Trauma and 'Whole' Body Computed Tomography: Role, Protocols, Appropriateness, and Evidence to Support its Use and When.

Radiol Clin North Am

Department of Radiology, Jackson Memorial Hospital, University of Miami-Miller School of Medicine, 1611 Northwest 12th Avenue, West Wing 279, Miami, FL 33136, USA.

Published: November 2024

AI Article Synopsis

  • Imaging, particularly multi-detector CT, is essential for quickly assessing trauma patients, especially those with moderate to severe injuries.
  • While some strategies for using whole-body CT are widely accepted, there are still debates regarding its application and interpretation in certain cases.
  • Timely diagnosis is critical, as delays can harm patient outcomes; therefore, understanding imaging tools and recognizing potential errors is vital to prevent unnecessary procedures.

Article Abstract

Imaging plays a crucial role in the immediate evaluation of the trauma patient, particularly using multi-detector computed tomography (CT), and especially in moderately to severely injured trauma patients. There are specific areas of relative consensus, while other aspects of whole-body computed tomography (WB-CT) use remain controversial and are subject to opinion/debate based on the current literature. Even a few hours of a delayed diagnosis may result in a detrimental outcome for the patient. One must utilize all the tools available to enhance the interpretation of images. It is also important to recognize imaging pitfalls and artifacts to avoid unnecessary intervention.

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Source
http://dx.doi.org/10.1016/j.rcl.2024.06.001DOI Listing

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