Table of Contents Author Guidelines Submit a Manuscript
Table of Contents Alerts

To receive news and publication updates for Radiology Research and Practice, enter your email address in the box below.

Radiology Research and Practice
Volume 2014, Article ID 864369, 12 pages
http://dx.doi.org/10.1155/2014/864369
Review Article

Multidetector Computer Tomography: Evaluation of Blunt Chest Trauma in Adults

João Palas,1 António P. Matos,1 Vasco Mascarenhas,2 Vasco Herédia,3 and Miguel Ramalho1

1Department of Radiology, Hospital Garcia de Orta, Avenida Torrado da Silva, Almada, 2801-951 Setúbal, Portugal
2Department of Radiology, Hospital da Luz, Avenida Lusíada 100, 1500-650 Lisbon, Portugal
3Department of Radiology, Hospital Espírito Santo, Largo do Senhor da Pobreza, 7000-811 Évora, Portugal

Received 27 April 2014; Revised 21 July 2014; Accepted 13 August 2014; Published 8 September 2014

Academic Editor: Hoen-oh Shin

Copyright © 2014 João Palas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. J. Mullinix and W. D. Foley, “Multidetector computed tomography and blunt thoracoabdominal trauma,” Journal of Computer Assisted Tomography, vol. 28, supplement 1, pp. S20–S27, 2004. View at Publisher · View at Google Scholar · View at Scopus
  2. L. A. Miller, “Chest wall, lung, and pleural space trauma,” Radiologic Clinics of North America, vol. 44, no. 2, pp. 213–224, 2006. View at Publisher · View at Google Scholar · View at Scopus
  3. A. Oikonomou and P. Prassopoulos, “CT imaging of blunt chest trauma,” Insights Imaging, vol. 2, pp. 281–295, 2011. View at Publisher · View at Google Scholar
  4. M. Scaglione, A. Pinto, I. Pedrosa, A. Sparano, and L. Romano, “Multi-detector row computed tomography and blunt chest trauma,” European Journal of Radiology, vol. 65, no. 3, pp. 377–388, 2008. View at Publisher · View at Google Scholar · View at Scopus
  5. M. Chardoli, T. Hasan-Ghaliaee, H. Akbari, and V. Rahimi-Movaghar, “Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma,” Chinese Journal of Traumatology, vol. 16, no. 6, pp. 351–354, 2013. View at Google Scholar
  6. M. Traub, M. Stevenson, S. McEvoy et al., “The use of chest computed tomography versus chest X-ray in patients with major blunt trauma,” Injury, vol. 38, no. 1, pp. 43–47, 2007. View at Publisher · View at Google Scholar · View at Scopus
  7. G. P. Sangster, A. González-Beicos, A. I. Carbo et al., “Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings,” Emergency Radiology, vol. 14, no. 5, pp. 297–310, 2007. View at Publisher · View at Google Scholar · View at Scopus
  8. M. Brink, J. Deunk, H. M. Dekker et al., “Added value of routine chest MDCT after blunt trauma: evaluation of additional findings and impact on patient management,” The American Journal of Roentgenology, vol. 190, no. 6, pp. 1591–1598, 2008. View at Publisher · View at Google Scholar · View at Scopus
  9. A. Trupka, C. Waydhas, K. K. J. Hallfeldt, D. Nast-Kolb, K. J. Pfeifer, and L. Schweiberer, “Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study,” Journal of Trauma and Acute Care Surgery, vol. 43, no. 3, pp. 405–411, 1997. View at Publisher · View at Google Scholar · View at Scopus
  10. B. Kea, R. Gamarallage, H. Vairamuthu et al., “What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma?” The American Journal of Emergency Medicine, vol. 31, no. 8, pp. 1268–1273, 2013. View at Publisher · View at Google Scholar · View at Scopus
  11. L. A. Rivas, J. E. Fishman, F. Múnera, and D. E. Bajayo, “Multislice CT in thoracic trauma,” Radiologic Clinics of North America, vol. 41, no. 3, pp. 599–616, 2003. View at Publisher · View at Google Scholar · View at Scopus
  12. R. Novelline, “Imaging chest trauma,” in Diseases of the Heart, Chest & Breast. Part 1, Springer, Milan, Italy, 2007. View at Google Scholar
