Thesis etd-09262012-162226 |
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Thesis type
Tesi di specializzazione
Author
MAURO, EVA
URN
etd-09262012-162226
Thesis title
COMPUTED TOMOGRAPHY IN POLYTRAUMA: EXPERIENCE IN A RADIOLOGY EMERGENCY FIRST LEVEL
Department
MEDICINA E CHIRURGIA
Course of study
RADIODIAGNOSTICA
Supervisors
relatore Prof. Bartolozzi, Carlo
Keywords
- CT
- Emergency
- Polytrauma
- Radiology
Graduation session start date
22/10/2012
Availability
Full
Summary
Purpose
The purpose of this study is to demonstrate how Computed Tomography (CT) is essential in polytrauma patients who access to an Emergency Radiology first level, reducing time to diagnosis and treatment of injuries that are often life-threatening.
Materials and Methods
Were retrospectively analyzed all CT examinations with or without intravenous infusion of iodinated contrast medium performed on patients affered from the First Aid between October 2010 and February 2012 (17 months). The studies were conducted on multislice CT (16 and 64 MSCT) and sent to a console that allowed to view the axial images and process the volume studied obtaining multiplanar (MPR) and tridimensional reconstruction (VR: Volum Rendering).
Have been performed a total of 10.106 CT examinations, in particular 3.483 of these (approximately 34.5%) for trauma and 590 of the latter (about 5.8%) in patients with a diagnosis of "Polytrauma” at First Aid. For each patient was analyzed the district of the body concerned and the type of injury.
Results
The polytrauma patients were 124 (3 from the Pediatric Emergency Department) which 96 male and 28 female. The age of patients ranged from 18 months to 87 years, with more than 50% under 40 years.
The lung was the organ most affected by traumatic pathology, followed by the head and the spleen. Our results are consistent with the literature data except the trauma of the spine; particularly we found a greater involvement of dorsal tract versus the cervical spine fractures in literature.
Conclusion
The MSCT plays an important role in the management of severely injured patients. Its technical characteristics enable an effective diagnosis and a focused therapy of potentially life-threatening injuries at an early stage of the emergency room treatment. CT is more complete and also more consistent than conventional radiology and it has the great advantage of allowing rapid examination of the head, vertebral column, chest, abdomen and pelvis during one single radiological examination.
The purpose of this study is to demonstrate how Computed Tomography (CT) is essential in polytrauma patients who access to an Emergency Radiology first level, reducing time to diagnosis and treatment of injuries that are often life-threatening.
Materials and Methods
Were retrospectively analyzed all CT examinations with or without intravenous infusion of iodinated contrast medium performed on patients affered from the First Aid between October 2010 and February 2012 (17 months). The studies were conducted on multislice CT (16 and 64 MSCT) and sent to a console that allowed to view the axial images and process the volume studied obtaining multiplanar (MPR) and tridimensional reconstruction (VR: Volum Rendering).
Have been performed a total of 10.106 CT examinations, in particular 3.483 of these (approximately 34.5%) for trauma and 590 of the latter (about 5.8%) in patients with a diagnosis of "Polytrauma” at First Aid. For each patient was analyzed the district of the body concerned and the type of injury.
Results
The polytrauma patients were 124 (3 from the Pediatric Emergency Department) which 96 male and 28 female. The age of patients ranged from 18 months to 87 years, with more than 50% under 40 years.
The lung was the organ most affected by traumatic pathology, followed by the head and the spleen. Our results are consistent with the literature data except the trauma of the spine; particularly we found a greater involvement of dorsal tract versus the cervical spine fractures in literature.
Conclusion
The MSCT plays an important role in the management of severely injured patients. Its technical characteristics enable an effective diagnosis and a focused therapy of potentially life-threatening injuries at an early stage of the emergency room treatment. CT is more complete and also more consistent than conventional radiology and it has the great advantage of allowing rapid examination of the head, vertebral column, chest, abdomen and pelvis during one single radiological examination.
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