Traumatic injuries: imaging of thoracic injuries

  title={Traumatic injuries: imaging of thoracic injuries},
  author={Giampaolo Gavelli and Romeo Canini and Paola Bertaccini and Giuseppe Battista and Claudio Bn{\`a} and Rossella Fattori},
  journal={European Radiology},
Abstract. Chest trauma is one of the most important causes of death, in particular in individuals under the age of 40 years. The mortality rate for chest trauma, often related to motor vehicle accidents, is approximately 15.5%; it increases dramatically to 77% with associated shock and head injury (Glasgow scores of 3–4). The accurate diagnosis of pathologies consequent to blunt chest trauma depends on a complete knowledge of the different clinical and radiological manifestations. The first… 

Routine CT- Chest in Primary Evaluation of the Major Blunt Trauma Patients; Pros and Cons

Chest computed tomography (CCT) is being used with increasing frequency in the evaluation of blunt chest trauma and CT is used primarily to assess for traumatic aortic injuries but also has been shown to be useful in the Evaluation of skeletal, pulmonary, airway, and diaphragmatic injuries.

CT imaging of blunt chest trauma

High-quality multiplanar and volumetric reformatted CT images greatly improve the detection of injuries and enhance the understanding of mechanisms of trauma-related abnormalities.

Blunt chest trauma--an audit of injuries diagnosed by the MDCT examination.

Blunt chest trauma is a significant problem affecting predominantly males in their forties and it is usually caused by a motor vehicle accident, in case of pneumomediastinum or mediastinal haematoma, the use of 3D reconstructions is advised for diagnosing possible tracheobronchial ruptures and thoracic aorta injuries.


Assessment of routine chest CT outcomes in patients who admitted to the radiology department with chest trauma between May 2015 and January 2016 concluded that MDCT has clearly established itself as the principal imaging method for the patient group withchest trauma, owing to its wide availability, rapid access, quick implementation and the possibility of generating multiplanar and three-dimensional reconstructions.

Evaluation of Blunt Chest Trauma with Multidetector Computed Tomography

Blunt trauma to the chest leads to significant mortality and morbidity worldwide and the imaging modality of choice for patients with chest trauma is multidetector CT due to its wide availability, rapid access, and use of standardized protocols.

Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma.

Applying CT scan as the first-line diagnostic modality in hemodynamically stable patients with blunt chest trauma can detect pathologies which may change management and outcome.

The "ending neglect" of roentgenograms in penetrating chest trauma.

Thoracic penetrating trauma represents a common and challenging problem, caused either by gunshot or by non-gunshot-related accidents (stabs, traffic accidents, impalements) (1). At present, the role

Diaphragmatic rupture: a frequently missed injury in blunt thoracoabdominal trauma patients

The clinical diagnosis of diaphragmatic rupture (DR) is difficult and is missed in anywhere from 7 to 66% of patients, so the accurate diagnosis and prognosis of this pathology depend on a complete knowledge of the clinical and radiological presentation.

Traumatic Diaphragmatic Injuries

The emergency radiologist should be confident about specific and nonspecific signs of TDI and get familiar with the mechanism of injury, in order to maintain a high degree of suspicion and inform both the emergency clinician and surgeon in time.

A Mild Chest Trauma in an Infant who Developed Severe Pulmonary Hemorrhage.

A seven-month-old male infant presented to the emergency clinic with cyanosis and respiratory distress, and a preliminary diagnosis of pulmonary hemorrhage or contusion was confirmed by thoracic tomography.



Imaging of blunt chest trauma

The purpose was to review the wide spectrum of pathologies related to blunt chest trauma involving the chest wall, pleura, lungs, trachea and bronchi, aorta, aORTic arch vessels, and diaphragm and a particular focus on the diagnostic impact of CT is demonstrated.

Chest CT for aortic injury: maybe not for everyone.

The conclusion is made that “absolute exclusion” of mediastinal hematoma by CT is often difficult and does not lead to significant reduction in the use of angiography, and the major strength of this study is the high correlation of CT with aortography.

Diaphragmatic rupture due to blunt trauma: sensitivity of plain chest radiographs.

Preoperative diagnosis of diaphragmatic rupture caused by blunt injury is often difficult because of serious concurrent injuries, a lack of specific clinical signs, and simultaneous lung disease that

Thoracic aorta injuries: management and outcome of 144 patients.

It is suggested that the rate of paraplegia after repair of thoracic aortic injury can be minimized with short cross-clamp times or the use of bypass when long cross-Clamp times can be anticipated.

Spiral CT aortography: an efficient technique for the diagnosis of traumatic aortic injury

It is concluded that SCT aortagraphy is an accurate diagnostic method for the assessment of aortic injury in blunt thoracic trauma patients.

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In chest trauma patients, MRI provides complete anatomic data to assess the severity of aortic and thoracic lesions and along with the concept of delayed surgical repair of TAR, MRI is the ideal modality to monitor and follow TAR before surgical repair.

Clinical and radiographic indications for aortography in blunt chest trauma.

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Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption.

TEE should be considered the first-line imaging modality for the evaluation of trauma patients with suspected injuries of the thoracic aorta because of its portability, safety, diagnostic accuracy, and potential impact on patient management.

Diaphragmatic injuries: recognition and management in sixty-two patients.

The liver, spleen, or stomach were frequently injured in association with penetrating diaphragmatic lacerations, and bony fractures, splenic injuries, and head trauma were more commonly found with blunt diphragmatic ruptures.

Value of chest radiography in excluding traumatic aortic rupture.

The analysis of chest radiographs from 205 patients with blunt chest trauma suggests that its most beneficial use is in excluding the diagnosis and eliminating unwarranted aortography rather than in predicting aortic rupture.