Emergency chest imaging:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Elsevier Saunders
2006
|
| Schriftenreihe: | Radiologic clinics of North America
44,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 165 - 322 zahlr. Ill. |
| ISBN: | 1416035451 |
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| 245 | 1 | 0 | |a Emergency chest imaging |c guest ed. Stuart E. Mirvis ... |
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| adam_text | EMERGENCY CHEST IMAGING
Contents
Stuart E. Mirvis and Kathirkamanathan Shanmuganathan
Kenneth H. Butler and Sharon A. Swencki
Chest pain is one of the most common presentations in emergency medicine. The initial
evaluation should always consider life threatening causes such as aortic dissection, pul
monary embolism, pneumothorax, pneumomediastinum, pericarditis, and esophageal
Perforation. Radiographic imaging is performed in tandem with the initial clinical assess
ment and stabilization of the patient. Radiologie findings are key to diagnosis and man
agement of this entity.
Stuart E. Mirvis
This artide emphasizes multirow detector CT (MDCT) technique, the spectrum of find¬
ings for diagnosing major thoracic vascular injuries, and the challenges and potential
errors that might be encountered. In particular, the role of MDCT data after processing to
enhance diagnostic aecuraey and convey appropriate and required diagnostic information
to the doctors who are managing these vascular injuries are discussed.
lmt9mM.BiiitamMiÄ
Clint W. Sliker
Diaphragm injuries are uncommon consequences of blunt and penetrating trauma.
Early diagnosis and repair prevent potentially devastating complications that typically
result from visceral herniation through the posttraumatic diaphragm defect. Although
clinical and radiographic manifestations frequently are nonspeeifie, the stalwarts of
trauma imaging—chest radiography and CT—typically demonstrate these injuries. To
render the appropriate diagnosis, the radiologist must be familiär with the varied imag¬
ing manifestations of injury, and maintain a high index of suspicion within the appro¬
priate clinical setting.
Ches Wall, Lung, and Pleural Space Trauma
Lisa A. Miller
Chest radiographs frequently underestimate the severity and extent of chest trauma
and, in some cases, fail to detect the presence of injury. CT is more sensitive than
chest radiography in the detection of pulmonary, pleural, and osseous abnormalities
in the patient who has chest trauma. With the advent of multidetector CT (MDCT),
high quality multiplanar reformations are obtained easily and add to the diagnostic
capabilities of MDCT. This article reviews the radiographic and CT findings of chest
wall, pleural, and pulmonary injuries that are seen in the patient who has experi¬
enced blunt thoracic trauma.
Imaging of Penetrating Chest Trauma . 225
Kathirkamanathan Shanmuganathan and Junichi Matsumoto
This article discusses the role of imaging in evaluating patients who are admitted with
penetrating injuries to the chest. Emphasis is placed on the role of multidetector row CT,
which has been introduced in the past 5 years into the arena of care for trauma victims.
It is important to take full advantage of this new CT technology with its capability to pro¬
duce high resolution multiplanar and volumetric images to diagnose penetrating chest
injuries. This article emphasizes detection of active bleeding and assessment of the medi¬
astinum for penetrating injury.
Thoracic Angiography and Intervention in Trauma 239
Patrick C. Malloy and Howard Marks Richard III
Interventional radiologists are involved less often in the initial diagnostic evaluation of
patients who have acute chest trauma today than in the past. Patients are cleared of signifi¬
cant injury by CT, or, when a significant injury is present, they are triaged appropriately to
open surgery or endovascular intervention. Significant advances in catheter based technol¬
ogy, such as stent grafts and embolization coils, allow definitive repair of thoracic aortic
and branch vessel injury. The opportunity to treat these types of injury with minimally
invasive techniques has reinforced a continuing need for the maintenance and continued
development of skills in the performance and interpretation of thoracic angiography. This
article reviews these techniques and examines the status and the future of endovascular
interventions in thoracic trauma.
Jtpjj a^cular Mediastinal Trauma 251
Juntima Euathrongchit, Nisa Thoongsuwan, and Eric J. Stern
This article discusses the radiologic and clinical features of nonvascular mediastinal
trauma, and focuses on the tracheobronchial tree, the esophagus, and the thoracic duct.
Blunt chest and penetrating trauma account for most of the causes of such nonvascular
injuries, but iatrogenic and inhalation injuries are other well known causes. The injury
distribution and clinical manifestations are different for each structure. In our com¬
bined experience at a level 1 trauma center, the overall prevalence of injury in each
organ is low compared with vascular injuries. As such, and given the frequent nonspe¬
cific nature of clinical signs and symptoms of nonvascular mediastinal injuries, the
diagnosis often is delayed and results in poor treatment outcome.
