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Commentary: Sonography in the evaluation of children following blunt trauma: Is it to be or not be?

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Abstract

Over the past decade CT scanning has become generally accepted in North America as the diagnostic modality of choice for the evaluation of abdominal injury in children following blunt trauma [1–5]. Recently, there has been increasing interest in the use of sonography as the primary screening examination in this area. Initial studies utilizing sonography in the evaluation of trauma patients focused primarily on identifying hemoperitoneum in adults [6–8]. More recent studies have also attempted to evaluate the accuracy of sonography for the diagnosis of solid viscus injury [9–14]. Filiatraut and colleagues recently reported a long and successful experience using sonography for the investigation of blunt abdominal trauma in children [12]. Their work in this area should be applauded. However, whether wide-spread application of this modality can be successful remains uncertain. In the space below a critical evaluation of sonography and CT in the assessment of injured children is presented.

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References

  1. Berger PE, Kuhn JP (1981) CT of blunt trauma in childhood. AJR 136: 105–110

    PubMed  Google Scholar 

  2. Karp MP, Cooney DR, Berger PE, et al (1981) The role of computed tomography in evaluation of blunt abdominal trauma in children. J Pediatr Surg 16: 316–323

    PubMed  Google Scholar 

  3. Kaufman RA, Towbin R, Babcock DS, et al (1984) Upper abdominal trauma in children: imaging evaluation. AJR 142: 449–460

    PubMed  Google Scholar 

  4. Kaufman RA, Babcock DS (1984) An approach to imaging the upper abdomen in the injured child. Semin Roentgenol 19: 308–320

    PubMed  Google Scholar 

  5. Taylor GA, Fallat ME, Potter BM, et al (1988) The role of computed tomography in blunt abdominal trauma in children. J Trauma 28: 1660–1664

    PubMed  Google Scholar 

  6. Kimura A, Otsuka T (1991) Emergency center ultrasonography in the evaluation of hemoperitoneum: a prospective study. J Trauma 31: 20–23

    PubMed  Google Scholar 

  7. Tso P, Rodriguez A, Cooper C, et al (1992) Sonography in blunt abdominal trauma: a preliminary progress report. J Trauma 33: 39–44

    PubMed  Google Scholar 

  8. Hoffman R, Nerlich M, Muggia-Sullam M, et al (1992) Blunt abdominal trauma in cases of multiple trauma evaluated by ultrasonography: a prospective analysis of 291 patients. J Trauma 32: 452–458

    PubMed  Google Scholar 

  9. Forster R, Pillasch J, Zielke A, et al (1992) Ultrasonography in blunt abdominal trauma: influence of the investigators' experience. J Trauma 34: 264–269

    Google Scholar 

  10. Rozycki GS, Ochsner MG, Jaffin JH, et al (1993) Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients. J Trauma 34: 516–527

    PubMed  Google Scholar 

  11. Bode PJ, Niezen A, van Vugt AB, Schipper J (1993) Abdominal ultrasound as a reliable indicator for conclusive laparotomy in blunt abdominal trauma. J Trauma 34: 27–31

    PubMed  Google Scholar 

  12. Luks FI, Lemire A, St.-Vil D, et al (1993) Blunt abdominal trauma in children: the practical value of ultrasonography. J Trauma 34: 607–611

    PubMed  Google Scholar 

  13. Rothlin MA, Naf R, Amgwerd M, et al (1993) Ultrasound in blunt abdominal and thoracic trauma. J Trauma 34: 388–395

    Google Scholar 

  14. Goletti O, Ghiselli G, Lippolis PV, et al (1994) The role of ultrasonography in blunt abdominal trauma: results in 250 consecutive cases. J Trauma 36: 178–181

    PubMed  Google Scholar 

  15. Taylor GA, Sivit CJ (1992) Computed tomography imaging of abdominal trauma in children. Semin Pediatr Surg 1: 253–259

    PubMed  Google Scholar 

  16. Sivit CJ, Taylor GA, Bulas DI, et al (1991) Blunt trauma in children: significance of peritoneal fluid. Radiology 178: 185–188.

    PubMed  Google Scholar 

  17. Stylianos S (1993) Commentary: the role of sonography in the initial evaluation of children after blunt trauma. J Trauma 23: 164

    Google Scholar 

  18. Sivit CJ, Bulas DI (1993) Diagnostic imaging. In: Eichelberger MR (ed) Pediatric trauma: prevention, acute care and rehabilitation. Mosby Year Book, St. Louis, pp 226–268

    Google Scholar 

  19. Brick SH, Taylor GA, Potter BM, et al (1987) Hepatic and splenic injury in children: role of CT in the decision for laparotomy. Radiology 165: 643–646

    PubMed  Google Scholar 

  20. Oldham KT, Guice KS, Ryckman F, et al (1986) Blunt liver injury in childhood: evolution of therapy and current perspective. Surgery 100: 542–549

    PubMed  Google Scholar 

  21. Ruess L, Sivit CJ, Eichelberger MR, et al (1994) Blunt trauma in children: impact of CT on surgical management. Annual meeting, Radiological Society of North America 193 (P) 151

  22. Taylor GA, O'Donell R, Sivit CJ, et al (1994) Abdominal injury score: a clinical score for the assignment of risk in children after blunt trauma. Radiology 190: 689–694

    PubMed  Google Scholar 

  23. Sivit CJ, Eichelberger MR, Taylor GA, et al (1994) Blunt pancreatic trauma in children: CT diagnosis. AJR 158: 1097–1100

    Google Scholar 

  24. Sivit CJ, Eichelberger MR, Taylor GA (1994) CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR 163: 1195–1198

    PubMed  Google Scholar 

  25. Taylor GA, Eichelberger MR, Potter BM (1988) Hematuria: a marker of abdominal injury in children after blunt trauma. Ann Surg 208: 688–693

    PubMed  Google Scholar 

  26. Levin DC (1994) The practice of radiology by nonradiologists: cost, quality, and utilization issues. AJR 162: 513–518

    PubMed  Google Scholar 

  27. Hopper KD, Rosetti GF, Edmiston RB, et al (1991) Diagnostic radiology peer review: a method inclusive of all interpreters of radiographic examinations regardless of speciality. Radiology 180: 557–561

    PubMed  Google Scholar 

  28. Vincent CA, Driscoll PA, Audley RJ, et al (1989) Accuracy of detection of radiography abnormalities by junior doctors. Arch Emerg Med 5: 101–109

    Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Imaging and Radiology, and Pediatrics, Children's National Medical Center, III Michigan Avenue, N. W., 20010-2970, Washington, D.C., USA

    C. J. Sivit

  2. Department of Radiology, and Pediatrics, The University of Tennessee, and LeBonheur Children's Medical Center, Memphis, Tennessee, USA

    R. A. Kaufman

Authors
  1. C. J. Sivit
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  2. R. A. Kaufman
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Sivit, C.J., Kaufman, R.A. Commentary: Sonography in the evaluation of children following blunt trauma: Is it to be or not be?. Pediatr Radiol 25, 326–328 (1995). https://doi.org/10.1007/BF02021692

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  • DOI: https://doi.org/10.1007/BF02021692

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