• Dong Wang, Lichun An, Jiangke Tian, Tengfei Yu, Xia Xie, Yuejuan Gao, Yanfen Zang, Yanyan Tao, Yanqing Liu, and Ying Jin.
• Ultrasonography Department, Affiliated Hospital of Logistics University of PAP, HeDong District, TianJin City 300162, China. Electronic address: wddbaby@163.com.
• Am J Emerg Med. 2018 Sep 1; 36 (9): 1627-1630.

BackgroundReal-time ultrasound elastography (RTE) is used to examine liver fibrosis and benign and malignant lesions, but its use for the diagnosis of liver trauma has not been examined. The purpose of this study was to examine the use of RTE for the evaluation of differential penetrating liver trauma in a rabbit model.Material And MethodsEighty New Zealand rabbits were divided into 2 groups. In one group, a single incision (type "-" lesion) was made, and in the other group a hash mark incision (type "#" lesion) was made (about 0.5cm in depth; 1.0-2.0cm in length). RTE was performed at 10, 30, and 60min after injury.ResultsThere were no differences in mean RTE scores between the 2 types of lesions at 10 and 30min. However, the mean values for the 2 types of lesions increased from 10min to 60min (type '-' lesion: 0.88±0.32 to 2.06±0.88; type '#' lesion: 0.89±0.34 to 2.63±1.16). At 60min, the mean elasticity score in the type '#' lesion group was significantly higher than in the type '-' lesion group (P<.001). Strain ratios were not different between the groups at each time point, but in each group the values decreased from the 10min time point to the 60min time point (P-value for the trends, <.001).ConclusionsRTE may be able to distinguish mild or severe penetrating liver trauma at 60min or more after injury.Copyright © 2018 Elsevier Inc. All rights reserved.

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