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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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