Blunt polytrauma: Evaluation with 64-section whole-body CT angiography

David Dreizin, Felipe Munera

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Blunt polytrauma remains a leading cause of death and disability worldwide. With the major advances in computed tomography (CT) technology over the past decade, whole-body CT is increasingly recognized as the emerging standard for providing rapid and accurate diagnoses within the narrow therapeutic window afforded to trauma victims with multiple severe injuries. With a single continuous acquisition, whole-body CT angiography is able to demonstrate all potentially injured organs, as well as vascular and bone structures, from the circle of Willis to the symphysis pubis. As its use becomes more widespread, the large volume of information inherent to whole-body CT poses new challenges to radiologists in providing efficient and timely interpretation. An awareness of trauma scoring systems and injury mechanisms is essential to maintain an appropriate level of suspicion in the search for multiple injuries, and the use of multiplanar reformation and three-dimensional postprocessing techniques is important to maximize efficiency in the search. Knowledge of the key injuries that require urgent surgical or percutaneous intervention, including major vascular injuries and active hemorrhage, diaphragmatic rupture, unstable spinal fractures, pancreatic injuries with ductal involvement, and injuries to the mesentery and hollow viscera, is also necessary.

Original languageEnglish
Pages (from-to)609-632
Number of pages24
JournalRadiographics
Volume32
Issue number3
DOIs
StatePublished - May 1 2012

Fingerprint

Multiple Trauma
Wounds and Injuries
Tomography
Pubic Bone
Spinal Fractures
Circle of Willis
Mesentery
Viscera
Vascular System Injuries
Blood Vessels
Computed Tomography Angiography
Rupture
Cause of Death
Hemorrhage
Technology
Bone and Bones

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Blunt polytrauma : Evaluation with 64-section whole-body CT angiography. / Dreizin, David; Munera, Felipe.

In: Radiographics, Vol. 32, No. 3, 01.05.2012, p. 609-632.

Research output: Contribution to journalArticle

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