Evolving concepts in MDCT diagnosis of penetrating diaphragmatic injury

被引：11
|
作者：
Dreizin D. [1 ]
Bergquist P.J. [1 ]
Taner A.T. [1 ]
Bodanapally U.K. [1 ]
Tirada N. [1 ]
Munera F. [2 ]
机构：
[1] Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, St, Baltimore, 21201, MD
[2] Department of Diagnostic Radiology, University of Miami Leonard Miller School of Medicine, Jackson Memorial Hospital and Ryder Trauma Center, 1611 NW 12th Ave, West Wing 279, Miami, 33136, FL
来源：
Emergency Radiology | 2015年 / 22卷 / 2期
关键词：
Diaphragm; MDCT; Multiplanar reformats; Nonoperative management; Penetrating trauma;
D O I：
10.1007/s10140-014-1257-6
中图分类号：
学科分类号：
摘要：
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. © 2014, American Society of Emergency Radiology.
引用
收藏
页码：149 / 156
页数：7
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