Traumatic Thoracic Injury: The Role of Multidetector-row CT.
10.3348/jkrs.2006.54.5.393
- Author:
Kyung Joo PARK
1
;
Doo Kyung KANG
;
Tae Hee KIM
Author Information
1. Department of Diagnostic Radiology, Ajou University School of Medicine, Korea. kjpark@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Trauma;
Thorax, CT;
Thorax, injuries;
Computed tomography (CT), multi-detector row;
Computed tomography (CT), three-dimensional
- MeSH:
Aortic Rupture;
Cartilage;
Endoscopy;
Humans;
Lacerations;
Rib Fractures;
Spine;
Sternum;
Thoracic Injuries*;
Trachea;
Vascular System Injuries
- From:Journal of the Korean Radiological Society
2006;54(5):393-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The introduction of Multidetector-row CT (MDCT) has revolutionized the diagnostic strategy of multitrauma patients. The rapid acquisition of a large scanning volume with a thin slice collimation allows for motion-free images of high spatial resolution, and this enables the application of the multiplanar reformat (MPR) and 3D volume-rendering (VR) images. The MPR images more accurately demonstrate aortic rupture or dissection, diaphragmatic injuries and fracture of vertebrae, sternum and costal cartilages. Diagnosing vascular injuries can be aided by using the MIP images. Rib fracture, trachea and bronchial laceration are more easily detected by the 3D images, while airway and vascular injuries can be detected from performing virtual endoscopy. We introduce our current CT imaging protocol and we present our clinical experience with using MDCT in the assessment of patients with blunt thoracic trauma