  13. T. Schertler, T. Glücker, S. Wildermuth, K.-P. Jungius, B. Marincek, and T. Boehm, “Comparison of retrospectively ECG-gated and nongated MDCT of the chest in an emergency setting regarding workflow, image quality, and diagnostic certainty,” Emergency Radiology, vol. 12, no. 1-2, pp. 19–29, 2005. View at Publisher · View at Google Scholar · View at Scopus
  14. J. F. Bruzzi, M. Rémy-Jardin, D. Delhaye, A. Teisseire, C. Khalil, and J. Rémy, “When, why, and how to examine the heart during thoracic CT: part I, basic principles,” The American Journal of Roentgenology, vol. 186, no. 2, pp. 324–332, 2006. View at Publisher · View at Google Scholar · View at Scopus
  15. M. L. van Hise, S. L. Primack, R. S. Israel, and N. L. Müller, “CT in blunt chest trauma: indications and limitations,” Radiographics, vol. 18, no. 5, pp. 1071–1084, 1998. View at Publisher · View at Google Scholar · View at Scopus
  16. H. Mirka, J. Ferda, and J. Baxa, “Multidetector computed tomography of chest trauma: indications, technique and interpretation,” Insights into Imaging, vol. 3, no. 5, pp. 433–449, 2012. View at Publisher · View at Google Scholar · View at Scopus
  17. A. V. Moore, C. E. Putnam, and C. E. Ravin, “The radiology of thoracic trauma,” Bulletin of the New York Academy of Medicine, vol. 57, no. 4, pp. 272–292, 1981. View at Google Scholar · View at Scopus
  18. E.-Y. Kang and N. L. Müller, “CT in blunt chest trauma: pulmonary, tracheobronchial, and diaphragmatic injuries,” Seminars in Ultrasound CT and MRI, vol. 17, no. 2, pp. 114–118, 1996. View at Publisher · View at Google Scholar · View at Scopus
  19. J. Gilart, M. Gil, G. Valera, and P. Casado, “Traumatismos torácicos,” Archivos de Bronconeumología, vol. 47, supplement 3, pp. 9–14, 2011. View at Google Scholar
  20. J. B. Rezende-Neto, J. Hoffmann, M. Al Mahroos et al., “Occult pneumomediastinum in blunt chest trauma: clinical significance,” Injury, vol. 41, no. 1, pp. 40–43, 2010. View at Publisher · View at Google Scholar · View at Scopus
  21. M. Wintermark and P. Schnyder, “The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma,” Chest, vol. 120, no. 2, pp. 543–547, 2001. View at Publisher · View at Google Scholar · View at Scopus
  22. J. E. Kuhlman, M. A. Pozniak, J. Collins, and B. L. Knisely, “Radiographic and CT findings of blunt chest trauma: aortic injuries and looking beyond them,” RadioGraphics, vol. 18, no. 5, pp. 1085–1106, 1998. View at Publisher · View at Google Scholar · View at Scopus
  23. S. Kerns and S. Gay, “CT of blunt chest trauma,” The American Journal of Roentgenology, vol. 154, no. 1, pp. 55–60, 1990. View at Publisher · View at Google Scholar · View at Scopus
  24. J.-D. Chen, K. Shanmuganathan, S. E. Mirvis, K. L. Killeen, and R. P. Dutton, “Using CT to diagnose tracheal rupture,” American Journal of Roentgenology, vol. 176, no. 5, pp. 1273–1280, 2001. View at Publisher · View at Google Scholar · View at Scopus
  25. M.-L. Ho and F. R. Gutierrez, “Chest radiography in thoracic polytrauma,” American Journal of Roentgenology, vol. 192, no. 3, pp. 599–612, 2009. View at Publisher · View at Google Scholar · View at Scopus
  26. R. Kaewlai, L. L. Avery, A. V. Asrani, and R. A. Novelline, “Multidetector CT of blunt thoracic trauma,” Radiographics, vol. 28, no. 6, pp. 1555–1570, 2008. View at Publisher · View at Google Scholar · View at Scopus
  27. T. Fabian, J. Richardson, M. Croce, J. Smith, G. Rodman, and P. Kearney, “Prospective study of blunt aortic injury. Multicenter Trial of the American Association for the Surgery of Trauma,” Journal of Trauma and Acute Care Surgery, vol. 42, no. 3, pp. 374–383, 1997. View at Google Scholar
  28. W. R. E. Jamieson, M. T. Janusz, V. M. Gudas, L. H. Burr, G. J. Fradet, and C. Henderson, “Traumatic rupture of the thoracic aorta: third decade of experience,” The American Journal of Surgery, vol. 183, no. 5, pp. 571–575, 2002. View at Publisher · View at Google Scholar · View at Scopus
