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01-03-2019 | ABDOMINAL RADIOLOGY

Contrast-enhanced ultrasound in the evaluation of splenic injury healing time and grade

Authors: Corrado Tagliati, Giulio Argalia, Beatrice Graziani, Daniela Salmistraro, Gian Marco Giuseppetti, Andrea Giovagnoni

Published in: La radiologia medica | Issue 3/2019

Abstract

Aims

To assess mean healing time of blunt spleen injuries managed nonoperatively using CEUS (contrast-enhanced ultrasound); to analyze whether spleen injury grade, subcapsular hematoma (SCH) presence, SCH grade and spleen infarct after spleen artery angioembolization could be related to healing time; and to evaluate CEUS sensitivity in diagnosing spleen injury and to assess CEUS performance in classifying spleen injury grade compared to CT.

Materials and methods

After CT evaluation in the Emergency Department, 101 hemodynamic stable blunt spleen trauma patients (73 males; 28 females; mean age 46.4 years, range 18–92) underwent serial CEUS follow-up examinations at pre-established intervals (1, 3, 8, 15, 30, 60, 90 and 180 days after trauma), until spleen injury became no more identifiable.

Results

Mean CEUS examinations performed before spleen injury healing were 4.5; mean spleen injury healing time was 22.6 days. Spleen injury healing time was significantly related to spleen injury grade, subcapsular hematoma (SCH) presence, SCH grade and spleen infarct. CEUS spleen injury diagnostic sensitivity was 96.9% and, according to the American Association for the Surgery of Trauma (AAST)–spleen injury scale (SIS), CEUS-CT concordance was 95.8%.

Conclusions

Spleen injury healing time in blunt abdominal trauma nonoperatively managed is significantly related to AAST-SIS grade, SCH presence and grade, and spleen infarct development, and CEUS can be used in order to evaluate spleen injury grade.

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Title: Contrast-enhanced ultrasound in the evaluation of splenic injury healing time and grade
Authors: Corrado Tagliati
Giulio Argalia
Beatrice Graziani
Daniela Salmistraro
Gian Marco Giuseppetti
Andrea Giovagnoni
Publication date: 01-03-2019
Publisher: Springer Milan
Published in: La radiologia medica / Issue 3/2019
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-018-0954-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Contrast-enhanced ultrasound in the evaluation of splenic injury healing time and grade

Abstract

Aims

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aims

Materials and methods

Results

Conclusions

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