Blunt abdominal trauma: emergency contrast-enhanced sonography for detection of solid organ injuries

AJR. American Journal of Roentgenology
M ValentinoL Barozzi

Abstract

The objective of our study was to prospectively compare the diagnostic value of sonography and contrast-enhanced sonography with CT for the detection of solid organ injuries in blunt abdominal trauma patients. Sonography, contrast-enhanced sonography, and CT were performed to assess possible abdominal organ injuries in 69 nonconsecutive hemodynamically stable patients with blunt abdominal trauma and a strong clinical suspicion of abdominal lesions. Sonography and contrast-enhanced sonography findings were compared with CT findings, the reference standard technique. Thirty-two patients had 35 abdominal injuries on CT (10 kidney or adrenal lesions, seven liver lesions, 17 spleen lesions, and one retroperitoneal hematoma). Sixteen lesions were detected on sonography, and 32 were seen on contrast-enhanced sonography. The sensitivity and specificity of sonography were 45.7% and 91.8%, respectively, and the positive and negative predictive values were 84.2% and 64.1%, respectively. Contrast-enhanced sonography had a sensitivity of 91.4%, a specificity of 100%, and positive and negative predictive values of 100% and 92.5%, respectively. Contrast-enhanced sonography was found to be more sensitive than sonography and almost as sensitive...Continue Reading

Associated Clinical Trials

References

Apr 1, 1995·The Surgical Clinics of North America·E E MooreJ W McAninch
Apr 1, 1993·The Journal of Trauma·M A RöthlinO Trentz
Jun 1, 1996·The Journal of Trauma·M A HealeyD B Hoyt
Nov 5, 1997·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·J P McGahanP Newberry
Nov 14, 1997·Radiology·W P Shuman
Oct 23, 1998·The Journal of Trauma·L FernandezD Nunez
Dec 10, 1999·AJR. American Journal of Roentgenology·J P McGahan, J R Richards
May 11, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·C K BrownK Wilson
Jun 24, 2000·The Journal of Trauma·A K MalhotraM A Croce
Sep 21, 2000·The American Journal of Cardiology·D Bokor
Nov 4, 2000·Radiology·S S Lingawi, A R Buckley
Mar 7, 2001·The Journal of Trauma·M O DolichS M Cohn
May 19, 2001·BMJ : British Medical Journal·M J BlomleyD O Cosgrove
Jun 4, 2002·European Radiology·Dominik WeishauptBorut Marincek
May 20, 2003·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Orlando CatalanoAlfredo Siani
Mar 24, 2004·Journal of Intensive Care Medicine·Michèle A BrownGiovanna Casola
Oct 27, 2004·AJR. American Journal of Roentgenology·Pierre-Alexandre PolettiFrançois Terrier

❮ Previous
Next ❯

Citations

May 25, 2011·Der Radiologe·F SchwarzD-A Clevert
Apr 8, 2006·Pediatric Radiology·Massimo ValentinoLibero Barozzi
Jul 20, 2010·European Journal of Nuclear Medicine and Molecular Imaging·David Cosgrove, Nathalie Lassau
Sep 1, 2011·Abdominal Imaging·Carlos Nicolau, Tomás Ripollés
Mar 14, 2007·European Radiology·Emilio Quaia
May 24, 2011·World Journal of Urology·Salvatore SiracusanoFrancesco Visalli
Jul 6, 2013·European Journal of Radiology·Pierre-Alexandre PolettiAlexandra Platon
Sep 6, 2013·Critical Care : the Official Journal of the Critical Care Forum·Roberto CirocchiAbe Fingerhut
Aug 21, 2012·World Journal of Gastrointestinal Surgery·Hamdi Hameed Almaramhy, Salman Yousuf Guraya
Sep 21, 2010·Radiology·Stephanie R Wilson, Peter N Burns
Apr 3, 2012·Clinical Radiology·C McArthur, G M Baxter
Nov 27, 2015·The British Journal of Radiology·Vittorio MieleMargherita Trinci
Mar 1, 2010·Journal of Ultrasound·M ValentinoL Barozzi
Oct 30, 2009·Best Practice & Research. Clinical Anaesthesiology·James C R Rippey, Alistair G Royse
Jul 29, 2008·Emergency Medicine Clinics of North America·J Christian Fox, Zareth Irwin
Apr 17, 2007·Seminars in Ultrasound, CT, and MR·Massimo ValentinoLibero Barozzi
Apr 15, 2016·La Radiologia medica·Vittorio MieleLuca Brunese
Mar 10, 2015·Journal of Pediatric Surgery·Eva Elisa AmerstorferMichael Riccabona
Jan 24, 2014·BioMed Research International·Demosthenes D CokkinosPloutarchos N Piperopoulos
Aug 2, 2013·Critical Ultrasound Journal·Lucio CaginiMichele Scialpi
Apr 26, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Luyao ZhouMingde Lu
Feb 4, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Elsa Rosado, Michael Riccabona
Mar 25, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Guoming ZhangNa Sun
Apr 25, 2018·JBJS Reviews·Theodosios SaranteasAndreas F Mavrogenis
Nov 18, 2010·World Journal of Orthopedics·Stanislaw Peter StawickiAnthony J Dean
Nov 15, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Cong FengTanshi Li
Apr 10, 2020·The British Journal of Radiology·Dean Y HuangPaul S Sidhu
May 24, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jie TangJunlai Li
May 24, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Hong-Ping SongXiao-Dong Zhou
Aug 31, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Thomas BenterUlf Teichgräber

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.