J Korean Radiol Soc.  2006 May;54(5):393-401. 10.3348/jkrs.2006.54.5.393.

Traumatic Thoracic Injury: The Role of Multidetector-row CT

• Park KJ
• Kang DK
• Kim TH

• KMID: 1900687
• DOI: http://doi.org/10.3348/jkrs.2006.54.5.393

Abstract

The introduction of Multidetector-row CT (MDCT) has revolutionized the diagnostic strategy of multitrauma patients. The rapid acquisition of a large scanning volume with a thin slice collimation allows for motion-free images of high spatial resolution, and this enables the application of the multiplanar reformat (MPR) and 3D volume-rendering (VR) images. The MPR images more accurately demonstrate aortic rupture or dissection, diaphragmatic injuries and fracture of vertebrae, sternum and costal cartilages. Diagnosing vascular injuries can be aided by using the MIP images. Rib fracture, trachea and bronchial laceration are more easily detected by the 3D images, while airway and vascular injuries can be detected from performing virtual endoscopy. We introduce our current CT imaging protocol and we present our clinical experience with using MDCT in the assessment of patients with blunt thoracic trauma

Keyword

Trauma; Thorax, CT; Thorax, injuries; Computed tomography (CT), multi-detector row; Computed tomography (CT), three-dimensional

MeSH Terms

Aortic Rupture
Cartilage
Endoscopy
Humans
Lacerations
Rib Fractures
Spine
Sternum
Thoracic Injuries*
Trachea
Vascular System Injuries