Thorsten R Fleiter1, Stuart Mervis. 1. Department of Diagnostic Imaging, Section of Trauma and Emergency Radiology, University of Maryland School of Medicine, S. Greene Street, Baltimore, MD 21201, United States. tfleiter@umm.edu
Abstract
PURPOSE: The goal of any imaging in the setting of a level 1 trauma center is to assess the injuries of a patient as fast as possible with the least amount of time spend to move the patients between rooms or scanners in order to reduce the time till final diagnosis. CT-angiography (CTA) has become increasingly used to analyze peripheral vascular lesions in blunt and penetrating trauma. METHODS: Diagnostic angiography and CTA are competing methods for the display of peripheral vascular lesions. The specific advantages and shortcomings of both techniques for the routine use in a trauma center are discussed. RESULTS: The inherent limitations of the spatial and temporal resolution of a CTA are compensated by the availability of the procedure and reduced time needed for the final diagnosis. CONCLUSION: 3D-CTA with multislice CT (MSCT) can be used to replace the diagnostic angiography in patients with blunt or penetrating extremity injuries.
PURPOSE: The goal of any imaging in the setting of a level 1 trauma center is to assess the injuries of a patient as fast as possible with the least amount of time spend to move the patients between rooms or scanners in order to reduce the time till final diagnosis. CT-angiography (CTA) has become increasingly used to analyze peripheral vascular lesions in blunt and penetrating trauma. METHODS: Diagnostic angiography and CTA are competing methods for the display of peripheral vascular lesions. The specific advantages and shortcomings of both techniques for the routine use in a trauma center are discussed. RESULTS: The inherent limitations of the spatial and temporal resolution of a CTA are compensated by the availability of the procedure and reduced time needed for the final diagnosis. CONCLUSION: 3D-CTA with multislice CT (MSCT) can be used to replace the diagnostic angiography in patients with blunt or penetrating extremity injuries.
Authors: Ali Adibi; Mayil S Krishnam; Sumudu Dissanayake; Adam N Plotnik; Kiyarash Mohajer; Cesar Arellano; Stefan G Ruehm Journal: Eur Radiol Date: 2014-05-08 Impact factor: 5.315
Authors: A F García; Á I Sánchez; M Millán; J P Carbonell; R Ferrada; M I Gutíerrez; A B Peitzman; J C Puyana Journal: Eur J Trauma Emerg Surg Date: 2011-10-20 Impact factor: 3.693