Wang Tanche Jimmy, Barrett Sarah, Ali Ismail, Khosa Faisal, Nicolaou Savvas, Murray Nicolas
Emergency Radiology Division, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Front Radiol. 2022 Apr 4;2:835834. doi: 10.3389/fradi.2022.835834. eCollection 2022.
Traumatic bowel and mesenteric injuries (TBMI) have significant morbidity and mortality. The physical examination is often limited and sometimes not feasible in the trauma patient. Multidetector CT (MDCT) detection of TBMI is challenging and can be life-saving. Dual-energy CT (DECT) utilizes iodine overlay, monoenergetic imaging, and metal artifact reduction to enhance the conspicuity of TBMI. DECT may improve the conspicuity of TBMI leading to increased diagnostic accuracy and confidence. The aim of the article is to review the state of the art and applications of DECT in bowel trauma.
创伤性肠和肠系膜损伤(TBMI)具有较高的发病率和死亡率。体格检查在创伤患者中往往受限,有时甚至不可行。多排螺旋CT(MDCT)检测TBMI具有挑战性,但可能挽救生命。双能CT(DECT)利用碘叠加、单能量成像和金属伪影减少来提高TBMI的显影效果。DECT可能会改善TBMI的显影效果,从而提高诊断准确性和信心。本文的目的是综述DECT在肠创伤方面的最新技术水平和应用情况。