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Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT
In the transition from the operative to the conservative approach for the polytraumatized patients who undergo blunt trauma, diagnostic imaging has assumed a pivotal role, currently offering various opportunities, particularly in the follow-up of these patients. The choice of the most suitable imagi...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093738/ https://www.ncbi.nlm.nih.gov/pubmed/37046565 http://dx.doi.org/10.3390/diagnostics13071347 |
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author | Iacobellis, Francesca Di Serafino, Marco Caruso, Martina Dell’Aversano Orabona, Giuseppina Rinaldo, Chiara Grimaldi, Dario Verde, Francesco Sabatino, Vittorio Schillirò, Maria Laura Giacobbe, Giuliana Ponticiello, Gianluca Scaglione, Mariano Romano, Luigia |
author_facet | Iacobellis, Francesca Di Serafino, Marco Caruso, Martina Dell’Aversano Orabona, Giuseppina Rinaldo, Chiara Grimaldi, Dario Verde, Francesco Sabatino, Vittorio Schillirò, Maria Laura Giacobbe, Giuliana Ponticiello, Gianluca Scaglione, Mariano Romano, Luigia |
author_sort | Iacobellis, Francesca |
collection | PubMed |
description | In the transition from the operative to the conservative approach for the polytraumatized patients who undergo blunt trauma, diagnostic imaging has assumed a pivotal role, currently offering various opportunities, particularly in the follow-up of these patients. The choice of the most suitable imaging method in this setting mainly depends on the injury complications we are looking for, the patient conditions (mobilization, cooperation, medications, allergies and age), the biological invasiveness, and the availability of each imaging method. Computed Tomography (CT) represents the “standard” imaging technique in the polytraumatized patient due to the high diagnostic performance when a correct imaging protocol is adopted, despite suffering from invasiveness due to radiation dose and intravenous contrast agent administration. Ultrasound (US) is a readily available technology, cheap, bedside performable and integrable with intravenous contrast agent (Contrast enhanced US—CEUS) to enhance the diagnostic performance, but it may suffer particularly from limited panoramicity and operator dependance. Magnetic Resonance (MR), until now, has been adopted in specific contexts, such as biliopancreatic injuries, but in recent experiences, it showed a great potential in the follow-up of polytraumatized patients; however, its availability may be limited in some context, and there are specific contraindications, such as as claustrophobia and the presence non-MR compatible devices. In this article, the role of each imaging method in the body-imaging follow-up of adult polytraumatized patients will be reviewed, enhancing the value of integrated imaging, as shown in several cases from our experience. |
format | Online Article Text |
id | pubmed-10093738 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100937382023-04-13 Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT Iacobellis, Francesca Di Serafino, Marco Caruso, Martina Dell’Aversano Orabona, Giuseppina Rinaldo, Chiara Grimaldi, Dario Verde, Francesco Sabatino, Vittorio Schillirò, Maria Laura Giacobbe, Giuliana Ponticiello, Gianluca Scaglione, Mariano Romano, Luigia Diagnostics (Basel) Review In the transition from the operative to the conservative approach for the polytraumatized patients who undergo blunt trauma, diagnostic imaging has assumed a pivotal role, currently offering various opportunities, particularly in the follow-up of these patients. The choice of the most suitable imaging method in this setting mainly depends on the injury complications we are looking for, the patient conditions (mobilization, cooperation, medications, allergies and age), the biological invasiveness, and the availability of each imaging method. Computed Tomography (CT) represents the “standard” imaging technique in the polytraumatized patient due to the high diagnostic performance when a correct imaging protocol is adopted, despite suffering from invasiveness due to radiation dose and intravenous contrast agent administration. Ultrasound (US) is a readily available technology, cheap, bedside performable and integrable with intravenous contrast agent (Contrast enhanced US—CEUS) to enhance the diagnostic performance, but it may suffer particularly from limited panoramicity and operator dependance. Magnetic Resonance (MR), until now, has been adopted in specific contexts, such as biliopancreatic injuries, but in recent experiences, it showed a great potential in the follow-up of polytraumatized patients; however, its availability may be limited in some context, and there are specific contraindications, such as as claustrophobia and the presence non-MR compatible devices. In this article, the role of each imaging method in the body-imaging follow-up of adult polytraumatized patients will be reviewed, enhancing the value of integrated imaging, as shown in several cases from our experience. MDPI 2023-04-04 /pmc/articles/PMC10093738/ /pubmed/37046565 http://dx.doi.org/10.3390/diagnostics13071347 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Iacobellis, Francesca Di Serafino, Marco Caruso, Martina Dell’Aversano Orabona, Giuseppina Rinaldo, Chiara Grimaldi, Dario Verde, Francesco Sabatino, Vittorio Schillirò, Maria Laura Giacobbe, Giuliana Ponticiello, Gianluca Scaglione, Mariano Romano, Luigia Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title | Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title_full | Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title_fullStr | Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title_full_unstemmed | Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title_short | Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT |
title_sort | non-operative management of polytraumatized patients: body imaging beyond ct |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093738/ https://www.ncbi.nlm.nih.gov/pubmed/37046565 http://dx.doi.org/10.3390/diagnostics13071347 |
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