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European Radiology

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01-10-2014 | Emergency Radiology

Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Authors: Faqin Lv, Yanting Ning, Xuan Zhou, Yukun Luo, Tong Liang, Yongkang Nie, Tanshi Li, Jie Tang

Published in: European Radiology | Issue 10/2014

Abstract

Objective

To analyse the correlation between contrast-enhanced ultrasound (CEUS)-based classification of the severity of abdominal parenchymal organ trauma and clinical outcomes, and to explore CEUS in classifying patients with such trauma, expecting that the use of CEUS will potentially enhance the quality and speed of the emergency management of abdominal trauma.

Methods

Three hundred six consecutive patients with blunt abdominal parenchymal organ trauma who received CEUS examination were retrospectively analysed. Two CEUS radiologists (identified as Reader A and Reader B in this study) who were not involved in the CEUS examinations of the patients were then asked to classify the patients independently according to their CEUS results. The classification results were later compared with patients’ clinical outcomes using Spearman’s rank correlation.

Results

The final clinical outcomes showed that 25.5 % (78/306) of patients received conservative treatment, 52.0 % (159/306) received minimally invasive treatment, and 22.5 % (69/306) received surgery. Spearman's rank correlation coefficients between the CEUS-based classification and clinical outcome were 0.952 from Reader A and 0.960 from Reader B.

Conclusions

CEUS can play an important role in the emergency management of abdominal trauma through the classification of patients for different treatment methods.

Key points

• The severity of abdominal trauma was classified by contrast-enhanced ultrasound (CEUS)

• There was a high correlation between CEUS-based classification and clinical outcomes

• CEUS-based classification is helpful for surgeons in the emergency management of abdominal trauma

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Title: Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma
Authors: Faqin Lv
Yanting Ning
Xuan Zhou
Yukun Luo
Tong Liang
Yongkang Nie
Tanshi Li
Jie Tang
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 10/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3232-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Abstract

Objective

Methods

Results

Conclusions

Key points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Key points

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