• J Comput Assist Tomogr · Jul 2004

    Review

    Multidetector computed tomography and blunt thoracoabdominal trauma.

    • A Jason Mullinix and W Dennis Foley.
    • Department of Radiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
    • J Comput Assist Tomogr. 2004 Jul 1;28 Suppl 1:S20-7.

    AbstractComputed tomography has had an increasing role in the evaluation of patients after blunt trauma. Important findings in thoracic trauma include acute traumatic aortic injury, pneumothorax, hemothorax, pulmonary contusions and lacerations, mediastinal hematoma, and diaphragmatic rupture. The solid abdominal viscera may lacerate; infarct; or suffer vascular, ductal, or pyelocalyceal disruption. The bladder and intestines may rupture. In abdominal pelvic trauma, the direction of applied force often results in an identifiable constellation of injuries. This article reviews how multidetector computed tomography (MDCT) is used in the trauma patient. Technical advances of increased cephalocaudad coverage speed and improved z-axis resolution intrinsic to MDCT, together with effective contrast utilization, make MDCT invaluable in the setting of trauma.

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