfer Thoraxtraumenunclassified

Bildgebung des stumpfen Thoraxtraumas

Prosch

Negrin

2014

Radiologe

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ACR Appropriateness Criteria Blunt Chest Trauma

Cited by 48 publications

References 38 publications

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Computed Tomography and Shifts to Alternate Imaging Modalities in Hospitalized Children

Bildgebung des stumpfen Thoraxtraumas

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