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Abdominal Radiology
Erschienen in: Abdominal Radiology 2/2009

01.04.2009

CEUS in abdominal trauma: multi-center study

verfasst von: Orlando Catalano, Luca Aiani, Libero Barozzi, Daniela Bokor, Armanda De Marchi, Carlo Faletti, Fabio Maggioni, Nicola Montanari, Paolo Emilio Orlandi, Alfredo Siani, Paul S. Sidhu, Peter K. Thompson, Massimo Valentino, Angelo Ziosi, Alberto Martegani

Erschienen in: Abdominal Radiology | Ausgabe 2/2009

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Abstract

The objective of this study was to evaluate the concordance of US and contrast-enhanced US (CEUS) with CT in the assessment of solid organ injury following blunt trauma. Patients underwent complete US examination, including free fluid search and solid organ analysis. CEUS followed, using low-mechanical index techniques and SonoVue. CT was performed within 1 h. Among 156 enrolled patients, 91 had one or more abnormalities (n = 107) at CT: 26 renal, 38 liver, 43 spleen. Sensitivity, specificity, and accuracy for renal trauma at baseline US were 36%, 98%, and 88%, respectively, after CEUS values increased to 69%, 99%, and 94%. For liver baseline US values were 68%, 97%, and 90%; after CEUS were 84%, 99%, and 96%. For spleen, results were 77%, 96%, and 91% at baseline US and 93%, 99%, and 97% after CEUS. Per patient evaluation gave the following results in terms of sensitivity, specificity and accuracy: 79%, 82%, 80% at baseline US; 94%, 89%, and 92% following CEUS. CEUS is more sensitive than US in the detection of solid organ injury, potentially reducing the need for further imaging. False negatives from CEUS are due to minor injuries, without relevant consequences for patient management and prognosis.
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Metadaten
Titel
CEUS in abdominal trauma: multi-center study
verfasst von
Orlando Catalano
Luca Aiani
Libero Barozzi
Daniela Bokor
Armanda De Marchi
Carlo Faletti
Fabio Maggioni
Nicola Montanari
Paolo Emilio Orlandi
Alfredo Siani
Paul S. Sidhu
Peter K. Thompson
Massimo Valentino
Angelo Ziosi
Alberto Martegani
Publikationsdatum
01.04.2009
Verlag
Springer-Verlag
Erschienen in
Abdominal Radiology / Ausgabe 2/2009
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-008-9452-0

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