Subscribe to RSS
Postprocessing Imaging Techniques of the Computed Tomography Angiography in Trauma Patients for Preprocedural Planning
Computed tomography provides a wealth of diagnostic information in the trauma patient including the presence of organ, bone, and vasculature injuries for the rapid triage of trauma patients. In the context of interventional radiology, appropriately protocoled studies can be reviewed for vascular injury and help focus the angiographic assessment of bleeding patients to ideally achieve earlier hemostasis. This article outlines various image-processing techniques such as multiplanar reformats, curved planar reformats, maximum intensity projections, and volume rendering to identify and more thoroughly characterize vascular injuries as a preprocedural planning tool to expedite endovascular hemostasis in a case-based format.
Keywordstrauma - computed tomography - imaging - radiology - vascular injury - interventional radiology
15 April 2021 (online)
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
- 1 Sauaia A, Moore FA, Moore EE. et al. Epidemiology of trauma deaths: a reassessment. J Trauma 1995; 38 (02) 185-193
- 2 Kauvar DS, Lefering R, Wade CE. Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations. J Trauma 2006; 60 (6, Suppl): S3-S11
- 3 Cannon JW. Hemorrhagic shock. N Engl J Med 2018; 378 (04) 370-379
- 4 Schöchl H, Grassetto A, Schlimp CJ. Management of hemorrhage in trauma. J Cardiothorac Vasc Anesth 2013; 27 (4, Suppl): S35-S43
- 5 Arndt L, Mir D, Nguyen J. et al. The resuscitative endovascular balloon occlusion of aorta (REBOA) device-what radiologists need to know. Emerg Radiol 2019; 26 (06) 691-694
- 6 The American College of Surgeons Committee on Trauma. Resources for Optimal Care of the Injured Patient. 2014
- 7 Kim C, Niekamp A, Pillai AS. et al. Quality Improvement Project: improving interventional radiology response times for Level I trauma embolization. J Am Coll Radiol 2020; 17 (06) 791-795
- 8 Matsushima K, Piccinini A, Schellenberg M. et al. Effect of door-to-angioembolization time on mortality in pelvic fracture: every hour of delay counts. J Trauma Acute Care Surg 2018; 84 (05) 685-692
- 9 Huber-Wagner S, Biberthaler P, Häberle S. et al; TraumaRegister DGU. Whole-body CT in haemodynamically unstable severely injured patients--a retrospective, multicentre study. PLoS One 2013; 8 (07) e68880
- 10 Roy-Choudhury SH, Gallacher DJ, Pilmer J. et al. Relative threshold of detection of active arterial bleeding: in vitro comparison of MDCT and digital subtraction angiography. AJR Am J Roentgenol 2007; 189 (05) W238-W246
- 11 Galanski M, Prokop M, Chavan A, Schaefer CM, Jandeleit K, Nischelsky JE. Renal arterial stenoses: spiral CT angiography. Radiology 1993; 189 (01) 185-192
- 12 Ochi T, Shimizu K, Yasuhara Y, Shigesawa T, Mochizuki T, Ikezoe J. Curved planar reformatted CT angiography: usefulness for the evaluation of aneurysms at the carotid siphon. AJNR Am J Neuroradiol 1999; 20 (06) 1025-1030
- 13 Napel S, Marks MP, Rubin GD. et al. CT angiography with spiral CT and maximum intensity projection. Radiology 1992; 185 (02) 607-610
- 14 Fishman EK, Ney DR, Heath DG, Corl FM, Horton KM, Johnson PT. Volume rendering versus maximum intensity projection in CT angiography: what works best, when, and why. Radiographics 2006; 26 (03) 905-922