Hussain Khadija, Verma Deepak, Firoz Amena, Namiq Karez S, Raza Maham, Haris Muhammad, Bouchama Manel, Khan Safeera
Radiology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus. 2021 Apr 2;13(4):e14267. doi: 10.7759/cureus.14267.
Traumatic injuries are one of the leading causes of morbidity and mortality. Precise diagnosis and management in the golden hour are key to decrease morbidity and mortality. History and physical examination alone are insufficient to avoid misdiagnosis. In this article, we tried to determine the role of a radiologist and an appropriate imaging modality in a trauma setting. We conducted a literature review of published research articles. We used the keywords imaging, trauma, imaging and trauma, and trauma imaging essentials were used on PubMed and Google Scholar. The articles published in the English language from 2015 to 2020 with full free text available were included. Using the medical subject heading (MeSH) strategy, "diagnostic imaging" (Major {Majr}) and "multiple trauma/diagnostic imaging" (Mesh) on PubMed, we identified 34 papers after applying the inclusion and exclusion criteria. Twenty articles were finally selected which included studies from 2015 to 2020 with articles focusing on the adult population and acute cases. A radiologist and imaging modalities are the essential parts of a trauma setting to lower morbidity and mortality. X-rays and Extended Focussed Assessment with Sonography for Trauma (eFAST) are the first-line imaging modality in the acute trauma setting. However, the CT scan is the most sensitive modality that should be done to avoid misdiagnosis depending upon the patient's history and physical examination.
创伤性损伤是发病和死亡的主要原因之一。黄金一小时内的精确诊断和处理是降低发病率和死亡率的关键。仅靠病史和体格检查不足以避免误诊。在本文中,我们试图确定放射科医生和合适的成像方式在创伤环境中的作用。我们对已发表的研究文章进行了文献综述。我们在PubMed和谷歌学术上使用了关键词成像、创伤、成像与创伤以及创伤成像要点。纳入2015年至2020年发表的、全文免费获取的英文文章。利用医学主题词(MeSH)策略,在PubMed上搜索“诊断成像”(主要主题词{Majr})和“多发伤/诊断成像”(MeSH词),应用纳入和排除标准后,我们筛选出34篇论文。最终选取了20篇文章,这些文章涵盖2015年至2020年的研究,且聚焦于成年人群和急性病例。放射科医生和成像方式是创伤环境中降低发病率和死亡率的重要组成部分。X线和创伤超声重点评估(eFAST)是急性创伤环境中的一线成像方式。然而,根据患者的病史和体格检查,CT扫描是最敏感的成像方式,应进行CT扫描以避免误诊。