Paul G. Kluetz and Charles S. White
Acute pulmonary embolism (PE) is a life threatening condition that requires accurate
diagnostic imaging. Morbidity and mortality resulting from PE can be reduced signifi¬
cantly if appropriate treatment is initiated early. Historically, the gold standard for the
imaging of PE has been pulmonary angiography. Rapid advances in radiology and nuclear
medicine have led to this modality largely being replaced by noninvasive techniques,
most frequently multidetector helical CT pulmonary angiography (CTPA). For cases in
which CTPA is contraindicated, other imaging modalities include nuclear ventilation
perfusion scanning, magnetic resonance pulmonary angiography, duplex Doppler ultra
sonography for deep venous thrombosis, and echocardiography. This article reviews the
literature on the role of these imaging modalities in the diagnosis of PE.
NoiittiMmitifijtaiti^ ... . ,273.
Jean Jeudy, Stephen Waite, and Charles S. White
Acute chest pain is one of the most common complaints of patients who present to an
emergency department, and accounts for up to 5% of all visits. It also is one of the most
complex issues in an emergency setting because, although clinical signs and symptoms
often are nonspecific, rapid diagnosis and therapy are of great importance. The chest
radiograph remains an important component of the evaluation of chest pain, and usu¬
ally is the first examination to be obtained. Nevertheless, cross sectional imaging has
added greatly to the ability to characterize the wide constellation of clinical findings
into a distinct etiology. This article reviews how the various entities that can present
as nontraumatic chest pain can manifest radiographically.
Acute Lunsljrfe«iai^lB^ 295
Stephen Waite, Jean Jeudy, and Charles S. White
Pulmonary infections are among the most common causes of morbidity and mortality
worldwide, and contribute substantially to annual medical expenditures in the United
States. Despite the availability of antimicrobial agents, pneumonia constitutes the sixth
most common cause of death and the number one cause of death from infection.
Pneumonia can be particularly life threatening in the elderly, in individuals who have
pre existing heart and lung conditions, in patients who have suppressed or weakened
immunity, and in pregnant women. This article discusses some of the important causes
of acute lung infections in normal and immunocompromised hosts. Because there often
is considerable overlap, infections are categorized by the host immune status that is
most likely to be associated with a particular pathogen.
Index 317
|
| adam_txt |
EMERGENCY CHEST IMAGING
Contents
Stuart E. Mirvis and Kathirkamanathan Shanmuganathan
Kenneth H. Butler and Sharon A. Swencki
Chest pain is one of the most common presentations in emergency medicine. The initial
evaluation should always consider life threatening causes such as aortic dissection, pul
monary embolism, pneumothorax, pneumomediastinum, pericarditis, and esophageal
Perforation. Radiographic imaging is performed in tandem with the initial clinical assess
ment and stabilization of the patient. Radiologie findings are key to diagnosis and man
agement of this entity.
Stuart E. Mirvis
This artide emphasizes multirow detector CT (MDCT) technique, the spectrum of find¬
ings for diagnosing major thoracic vascular injuries, and the challenges and potential
errors that might be encountered. In particular, the role of MDCT data after processing to
enhance diagnostic aecuraey and convey appropriate and required diagnostic information
to the doctors who are managing these vascular injuries are discussed.
lmt9mM.BiiitamMiÄ
Clint W. Sliker
Diaphragm injuries are uncommon consequences of blunt and penetrating trauma.
Early diagnosis and repair prevent potentially devastating complications that typically
result from visceral herniation through the posttraumatic diaphragm defect. Although
clinical and radiographic manifestations frequently are nonspeeifie, the stalwarts of
trauma imaging—chest radiography and CT—typically demonstrate these injuries. To
render the appropriate diagnosis, the radiologist must be familiär with the varied imag¬
ing manifestations of injury, and maintain a high index of suspicion within the appro¬
priate clinical setting.
Ches Wall, Lung, and Pleural Space Trauma
Lisa A. Miller
Chest radiographs frequently underestimate the severity and extent of chest trauma
and, in some cases, fail to detect the presence of injury. CT is more sensitive than
chest radiography in the detection of pulmonary, pleural, and osseous abnormalities
in the patient who has chest trauma. With the advent of multidetector CT (MDCT),
high quality multiplanar reformations are obtained easily and add to the diagnostic
capabilities of MDCT. This article reviews the radiographic and CT findings of chest
wall, pleural, and pulmonary injuries that are seen in the patient who has experi¬
enced blunt thoracic trauma.
Imaging of Penetrating Chest Trauma . 225
Kathirkamanathan Shanmuganathan and Junichi Matsumoto
This article discusses the role of imaging in evaluating patients who are admitted with
penetrating injuries to the chest. Emphasis is placed on the role of multidetector row CT,
which has been introduced in the past 5 years into the arena of care for trauma victims.
It is important to take full advantage of this new CT technology with its capability to pro¬
duce high resolution multiplanar and volumetric images to diagnose penetrating chest
injuries. This article emphasizes detection of active bleeding and assessment of the medi¬
astinum for penetrating injury.
