| 64 MDCT in multiple trauma patients: imaging manifestations and clinical implications of active extravasation. | |
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MedLine Citation:
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PMID: 17483969 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The finding of active hemorrhage on computed tomography (CT) in trauma patients has been shown to have significant clinical implications and has been incorporated into numerous CT grading schema. As CT technology has advanced, the sensitivity for detection of active hemorrhage in the trauma population has significantly improved. Currently, with the improved spatial and temporal resolution afforded by 64 multidetector computed tomography (64 MDCT) technology, the clinical implications of the CT findings of active extravasation may need to be reconsidered. This article illustrates the various imaging manifestations of active extravasation throughout the body using 64 MDCT. Additionally, protocol issues specific to the findings of active hemorrhage using 64 MDCT are detailed, including novel interpretation techniques, which offer aid in detecting and characterizing hemorrhage. Finally, the clinical implication of active extravasation using this new technology is discussed. Although more sensitive to the detection of small hemorrhagic foci and with clinical implications highly dependent upon location, active bleeding remains as a salient finding that affects subsequent clinical management of trauma patients. |
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Authors:
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Stephan W Anderson; Brian C Lucey; James T Rhea; Jorge A Soto |
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Publication Detail:
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Type: Journal Article Date: 2007-05-05 |
Journal Detail:
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Title: Emergency radiology Volume: 14 ISSN: 1070-3004 ISO Abbreviation: Emerg Radiol Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-07-04 Completed Date: 2007-09-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431227 Medline TA: Emerg Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 151-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, Boston University Medical Center, 88 East Newton Street, 2nd Floor, Boston, MA 02215, USA. stephan.anderson@bmc.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Injuries
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radiography Angiography / methods Contrast Media Extravasation of Diagnostic and Therapeutic Materials / radiography* Hemorrhage / radiography Humans Image Processing, Computer-Assisted / methods* Imaging, Three-Dimensional / methods Multiple Trauma / radiography* Pelvis / injuries Radiation Dosage Radiographic Image Enhancement / methods Time Factors Tomography, X-Ray Computed / methods* Triiodobenzoic Acids / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 0/Triiodobenzoic Acids; 87771-40-2/ioversol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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