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RISS 인기검색어
- 검색키워드
- 저자 : Kaewlai Rathachai (검색결과 2 건)
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Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review
Kaewlai Rathachai,Chatpuwaphat Jitti,Maitriwong Worapat,Wongwaisayawan Sirote,Shin Cheong-Il,Lee Choong Wook 대한영상의학회 2023 Korean Journal of Radiology Vol.24 No.5
Diagnosing bowel and mesenteric trauma poses a significant challenge to radiologists. Although these injuries are relatively rare, immediate laparotomy may be indicated when they occur. Delayed diagnosis and treatment are associated with increased morbidity and mortality; therefore, timely and accurate management is essential. Additionally, employing strategies to differentiate between major injuries requiring surgical intervention and minor injuries considered manageable via nonoperative management is important. Bowel and mesenteric injuries are among the most frequently overlooked injuries on trauma abdominal computed tomography (CT), with up to 40% of confirmed surgical bowel and mesenteric injuries not reported prior to operative treatment. This high percentage of falsely negative preoperative diagnoses may be due to several factors, including the relative rarity of these injuries, subtle and non-specific appearances on CT, and limited awareness of the injuries among radiologists. To improve the awareness and diagnosis of bowel and mesenteric injuries, this article provides an overview of the injuries most often encountered, imaging evaluation, CT appearances, and diagnostic pearls and pitfalls. Enhanced diagnostic imaging awareness will improve the preoperative diagnostic yield, which will save time, money, and lives.
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Watch Out for the Early Killers: Imaging Diagnosis of Thoracic Trauma
Wong Yon-Cheong,Wang Li-Jen,Kaewlai Rathachai,Wu Cheng-Hsien 대한영상의학회 2023 Korean Journal of Radiology Vol.24 No.8
Radiologists and trauma surgeons should monitor for early killers among patients with thoracic trauma, such as tension pneumothorax, tracheobronchial injuries, flail chest, aortic injury, mediastinal hematomas, and severe pulmonary parenchymal injury. With the advent of cutting-edge technology, rapid volumetric computed tomography of the chest has become the most definitive diagnostic tool for establishing or excluding thoracic trauma. With the notion of “time is life” at emergency settings, radiologists must find ways to shorten the turnaround time of reports. One way to interpret chest findings is to use a systemic approach, as advocated in this study. Our interpretation of chest findings for thoracic trauma follows the acronym “ABC-Please” in which “A” stands for abnormal air, “B” stands for abnormal bones, “C” stands for abnormal cardiovascular system, and “P” in “Please” stands for abnormal pulmonary parenchyma and vessels. In the future, utilizing an artificial intelligence software can be an alternative, which can highlight significant findings as “warm zones” on the heatmap and can re-prioritize important examinations at the top of the reading list for radiologists to expedite the final reports.
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