Computed tomography in the diagnosis of aortic aneurysm dissection or traumatic injury.

Egan, Timothy J.; Neiman, Harvey L.; Herman, R J; Malave, Salvador R.; Sanders, John H.

doi:10.1148/radiology.136.1.7384488

Cited by 71 publications

(9 citation statements)

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“…Although artifacts related to cardiac and aortic pulsation, beam hardening, and breathing challenged aortic assessment (192), early conventional CT was deemed useful in minimizing unnecessary angiography in patients with false-positive chest radiographs, enabling confirmation of the absence of injury in patients at low risk (193)(194)(195). However, with the introduction of spiral CT, the days of performing urgent direct aortic arteriography to assess aortic injury were numbered (187,196) (Fig 8).…”

Section: All-in-one Emergency Diagnosis and Triage For The Injuredmentioning

confidence: 99%

Computed Tomography: Revolutionizing the Practice of Medicine for 40 Years

Rubin

2014

Radiology

153

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Computed tomography (CT) has had a profound effect on the practice of medicine. Both the spectrum of clinical applications and the role that CT has played in enhancing the depth of our understanding of disease have been profound. Although almost 90 000 articles on CT have been published in peer-reviewed journals over the past 40 years, fewer than 5% of these have been published in Radiology. Nevertheless, these almost 4000 articles have provided a basis for many important medical advances. By enabling a deepened understanding of anatomy, physiology, and pathology, CT has facilitated key advances in the detection and management of disease. This article celebrates this breadth of scientific discovery and development by examining the impact that CT has had on the diagnosis, characterization, and management of a sampling of major health challenges, including stroke, vascular diseases, cancer, trauma, acute abdominal pain, and diffuse lung diseases, as related to key technical advances in CT and manifested in Radiology.

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Section: All-in-one Emergency Diagnosis and Triage For The Injuredmentioning

confidence: 99%

Computed Tomography: Revolutionizing the Practice of Medicine for 40 Years

Rubin

2014

Radiology

153

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“…It has been suggested that mediastinal hematoma remote from the great vessels and attributable to sources other than the aorta, such as vertebral fractures, should decrease suspicion for aortic injury. 24 Egan et al 25 stated that CT is useful in excluding aortic injury in a stable patient with mediastinal widening that may be caused by other thoracic injuries. In the study by Ishikawa et al, 26 48 cases were positive for mediastinal hematoma on CT, 15 of which were due to fracture of a thoracic bony structure.…”

Section: Resultsmentioning

confidence: 99%

Use of CT for Diagnosis of Traumatic Rupture of the Thoracic Aorta

Tomiak

Rosenblum

Messersmith

et al. 1993

Annals of Vascular Surgery

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“…The [1][2][3][4]. In case 7, the septum had a "diamond" configuration measuring 28 mm at its maximum ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Computed tomography in patients with hypertrophic cardiomyopathy.

Stone¹,

Petch²,

Verney³

et al. 1984

Heart

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SUMMARY Computed tomography was undertaken in nine patients (age range 33-69 (mean 48.7) years) with hypertrophic cardiomyopathy. The ventricular septum was demonstrated in each patient and shown to be thickened ( (Conray 420) were then injected into a large peripheral arm vein, 30 ml as a bolus and the remaining 20 ml more slowly during the next 20 s. The first scan was obtained immediately after the bolus, again at full inspiration. Five further contrast enhanced images were then obtained as rapidly as possible during the next minute. Our machine has a 5 s interscan time thus allowing normal respiration between scans. The six postcontrast images were obtained at 5 mm anatomical increments so that there was every chance of getting at least two satisfactory images of the septum. In some patients an attempt was made to align the plane of the scan to the long axis of the heart by gantry angulation after an initial lateral scanogram.Measurements of septal thickness were subsequently made with electronic calipers on the evaluation console. A standard window width (256 Hounsfield Units) was used for viewing. The level was then adjusted until the contrast medium in the chambers was in the middle of the grey scale (often around + 100 HU). ResultsThe

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Computed tomography in the diagnosis of aortic aneurysm dissection or traumatic injury.

Cited by 71 publications

References 0 publications

Computed Tomography: Revolutionizing the Practice of Medicine for 40 Years

Computed Tomography: Revolutionizing the Practice of Medicine for 40 Years

Use of CT for Diagnosis of Traumatic Rupture of the Thoracic Aorta

Computed tomography in patients with hypertrophic cardiomyopathy.

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