Graves Joseph A, Hanna Tarek N, Herr Keith D
Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University Midtown Hospital, 550 Peachtree Road, Atlanta, GA, 30308, USA.
Emerg Radiol. 2017 Oct;24(5):557-568. doi: 10.1007/s10140-017-1515-5. Epub 2017 May 27.
With the universal acceptance of contrast-enhanced computed tomography (CT) as the imaging modality of first resort in the assessment of blunt abdominal injury, the trauma radiologist must be able to accurately and rapidly identify the range of CT manifestations of the traumatized abdomen. In this article, we lay out the fundamental principles in CT interpretation of blunt trauma to the hepatobiliary system and spleen, including vascular injury, with a focus on technical and interpretive pearls and pitfalls. This review will help radiologists and trainees become more familiar with key aspects of abdominal CT trauma protocol selection, CT-based solid organ injury grading, and the various appearances and mimics of hepatobiliary and splenic injury.
随着增强计算机断层扫描（CT）作为钝性腹部损伤评估的首选成像方式被广泛接受，创伤放射科医生必须能够准确、快速地识别受创伤腹部的一系列CT表现。在本文中，我们阐述了CT解读钝性创伤累及肝胆系统和脾脏（包括血管损伤）的基本原则，重点关注技术要点、解读技巧及陷阱。本综述将有助于放射科医生和实习生更熟悉腹部CT创伤检查方案选择、基于CT的实体器官损伤分级以及肝胆和脾脏损伤的各种表现及类似情况的关键方面。
