Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study
AbstractTrauma is a significant cause of mortality and morbidity. It is crucial to diagnose trauma patients quickly to provide effective treatment interventions in such conditions. Whole-body computed tomography (WBCT)/pan-scan is an imaging technique that enables a faster and more efficient diagnosis for polytrauma patients. The purpose of this systematic review and meta-analysis is to evaluate the efficacy of WBCT in diagnosing injuries in polytrauma patients. We will also assess its impact on the mortality rate and length of hospital stay among trauma centers between patients who underwent WBCT and those who did not (no...
Source: Emergency Radiology - February 23, 2024 Category: Emergency Medicine Source Type: research
Abdominal computed tomography scoring systems and experienced radiologists in the radiological diagnosis of small bowel and mesenteric injury
ConclusionRadiologist interpretation of the admission CT scan was discriminative of sBMI. Although surgical vigilance, including evaluation of the CT images and patient, remains fundamental to early diagnosis, the radiologist ’s impression of the CT scan can be used in clinical practice to simplify the approach to patients with abdominal trauma. (Source: Emergency Radiology)
Source: Emergency Radiology - February 20, 2024 Category: Emergency Medicine Source Type: research
Expanded experience with cardiovascular black blood cinematic rendering
AbstractBlack blood cinematic rendering (BBCR) is a newly described preset for cinematic rendering, which creates photorealistic displays from volumetric data sets with the contrast-enhanced blood pool displayed as dark and transparent. That set of features potentially provides for enhanced visualization of endomyocardial and intraluminal pathology, as well as cardiac devices. The similarity of the images to black-blood magnetic resonance imaging (MRI) may allow for expansion of the evaluation of certain types of pathology into patient populations unable to undergo MRI. In the emergency setting, the rapid acquisition time ...
Source: Emergency Radiology - February 16, 2024 Category: Emergency Medicine Source Type: research
“Rule out appendicitis”: a Canadian emergency radiology perspective on medicolegal risks, imaging pitfalls, and strategies to improve care
AbstractWe provide a unique Canadian perspective on the medicolegal risks associated with imaging acute appendicitis, incorporating data requested from the Canadian Medical Protective Association (CMPA) on closed medicolegal cases over the past decade. We include a review of current clinical and imaging guidelines in the diagnosis and management of this common emergency room presentation. A case-based approach is implemented in this article to explore ways to mitigate potential errors in the diagnosis of acute appendicitis. (Source: Emergency Radiology)
Source: Emergency Radiology - February 16, 2024 Category: Emergency Medicine Source Type: research
Expanded experience with cardiovascular black blood cinematic rendering
AbstractBlack blood cinematic rendering (BBCR) is a newly described preset for cinematic rendering, which creates photorealistic displays from volumetric data sets with the contrast-enhanced blood pool displayed as dark and transparent. That set of features potentially provides for enhanced visualization of endomyocardial and intraluminal pathology, as well as cardiac devices. The similarity of the images to black-blood magnetic resonance imaging (MRI) may allow for expansion of the evaluation of certain types of pathology into patient populations unable to undergo MRI. In the emergency setting, the rapid acquisition time ...
Source: Emergency Radiology - February 16, 2024 Category: Emergency Medicine Source Type: research
“Rule out appendicitis”: a Canadian emergency radiology perspective on medicolegal risks, imaging pitfalls, and strategies to improve care
AbstractWe provide a unique Canadian perspective on the medicolegal risks associated with imaging acute appendicitis, incorporating data requested from the Canadian Medical Protective Association (CMPA) on closed medicolegal cases over the past decade. We include a review of current clinical and imaging guidelines in the diagnosis and management of this common emergency room presentation. A case-based approach is implemented in this article to explore ways to mitigate potential errors in the diagnosis of acute appendicitis. (Source: Emergency Radiology)
Source: Emergency Radiology - February 16, 2024 Category: Emergency Medicine Source Type: research
Hydroxyapatite deposition disease, an overlooked differential diagnosis in the emergency department: a case series and review of literature
AbstractHydroxyapatite crystal deposition disease (HADD) poses diagnostic challenges in the emergency department (ED) as it may clinically present similarly to infection and other musculoskeletal conditions. Misdiagnosis often leads to unnecessary treatments and resource over-utilization. This review article provides an overview of HADD in seven patients who presented to the ED secondary to an acute presentation of this disease process. HADD is a prevalent pathology, which commonly involves the shoulder, followed by the hip, elbow, wrist, and knee. Predisposing risk factors, such as diabetes and certain genetic factors, ha...
Source: Emergency Radiology - February 15, 2024 Category: Emergency Medicine Source Type: research
An assessment of radiology resident competency in identifying suppurative retropharyngeal lymphadenitis: an examination using the WIDI SIM platform
ConclusionsOur findings underscore a potential gap in radiology residency training related to the accurate identification of suppurative retropharyngeal lymphadenitis, highlighting the potential need for enhanced educational efforts in this area. (Source: Emergency Radiology)
Source: Emergency Radiology - February 10, 2024 Category: Emergency Medicine Source Type: research
Transcatheter arterial embolization with N-butyl cyanoacrylate for postoperative hemorrhage treatment following pancreatoduodenectomy
ConclusionTAE with NBCA for PPH treatment following PD, especially for massive hemorrhage caused by a pancreatic fistula, biliary fistula, or inflammatory corrosion, can result in rapid and effective hemostasis with high safety. (Source: Emergency Radiology)
Source: Emergency Radiology - February 9, 2024 Category: Emergency Medicine Source Type: research
