Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Taiwan.
Department of Medical Imaging and Intervention, New Taipei Municipal TuCheng Hospital, Chang Gung University, Taiwan.
Korean J Radiol. 2023 Aug;24(8):752-760. doi: 10.3348/kjr.2022.1021.
Radiologists and trauma surgeons should monitor for early killers among patients with thoracic trauma, such as tension pneumothorax, tracheobronchial injuries, flail chest, aortic injury, mediastinal hematomas, and severe pulmonary parenchymal injury. With the advent of cutting-edge technology, rapid volumetric computed tomography of the chest has become the most definitive diagnostic tool for establishing or excluding thoracic trauma. With the notion of "time is life" at emergency settings, radiologists must find ways to shorten the turnaround time of reports. One way to interpret chest findings is to use a systemic approach, as advocated in this study. Our interpretation of chest findings for thoracic trauma follows the acronym "ABC-Please" in which "A" stands for abnormal air, "B" stands for abnormal bones, "C" stands for abnormal cardiovascular system, and "P" in "Please" stands for abnormal pulmonary parenchyma and vessels. In the future, utilizing an artificial intelligence software can be an alternative, which can highlight significant findings as "warm zones" on the heatmap and can re-prioritize important examinations at the top of the reading list for radiologists to expedite the final reports.
放射科医生和创伤外科医生应该监测胸部创伤患者的早期杀手，如张力性气胸、气管支气管损伤、连枷胸、主动脉损伤、纵隔血肿和严重肺实质损伤。随着尖端技术的出现，胸部容积 CT 已成为确定或排除胸部创伤的最明确诊断工具。在急救环境中，“时间就是生命”的概念，放射科医生必须找到缩短报告周转时间的方法。一种解释胸部发现的方法是使用系统方法，正如本研究中所提倡的那样。我们对胸部创伤的解释遵循“ABC-Please”首字母缩写词，其中“A”代表异常空气，“B”代表异常骨骼，“C”代表异常心血管系统，而“P”在“Please”中代表异常肺实质和血管。在未来，使用人工智能软件可以是一种替代方法，它可以在热图上突出显示重要发现作为“热点”，并可以将重要检查重新优先排在放射科医生阅读清单的顶部，以加快最终报告的速度。
