Diaphragmatic injuries after blunt trauma: are they still a challenge? Reviewing CT findings and integrated imaging
Traumatic diaphragmatic rupture is a life-threatening injury that may occur in patients with blunt trauma. At present, supine chest radiographs is the initial, most commonly performed imaging test to evaluate a traumatic injury of the thorax. However, computed tomography (CT) is the imaging tool of...
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| Published in | Emergency radiology Vol. 19; no. 3; pp. 225 - 235 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer-Verlag
01.06.2012
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Traumatic diaphragmatic rupture is a life-threatening injury that may occur in patients with blunt trauma. At present, supine chest radiographs is the initial, most commonly performed imaging test to evaluate a traumatic injury of the thorax. However, computed tomography (CT) is the imaging tool of choice, as it is the ‘gold standard’ for the detection of diaphragmatic injury after trauma. In particular, recent literature indicates that multidetector CT with multiplanar reformations has significantly improved in accuracy. Radiologists working in the emergency room should keep in mind the possibility of diaphragmatic injuries and should routinely integrate the axial images CT with multiplanar reformations in order to detect any potential, subtle or doubtful sign of incomplete diaphragmatic injury. |
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| AbstractList | Traumatic diaphragmatic rupture is a life-threatening injury that may occur in patients with blunt trauma. At present, supine chest radiographs is the initial, most commonly performed imaging test to evaluate a traumatic injury of the thorax. However, computed tomography (CT) is the imaging tool of choice, as it is the ‘gold standard’ for the detection of diaphragmatic injury after trauma. In particular, recent literature indicates that multidetector CT with multiplanar reformations has significantly improved in accuracy. Radiologists working in the emergency room should keep in mind the possibility of diaphragmatic injuries and should routinely integrate the axial images CT with multiplanar reformations in order to detect any potential, subtle or doubtful sign of incomplete diaphragmatic injury. |
| Author | Guida, Franco Scaglione, Mariano Bocchini, Giorgio Codella, Umberto Sica, Giacomo |
| Author_xml | – sequence: 1 givenname: Giorgio surname: Bocchini fullname: Bocchini, Giorgio organization: Department of Diagnostic Imaging, Pineta Grande Medical Center – sequence: 2 givenname: Franco surname: Guida fullname: Guida, Franco organization: Department of Diagnostic Imaging, Pineta Grande Medical Center – sequence: 3 givenname: Giacomo surname: Sica fullname: Sica, Giacomo organization: Department of Diagnostic Imaging, Pineta Grande Medical Center – sequence: 4 givenname: Umberto surname: Codella fullname: Codella, Umberto organization: Department of Diagnostic Imaging, Pineta Grande Medical Center – sequence: 5 givenname: Mariano surname: Scaglione fullname: Scaglione, Mariano email: mscaglione@tiscalinet.it organization: Department of Diagnostic Imaging, Pineta Grande Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22362421$$D View this record in MEDLINE/PubMed |
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| Snippet | Traumatic diaphragmatic rupture is a life-threatening injury that may occur in patients with blunt trauma. At present, supine chest radiographs is the initial,... |
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| SubjectTerms | Contrast Media Diaphragm - diagnostic imaging Diaphragm - injuries Diaphragm - surgery Emergency Medicine Humans Imaging Magnetic Resonance Imaging Medicine Medicine & Public Health Radiography, Thoracic Radiology Review Article Rupture - diagnostic imaging Tomography, X-Ray Computed Wounds, Nonpenetrating - diagnostic imaging Wounds, Nonpenetrating - surgery |
| Subtitle | Reviewing CT findings and integrated imaging |
| Title | Diaphragmatic injuries after blunt trauma: are they still a challenge? |
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