Orbital Fractures: Role of Imaging

Caranci, Ferdinando; Cicala, Domenico; Cappabianca, Salvatore; Briganti, Francesco; Brunese, Luca; Fonio, Paolo

doi:10.1053/j.sult.2012.06.007

Cited by 51 publications

(40 citation statements)

References 32 publications

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“…Bilateral orbital involvement is found on imaging in 50-75% of GO patients presenting clinically with asymmetric or unilateral eye findings. Especially in the latter cases, it is important to exclude other diseases by orbital imaging 13,20,27 . Two phases characterize the GO clinical course 19 : 1) "active phase", histologically characterized by mononuclear cell infiltration, proat the cut-off of 532 for the left signal, whilst the maximum sensitivity of 0.89 and maximum specificity of 1.00 at the cut-off of 546 for the right signal.…”

Section: Resultsmentioning

confidence: 99%

Disease Activity in Graves' Ophthalmopathy: Diagnosis with Orbital MR Imaging and Correlation with Clinical Score

et al. 2013

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confidence: 99%

Disease Activity in Graves' Ophthalmopathy: Diagnosis with Orbital MR Imaging and Correlation with Clinical Score

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“…Causes of error in emergency ultrasonography are multifactorial, frequently exist in combination as in other diagnostic imaging techniques [9,10] and include: lack of attention to the clinical history and examination, lack of communication with the patient (who may be uncooperative), lack of knowledge of the technical equipment, use of inappropriate probes, inadequate optimization of the images, failure of perception, lack of knowledge of the possible differential diagnoses, over-estimation of one’s own skill, failure to suggest further ultrasound examinations or other imaging techniques (such as CT or MRI) [11-16]. …”

Section: Resultsmentioning

confidence: 99%

Sources of error in emergency ultrasonography

et al. 2013

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BackgroundTo evaluate the common sources of diagnostic errors in emergency ultrasonography.MethodsThe authors performed a Medline search using PubMed (National Library of Medicine, Bethesda, Maryland) for original research and review publications examining the common sources of errors in diagnosis with specific reference to emergency ultrasonography. The search design utilized different association of the following terms : (1) emergency ultrasonography, (2) error, (3) malpractice and (4) medical negligence. This review was restricted to human studies and to English-language literature. Four authors reviewed all the titles and subsequent the abstract of 171 articles that appeared appropriate. Other articles were recognized by reviewing the reference lists of significant papers. Finally, the full text of 48 selected articles was reviewed.ResultsSeveral studies indicate that the etiology of error in emergency ultrasonography is multi-factorial. Common sources of error in emergency ultrasonography are: lack of attention to the clinical history and examination, lack of communication with the patient, lack of knowledge of the technical equipment, use of inappropriate probes, inadequate optimization of the images, failure of perception, lack of knowledge of the possible differential diagnoses, over-estimation of one’s own skill, failure to suggest further ultrasound examinations or other imaging techniques.ConclusionsTo reduce errors in interpretation of ultrasonographic findings, the sonographer needs to be aware of the limitations of ultrasonography in the emergency setting, and the similarities in the appearances of various physiological and pathological processes. Adequate clinical informations are essential. Diagnostic errors should be considered not as signs of failure, but as learning opportunities.

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“…AVMs involving the orbit are rare and typically manifest with periorbital swelling, dilated retinal veins and epibulbar vessels, visible or palpable pulsations and an audible bruit. CT and MR with standard and angiographic protocols can help diagnose these lesions 34 . However, conventional catheter-based angiography typically is required for precise definition and treatment planning 32,35 .…”

Section: Discussionmentioning

confidence: 99%