Imaging of Spine Trauma
Approximately 3 million patients are evaluated annually for spinal trauma in the United States. Although there is a low incidence of vertebral fracture and spinal cord injury, the consequences of a missed spine injury are devastating. Imaging findings of spinal trauma may be subtle, and missed injuries are associated with an increased incidence of neurologic damage.1 (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - January 20, 2016 Category: Radiology Authors: Bari Dane, Mark P. Bernstein Source Type: research
Imaging of Torso and Extremity Vascular Trauma
Evaluating vascular trauma to the torso and extremities has become an integral part in the work-up of trauma patients. Advancements in multi-detector computed tomography (MDCT) technology have permitted computed tomography angiography (CTA) to take on a larger role in the emergent setting. The utilization of specialized trauma imaging protocols permits accurate and timely investigation of a multitude of vascular injuries ranging from dissection to active extravasation. A thorough understanding of mechanisms of injury and common patterns of presentation informs the radiologist in searching for the initial insult as well as ...
Source: Seminars in Roentgenology - January 20, 2016 Category: Radiology Authors: Michael J. Hsu, Avneesh Gupta, Jorge A. Soto, Christina A. LeBedis Source Type: research
Imaging of Torso and Extremity Vascular Trauma
Computed tomography (CT) has quickly become an indispensable clinical tool in the evaluation of vascular trauma to the torso and extremities. Trauma is the leading cause of death in patients younger than 44 years in the United States, and accounts for more than 190,000 deaths annually.1 Patients in this age group are otherwise relatively healthy, making timely and precise intervention of paramount importance in reducing disability and morbidity. Management of traumatic injury is also of great importance to the health care system, annually accounting for 31 million emergency department visits and $406 billion in medical car...
Source: Seminars in Roentgenology - January 19, 2016 Category: Radiology Authors: Michael J. Hsu, Avneesh Gupta, Jorge A. Soto, Christina A. LeBedis Source Type: research
Cross-Sectional Imaging of Renal Masses: Imaging Technique–Related Potential Pitfalls and Solutions
There has been an exponential increase in the incidental detection of renal masses that is commensurate with the increasing use of cross-sectional studies for evaluation of a wide spectrum of patient symptoms.1,2 This increased detection of renal lesions necessitates better characterization to allow proper management.1,3 Ultrasound or ultrasonography (US), multidetector-row computed tomography (MDCT), and magnetic resonance imaging (MRI) are the modalities currently available for renal lesion detection, localization, and characterization. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - January 14, 2016 Category: Radiology Authors: Venkata S. Katabathina, Erin Flaherty, Srinivasa R. Prasad Source Type: research
Cross-sectional imaging of renal masses: Imaging technique related potential Pitfalls and Solutions
There has been an exponential increase in the incidental detection of renal masses that is commensurate with the increasing use of cross-sectional studies for evaluation of a wide spectrum of patient symptoms.1,2 This increased detection of renal lesions necessitates better characterization to allow proper management.1,3 Ultrasound (US), multi-detector row computed tomography (MDCT), and magnetic resonance imaging (MRI), are the modalities currently available for renal lesion detection, localization and characterization. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - January 14, 2016 Category: Radiology Authors: Venkata S. Katabathina, Erin Flaherty, Srinivasa R. Prasad Source Type: research
FDG PET-CT of genitourinary and gynecologic tumors: Overcoming the Challenges of Evaluating the Abdomen and Pelvis
2-deoxy-2-[18F]-fluoro-D-glucose positron emission tomography (FDG PET) performed concurrently with computed tomography (CT) is central to the care of patients with advanced solid cancers. The combined FDG PET-CT exam (PET-CT) serves to provide comprehensive evaluation of tumor extent in primary treatment planning and plays an important role in accurately detecting recurrent disease during follow-up. Patients with genitourinary and gynecologic malignancies pose a unique challenge in PET-CT imaging as the majority of the tumor burden, especially at initial presentation, involves the abdomen and pelvis. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 30, 2015 Category: Radiology Authors: Leslie K. Lee, Aoife Kilcoyne, Shlomit Goldberg-Stein, David Z. Chow, Susanna I. Lee Source Type: research
Emergency Imaging of Foot Trauma
This article reviews traumatic injuries of the foot, including diagnostic evaluation, management options, and potential outcomes. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 24, 2015 Category: Radiology Authors: Erin Flaherty, Felix S. Chew Source Type: research
Imaging of foot trauma
Traumatic injuries of the foot are very common, especially in high velocity, polytrauma cases. Both direct forces, including crush injuries and axial loading, and indirect forces, such as sudden rotational forces, can result in devastating injuries with long-term negative sequela. Fractures and dislocations of the hindfoot, midfoot, and forefoot will be illustrated in this review article. Injury etiology, diagnostic evaluation, management options, and potential outcomes of these injuries will be discussed, and the importance of cross sectional imaging, particularly mutli-detector computed tomography, will be emphasized. (S...
