Evolving concepts in MDCT diagnosis of penetrating diaphragmatic injury.
Publication/Presentation Date
4-1-2015
Abstract
This article reviews current and evolving concepts in the diagnosis of penetrating diaphragmatic injury with multidetector CT (MDCT). As criteria for nonoperative management in the setting of penetrating trauma become more inclusive, confident exclusion of penetrating diaphragmatic injury (PDI) has become imperative. Diagnostic performance of MDCT for PDI has improved substantially with the use of thin sections and multiplanar reformats. Evaluation of injury trajectory in nonstandard planes using 3D post-processing software can aid in the diagnosis. Contiguous injury and transdiaphragmatic trajectory are the best predictors of PDI. Careful appraisal of the diaphragm for defects should be undertaken in all patients with thoracoabdominal penetrating trauma.
Volume
22
Issue
2
First Page
149
Last Page
156
ISSN
1438-1435
Published In/Presented At
Dreizin, D., Bergquist, P. J., Taner, A. T., Bodanapally, U. K., Tirada, N., & Munera, F. (2015). Evolving concepts in MDCT diagnosis of penetrating diaphragmatic injury. Emergency radiology, 22(2), 149–156. https://doi.org/10.1007/s10140-014-1257-6
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
25049003
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article