High-Resolution Sonography Is Effective in Detection of Soft Tissue Foreign Bodies

Saboo, Sonali S.; Saboo, Suresh H.; Soni, Sachin; Adhane, Vishnu

doi:10.7863/jum.2009.28.9.1245

Cited by 27 publications

(31 citation statements)

References 20 publications

(22 reference statements)

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“…After our complete review of these articles and their reference sections and our limited reviews of other databases, we included 17 articles in this metaanalysis (Table 1). All 17 studies [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] reported data for calculation of sensitivity; however, only 13 [23][24][25][26][27][28][29][30][31][32][33][34]36,37 reported data for calculation of specificity.…”

Section: Resultsmentioning

confidence: 99%

“…The study with a low risk of bias in two of the categories of the quality assessment was a retrospective review of 123 cases referred to a diagnostic research facility in India conducted by Saboo et al 37 They excluded patients lost to follow-up (n = 12) and those with negative US imaging who did not undergo surgery (n = 7). When analyzing only those patients who underwent surgery, the study found sensitivity and specificity of 94.5 and 53.8%, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Diagnostic Accuracy of Ultrasonography in Retained Soft Tissue Foreign Bodies: A Systematic Review and Meta-analysis

Davis

Czerniski

et al. 2015

Acad Emerg Med

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Objectives: Open wounds with the potential for retained foreign bodies are frequently seen in the emergency department (ED). Common foreign bodies, such as wood or glass, are often missed on physical examination and conventional radiography. The increased use of ultrasonography (US) in the ED presents an opportunity to better identify retained soft tissue foreign bodies, and understanding of its test characteristics is desirable. The authors set out to determine the test characteristics of US for detection of soft tissue foreign bodies by performing a systematic review and meta-analysis of the existing literature.Methods: This was a thorough, systematic review of OVID Medline, SCOPUS, and Cochrane databases and a limited review of Directory of Open Access Journals, Google Scholar, and ClinicalTrials.gov to identify clinical studies examining the diagnostic accuracy of US in the identification of retained soft tissue foreign bodies. Studies were selected for full-text review by two independent reviewers to determine if they met inclusion criteria. Results were pooled for test characteristics using STATA and assessed for risk of bias and applicability using the QUADAS-2 tool.Results: This systematic search strategy identified 5,059 unique articles, and 17 articles met inclusion criteria. Pooled sensitivity and specificity were, respectively, 72% (95% confidence interval [CI] = 57% to 83%) and 92% (95% CI = 88% to 95%). Overall quality of the studies was low and interstudy heterogeneity was high (I 2 = 90%, 95% CI = 80% to 100%).Conclusions: Ultrasonography is highly specific and moderately sensitive in the identification of retained soft tissue foreign bodies; however, studies to date have a high degree of heterogeneity and a high risk of bias.ACADEMIC EMERGENCY MEDICINE 2015;22:777-787

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Diagnostic Accuracy of Ultrasonography in Retained Soft Tissue Foreign Bodies: A Systematic Review and Meta-analysis

Davis

Czerniski

et al. 2015

Acad Emerg Med

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“…Elle permet sa localisation, notamment en profondeur, par rapport aux plans superficiels. La rentabilité de l'examen est fonction de l'expérience de l'opérateur et de la formation reçue [15,16].…”

Section: Corps éTrangers Des Tissus Mous Collections Sous-cutanées Eunclassified

Ultrasound in pediatric emergency medicine

Escoda

Guedj

Blakime

et al. 2011

Ann. Fr. Med. Urgence

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“…Sensitivities of up to 94-98% for ultrasound detection of both radiolucent and radiopaque foreign bodies have been reported. 2,3 In addition to its high diagnostic accuracy, ultrasound has the benefit of real-time visualisation, which can significantly improve foreign body removal and reduce complications of the procedure. 4 How accurate is emergency physician-performed PoCUS for detecting foreign bodies?…”

Section: Case Examplementioning

confidence: 99%

“…2,3 A good understanding of the sonographic characteristics of the various kinds of foreign bodies is important when correlating with the patient history, and can improve accuracy.…”

Section: Introductionmentioning

confidence: 99%

My patient is injured: identifying foreign bodies with ultrasound

et al. 2015

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Patients commonly present to the emergency department with a suspected retained foreign body, following penetrating injury. While plain radiography is often the first line in identifying radio-opaque foreign bodies, radiolucent foreign bodies such as wood and plastic can easily be missed. Furthermore, real-time visualization of such a foreign body can assist in its removal. This article evaluates the use of point-of-care ultrasound by emergency physicians in the identification and removal of soft-tissue foreign bodies along with describing the appropriate technique and highlighting the potential pitfalls. An illustrated case example is presented that highlights the benefits of point-of-care ultrasound foreign body detection and guided removal.

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High-Resolution Sonography Is Effective in Detection of Soft Tissue Foreign Bodies

Abstract: High-resolution sonography is a very sensitive tool in diagnosis of soft tissue FBs. It also helps the surgeon with accurate localization, permitting easy removal.

Cited by 27 publications

References 20 publications

Diagnostic Accuracy of Ultrasonography in Retained Soft Tissue Foreign Bodies: A Systematic Review and Meta-analysis

Diagnostic Accuracy of Ultrasonography in Retained Soft Tissue Foreign Bodies: A Systematic Review and Meta-analysis

Ultrasound in pediatric emergency medicine

My patient is injured: identifying foreign bodies with ultrasound

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