Source: Seminars in Roentgenology - December 24, 2015 Category: Radiology Authors: Erin Flaherty, Felix S. Chew Source Type: research
Emergency Imaging of Foot Trauma
This article reviews traumatic injuries of the foot, including diagnostic evaluation, management options, and potential outcomes. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 23, 2015 Category: Radiology Authors: Erin Flaherty, Felix S. Chew Source Type: research
Imaging of Blunt Bowel, Mesenteric, and Body Wall Trauma
Bowel injury is the third most commonly encountered injury following blunt abdominal trauma after injuries to the liver and spleen.1 Gallbladder injuries and traumatic abdominal wall hernias are seen more infrequently. However, less common, these injuries can carry significant morbidity and mortality if unrecognized. It is therefore important for the radiologist to maintain a high level of vigilance toward their detection and to alert the surgeon of any suspicious findings. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 22, 2015 Category: Radiology Authors: Bradley Gans, Aaron Sodickson Source Type: research
Imaging of Blunt Bowel, Mesenteric and Body Wall Trauma
Bowel injury is the third most commonly encountered injury following blunt abdominal trauma after injuries to the liver and spleen.1 Gall bladder injuries and traumatic abdominal wall hernias are seen more infrequently. Though less common, these injuries can carry significant morbidity and mortality if unrecognized. It is therefore important for the radiologist to maintain a high level of vigilance towards their detection and to alert the surgeon of any suspicious findings. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 22, 2015 Category: Radiology Authors: Bradley Gans, Aaron Sodickson Source Type: research
Imaging of Blunt Bowel, Mesenteric, and Body Wall Trauma
Bowel injury is the third most commonly encountered injury following blunt abdominal trauma after injuries to the liver and spleen.1 Gallbladder injuries and traumatic abdominal wall hernias are seen more infrequently. However, less common, these injuries can carry significant morbidity and mortality if unrecognized. It is therefore important for the radiologist to maintain a high level of vigilance toward their detection and to alert the surgeon of any suspicious findings. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 21, 2015 Category: Radiology Authors: Bradley Gans, Aaron Sodickson Source Type: research
Imaging of Blunt Thoracic Trauma
Greater than 60% of blunt traumatic injuries are related to fall or motor vehicle collision. Of all anatomic regions, injuries to the thorax represent the third most common type of injury (behind head and extremities) with a mortality rate close to 10%, compared to overall mortality in trauma of 4.3%.1 Given the relatively higher rate of mortality compared to other anatomic injuries and the association between chest trauma and greater severity of overall injury,2 recognition of injuries to the thorax is of great importance in approaching the patient with blunt thoracic trauma. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 17, 2015 Category: Radiology Authors: Sreevathsan Sridhar, Constantine Raptis, Sanjeev Bhalla Source Type: research
Imaging of Blunt Abdominal Solid Organ Trauma
In the setting of blunt abdominal trauma, diagnostic imaging occupies a crucial role in detecting and characterizing injuries to the solid organs. Injuries to the liver, spleen, kidneys, pancreas and adrenals share many common features, but each has its own unique considerations that require special attention from the radiologist. This paper will focus initially on the commonalities to solid abdominal organ injuries, then conclude with sections dedicated to features specific to each of the solid abdominal viscera. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 17, 2015 Category: Radiology Authors: Jeffrey D. Robinson, Claire K. Sandstrom, Bruce E. Lehnert, Joel A. Gross Source Type: research
Imaging of Blunt Thoracic Trauma
Greater than 60% of blunt traumatic injuries are related to fall or motor vehicle collision. Of all anatomic regions, injuries to the thorax represent the third most common type of injury (behind head and extremities) with a mortality rate close to 10%, compared with overall mortality in trauma of 4.3%.1 Given the relatively higher rate of mortality compared with other anatomic injuries and the association between chest trauma and greater severity of overall injury,2 recognition of injuries to the thorax is of great importance in approaching the patient with blunt thoracic trauma. (Source: Seminars in Roentgenology)
Source: Seminars in Roentgenology - December 16, 2015 Category: Radiology Authors: Sreevathsan Sridhar, Constantine Raptis, Sanjeev Bhalla Source Type: research