  29. Z. M. Arthurs, B. W. Starnes, V. Y. Sohn, N. Singh, M. J. Martin, and C. A. Andersen, “Functional and survival outcomes in traumatic blunt thoracic aortic injuries: an analysis of the National Trauma Databank,” Journal of Vascular Surgery, vol. 49, no. 4, pp. 988–994, 2009. View at Publisher · View at Google Scholar · View at Scopus
  30. S. Beslic, N. Beslic, S. Beslic, A. Sofic, M. Ibralic, and J. Karovic, “Diagnostic imaging of traumatic pseudoaneurysm of the thoracic aorta,” Radiology and Oncology, vol. 44, no. 3, pp. 158–163, 2010. View at Publisher · View at Google Scholar · View at Scopus
  31. A. Azizzadeh, K. Keyhani, C. C. Miller III, S. M. Coogan, H. J. Safi, and A. L. Estrera, “Blunt traumatic aortic injury: initial experience with endovascular repair,” Journal of Vascular Surgery, vol. 49, no. 6, pp. 1403–1408, 2009. View at Publisher · View at Google Scholar · View at Scopus
  32. W. A. Lee, J. S. Matsumura, R. S. Mitchell et al., “Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery,” Journal of Vascular Surgery, vol. 53, no. 1, pp. 187–192, 2011. View at Publisher · View at Google Scholar · View at Scopus
  33. M. Osgood, J. Heck, E. Rellinger et al., “Natural history of grade I-II blunt traumatic aortic injury,” Journal of Vascular Surgery, vol. 59, no. 2, pp. 331–341, 2014. View at Google Scholar
  34. C. S. Restrepo, D. F. Lemos, J. A. Lemos et al., “Imaging findings in cardiac tamponade with emphasis on CT,” Radiographics, vol. 27, no. 6, pp. 1595–1610, 2007. View at Publisher · View at Google Scholar · View at Scopus
  35. R. M. Shorr, M. Crittenden, M. Indeck, S. L. Hartunian, and A. Rodriguez, “Blunt thoracic trauma. Analysis of 515 patients,” Annals of Surgery, vol. 206, no. 2, pp. 200–205, 1987. View at Publisher · View at Google Scholar · View at Scopus
  36. C. Tekinbas, A. Eroglu, I. Kurkcuoglu, A. Turkyilmaz, E. Yekeler, and N. Karaoglanoglu, “Chest trauma: analysis of 592 cases,” Ulus Travma Acil Cerrahi Dergisi, vol. 9, no. 4, pp. 275–280, 2003. View at Google Scholar
  37. U. Farooq, W. Raza, N. Zia, M. Hanif, and M. M. Khan, “Classification and management of chest trauma,” Journal of the College of Physicians and Surgeons Pakistan, vol. 16, no. 2, pp. 101–103, 2006. View at Google Scholar · View at Scopus
  38. G. Gavelli, R. Canini, P. Bertaccini, G. Battista, C. Bnà, and R. Fattori, “Traumatic injuries: imaging of thoracic injuries,” European Radiology, vol. 12, no. 6, pp. 1273–1294, 2002. View at Publisher · View at Google Scholar · View at Scopus
  39. L. Omert, W. W. Yeaney, and J. Protetch, “Efficacy of thoracic computerized tomography in blunt chest trauma,” American Journal of Surgery, vol. 67, no. 7, pp. 660–664, 2001. View at Google Scholar · View at Scopus
  40. G. Fermanis, S. Deane, and P. Fitzgerald, “The significance of first and second rib fractures,” Australian and New Zealand Journal of Surgery, vol. 55, no. 4, pp. 383–386, 1985. View at Google Scholar · View at Scopus
  41. C. T. Bolliger and S. F. van Eeden, “Treatment of multiple rib fractures. Randomized controlled trial comparing ventilatory with nonventilatory management,” Chest, vol. 97, no. 4, pp. 943–948, 1990. View at Publisher · View at Google Scholar · View at Scopus
  42. K. Shanmuganathan and S. E. Mirvis, “Imaging diagnosis of nonaortic thoracic injury,” Radiologic Clinics of North America, vol. 37, no. 3, pp. 533–551, 1999. View at Publisher · View at Google Scholar · View at Scopus
  43. M. Costantino, M. V. Gosselin, and S. L. Primack, “The ABC's of thoracic trauma imaging,” Seminars in Roentgenology, vol. 41, no. 3, pp. 209–225, 2006. View at Publisher · View at Google Scholar · View at Scopus
  44. B. Meyers and C. McCabe, “Traumatic diaphragmatic hernia: occult marker of serious injury,” Annals of Surgery, vol. 218, no. 6, pp. 783–790, 1993. View at Publisher · View at Google Scholar · View at Scopus