Document Detail


Imaging evaluation of penetrating neck injuries.
MedLine Citation:
PMID:  20631357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Penetrating neck injuries are a significant source of morbidity and mortality. Diagnostic imaging plays an integral role in the diagnosis and management of these injuries. Although clinical management of penetrating injuries to the neck remains controversial, many institutions have shifted away from mandatory surgical exploration of most penetrating neck injuries toward use of endoscopy, various imaging modalities, and selective surgery to manage specific injuries diagnosed with these techniques. Much of this shift can be attributed to computed tomographic (CT) angiography, a fast, reliable, and noninvasive procedure that provides a global assessment of the neck, thereby reducing the frequency of nontherapeutic surgical neck explorations and limiting the need for diagnostic conventional angiography. Therefore, radiologists interpreting images from CT angiography should be prepared to provide management recommendations on the basis of the CT angiographic findings. An appreciation of the value, roles, and limitations of multidetector CT angiography and other imaging modalities can position the radiologist as a vital participant in the care of patients with penetrating trauma to the neck.
Authors:
Scott D Steenburg; Clint W Sliker; Kathirkamanathan Shanmuganathan; Eliot L Siegel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  30     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  869-86     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center and R. Adams Cowley Shock Trauma Center, 22 S Greene St, Baltimore, MD 21201, USA. ssteenburg@umm.edu
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MeSH Terms
Descriptor/Qualifier:
Humans
Neck Injuries / radiography*,  surgery*
Tomography, X-Ray Computed / methods*
Wounds, Penetrating / radiography*,  surgery*

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