Chien Ling-Chen, Vakil Mona, Nguyen Jonathan, Chahine Amanda, Archer-Arroyo Krystal, Hanna Tarek N, Herr Keith D
Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road NE, Atlanta, GA, 30322, USA.
Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.
Emerg Radiol. 2020 Feb;27(1):63-73. doi: 10.1007/s10140-019-01721-z. Epub 2019 Sep 5.
The most widely used trauma injury grading system is the Organ Injury Scale (OIS) by the American Association for the Surgery of Trauma (AAST). The AAST OIS for renal trauma was revised in 2018 to reflect necessary updates based on decades of experience with computed tomography (CT)-based injury diagnosis and, specifically, to better incorporate vascular injuries, which were not comprehensively addressed in the original OIS. In this review article, we describe CT findings of the AAST OIS for the kidney according to the 2018 revision, with an emphasis on real-world application, and highlight important differences from the prior grading scheme. Routine use of this grading system allows for a standardized classification of the range of renal injuries to aid in management, adding value in the imaging care of trauma patients.
应用最为广泛的创伤损伤分级系统是美国创伤外科协会（AAST）的器官损伤分级（OIS）。2018年，AAST对肾创伤的OIS进行了修订，以根据基于计算机断层扫描（CT）的损伤诊断数十年经验进行必要更新，特别是为了更好地纳入血管损伤，而这在最初的OIS中并未得到全面解决。在这篇综述文章中，我们根据2018年修订版描述了AAST肾OIS的CT表现，重点是实际应用，并强调与先前分级方案的重要差异。常规使用该分级系统可对肾损伤范围进行标准化分类，以辅助管理，为创伤患者的影像护理增添价值。
