Traumatic aortic tear: screening with chest CT
| Autor: | Ashley Davidoff, Wayne E. Silva, Vassilios Raptopoulos, David A. Phillips, Robert G. Sheiman |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
Aortography Thoracic Injuries Radiography Aortic Rupture Aorta Thoracic Hemorrhage Wounds Nonpenetrating Sensitivity and Specificity Predictive Value of Tests medicine.artery medicine Mediastinal Diseases Thoracic aorta Humans Radiology Nuclear Medicine and imaging Aortic rupture Aorta medicine.diagnostic_test business.industry Blunt trauma Predictive value of tests Costs and Cost Analysis Radiology business Tomography X-Ray Computed |
| Zdroj: | Radiology. 182(3) |
| ISSN: | 0033-8419 |
| Popis: | Dynamic chest computed tomography (CT) was performed in 326 patients who had undergone abdominal CT for blunt trauma to evaluate the role of chest CT in screening for thoracic aortic injury. Evidence of mediastinal bleeding constituted an abnormal CT examination. The results were correlated with those from aortography in 131 patients. The chest radiographs were abnormal in 127 patients (39%). Of those 127 patients, chest CT scans were abnormal in 39 patients; an aortic tear was present in eight of those patients (21%). The remaining 88 patients had normal CT scans and no aortic injury. Of the 199 patients with normal radiographs, 15 had abnormal CT scans and 184 had normal CT scans and no aortic injury. There were no false-negative CT scans; 79% of patients with normal CT scans had false-positive chest radiographs. With CT there was a significant improvement over plain radiography in specificity, accuracy, and predictive value of positive results. If chest CT were used as an adjunct to chest radiography in the screening for traumatic aortic tear, the need for aortography would decrease by 56%. Chest CT can safely help discriminate candidates for aortography, is cost-effective, and, in hemodynamically stable patients, should be incorporated in the screening for traumatic aortic tear. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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