Radiology and imaging techniques in severe trauma

Martín, J.M.; Gracia, M. Martí De; Vega, Luis Manuel Claraco; Herranz, P.

doi:10.1016/j.medine.2014.06.003

Cited by 5 publications

(7 citation statements)

References 55 publications

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“…The physical examination's reliability may be limited by the patient's altered level of consciousness, presence of intubation, or other distracting or life-threatening injuries. 6,8 Often, multiple body systems are affected, and orthopedic injuries are not always the highest priority. Additionally, obvious clinical signs of fractures or dislocations, such as swelling, bruising, or obvious deformity, may be absent.…”

Section: Pelvic Imaging In Severe Trauma Patientsmentioning

confidence: 99%

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Imaging Considerations in Musculoskeletal Trauma

Merton¹

2020

The Journal for Nurse Practitioners

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Section: Pelvic Imaging In Severe Trauma Patientsmentioning

confidence: 99%

“…Ordering appropriate imaging can decrease the time to intervention, identify associated injuries, and aid in surgical planning. [5][6][7] This article reviews imaging recommendations and considerations for common musculoskeletal injuries caused by severe and nonelife-threatening traumas.…”

mentioning

confidence: 99%

Imaging Considerations in Musculoskeletal Trauma

Merton¹

2020

The Journal for Nurse Practitioners

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“…The great advantage of CT is availability, rapidity, and relatively high diagnostic accuracy. Computed tomography offers specific information on the area and extent of damage to internal organs and tissues [ 4 ]. The number of CT examinations is constantly increasing in clinical conditions.…”

Section: Introductionmentioning

confidence: 99%

“…In patients with severe trauma, whole-body CT (WBCT), which minimizes missed injuries, is becoming increasingly a standard diagnostic technique [ 5 ]. In addition to rapidity, the main advantage of WBCT is the early availability of a diagnosis before a decision on treatment management [ 4 , 6 , 7 ]. Rapid and accurate recognition of traumatic injuries is extremely important.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Intravital CT and Autopsy Findings in Fatal Traumatic Injuries

et al. 2022

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Objectives: Traumatic injuries are one of the severe health problems of our time. In the 21st Century, approximately 4.5 million people worldwide die each year due to trauma. Computed tomography (CT) is widely used to diagnose injuries and offers information on the specific location and extent of organ and tissue damage. In cases of severe trauma, whole-body CT is increasingly used as a standard diagnostic technique. An autopsy is the final diagnostic examination and is still considered the gold standard in diagnostic methods in medicine. The aim of the study was to assess the reliability and accuracy of CT scan results, as well as limits in detecting trauma for forensic purposes. It aims to compare traumatic findings in the antemortem CT results to those observed at autopsy. Materials and Methods: We conducted a retrospective–prospective study involving 510 deaths due to trauma. We compared selected traumatic changes in the antemortem CT scan results with the autopsy findings. We obtained data with a detailed analysis of autopsy protocols, photographic documentation from the autopsies, and the interpretation of CT scans from medical documentation. In cases of discrepancies in the findings, we borrowed CT scans, which were repeatedly reviewed by clinical radiologists. Results: By comparing the findings of selected injuries detected by antemortem CT and autopsy, we found a correlation of findings in 75.3% and a discrepancy of findings in 24.7% in a set of 510 cases. After repeated targeted assessment of CT images by clinical radiologists in cases of discrepancies in the findings, which were detected by autopsy and undescribed by CT, the discrepancy decreased to 17%. Conclusions: The results of the study are comparable with data from many studies and professional publications. They show that CT compared to autopsy is a good method for diagnosing gunshot wounds to the head and bone fractures, with a limited diagnosis of cranial base fractures, while an autopsy is better for detecting minor injuries to organs and soft tissues.

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“…However, there is no rule for performing radiography that we can describe in this way for thorax trauma. Physicians request radiography according to their initiatives and experiences [8]. The same issue can be seen even for chest radiography for all trauma patients.…”

Section: Introductionmentioning

confidence: 99%

Prediction of traumatic pathology by classifying thorax trauma using a hybrid method for emergency services

Karacı

Özkaraca

Acar

et al. 2020

IET signal process.

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In recent years, data mining and algorithm‐based methods have been used frequently for the prediction and diagnosis of various diseases. Traumas, being one of the significant health problems in the world, are also one of the most important causes of death. This study aims to predict the presence of traumatic pathology in the lung of the patients admitted to the emergency department due to blunt thorax trauma with no X‐ray and computed tomography (CT) history by machine learning methods. The models developed in the study using the 5‐fold cross‐validation method are most accurately classified by the ensemble (voting) classifier, whether there is a pathology in X‐ray (mean accuracy = 0.82) and CT (mean accuracy = 0.83). The K‐nearest neighbourhood method classifies patients with pathology in X‐ray by 83% accuracy, while the ensemble (voting) method classifies non‐pathology patients by 94% accuracy in models. Of CT results, random forest, ensemble (voting), and ensemble (stacking) classifiers are precisely classified by 96%, while those patients with pathology are classified perspicuously by 77%. As a result, a mathematical framework using data mining methods was proposed based on estimating the X‐ray and CT results for the thorax graph scan.

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Radiology and imaging techniques in severe trauma

Cited by 5 publications

References 55 publications

Imaging Considerations in Musculoskeletal Trauma

Imaging Considerations in Musculoskeletal Trauma

A Comparative Study of Intravital CT and Autopsy Findings in Fatal Traumatic Injuries

Prediction of traumatic pathology by classifying thorax trauma using a hybrid method for emergency services

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