Thoracic Angiography and Intervention in Trauma 239
Patrick C. Malloy and Howard Marks Richard III
Interventional radiologists are involved less often in the initial diagnostic evaluation of
patients who have acute chest trauma today than in the past. Patients are cleared of signifi¬
cant injury by CT, or, when a significant injury is present, they are triaged appropriately to
open surgery or endovascular intervention. Significant advances in catheter based technol¬
ogy, such as stent grafts and embolization coils, allow definitive repair of thoracic aortic
and branch vessel injury. The opportunity to treat these types of injury with minimally
invasive techniques has reinforced a continuing need for the maintenance and continued
development of skills in the performance and interpretation of thoracic angiography. This
article reviews these techniques and examines the status and the future of endovascular
interventions in thoracic trauma.
Jtpjj a^cular Mediastinal Trauma 251
Juntima Euathrongchit, Nisa Thoongsuwan, and Eric J. Stern
This article discusses the radiologic and clinical features of nonvascular mediastinal
trauma, and focuses on the tracheobronchial tree, the esophagus, and the thoracic duct.
Blunt chest and penetrating trauma account for most of the causes of such nonvascular
injuries, but iatrogenic and inhalation injuries are other well known causes. The injury
distribution and clinical manifestations are different for each structure. In our com¬
bined experience at a level 1 trauma center, the overall prevalence of injury in each
organ is low compared with vascular injuries. As such, and given the frequent nonspe¬
cific nature of clinical signs and symptoms of nonvascular mediastinal injuries, the
diagnosis often is delayed and results in poor treatment outcome.
Paul G. Kluetz and Charles S. White
Acute pulmonary embolism (PE) is a life threatening condition that requires accurate
diagnostic imaging. Morbidity and mortality resulting from PE can be reduced signifi¬
cantly if appropriate treatment is initiated early. Historically, the gold standard for the
imaging of PE has been pulmonary angiography. Rapid advances in radiology and nuclear
medicine have led to this modality largely being replaced by noninvasive techniques,
most frequently multidetector helical CT pulmonary angiography (CTPA). For cases in
which CTPA is contraindicated, other imaging modalities include nuclear ventilation
perfusion scanning, magnetic resonance pulmonary angiography, duplex Doppler ultra
sonography for deep venous thrombosis, and echocardiography. This article reviews the
literature on the role of these imaging modalities in the diagnosis of PE.
NoiittiMmitifijtaiti^ . . ,273.
Jean Jeudy, Stephen Waite, and Charles S. White
Acute chest pain is one of the most common complaints of patients who present to an
emergency department, and accounts for up to 5% of all visits. It also is one of the most
complex issues in an emergency setting because, although clinical signs and symptoms
often are nonspecific, rapid diagnosis and therapy are of great importance. The chest
radiograph remains an important component of the evaluation of chest pain, and usu¬
ally is the first examination to be obtained. Nevertheless, cross sectional imaging has
added greatly to the ability to characterize the wide constellation of clinical findings
into a distinct etiology. This article reviews how the various entities that can present
as nontraumatic chest pain can manifest radiographically.
Acute Lunsljrfe«iai^lB^ 295
Stephen Waite, Jean Jeudy, and Charles S. White
Pulmonary infections are among the most common causes of morbidity and mortality
worldwide, and contribute substantially to annual medical expenditures in the United
States. Despite the availability of antimicrobial agents, pneumonia constitutes the sixth
most common cause of death and the number one cause of death from infection.
Pneumonia can be particularly life threatening in the elderly, in individuals who have
pre existing heart and lung conditions, in patients who have suppressed or weakened
immunity, and in pregnant women. This article discusses some of the important causes
of acute lung infections in normal and immunocompromised hosts. Because there often
is considerable overlap, infections are categorized by the host immune status that is
most likely to be associated with a particular pathogen.
Index 317 |
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| spelling | Emergency chest imaging guest ed. Stuart E. Mirvis ... Philadelphia [u.a.] Elsevier Saunders 2006 XII S., S. 165 - 322 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Radiologic clinics of North America 44,2 Acute aandoeningen gtt Beeldverwerkende diagnostiek gtt Borstkas gtt Chest Diseases Diagnosis Chest Imaging Emergencies Emergency medicine Radiography, Thoracic Mirvis, Stuart E. Sonstige oth Radiologic clinics of North America 44,2 (DE-604)BV000003369 44,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014799305&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Emergency chest imaging Radiologic clinics of North America Acute aandoeningen gtt Beeldverwerkende diagnostiek gtt Borstkas gtt Chest Diseases Diagnosis Chest Imaging Emergencies Emergency medicine Radiography, Thoracic |
| title | Emergency chest imaging |
| title_auth | Emergency chest imaging |
| title_exact_search | Emergency chest imaging |
| title_exact_search_txtP | Emergency chest imaging |
| title_full | Emergency chest imaging guest ed. Stuart E. Mirvis ... |
| title_fullStr | Emergency chest imaging guest ed. Stuart E. Mirvis ... |
| title_full_unstemmed | Emergency chest imaging guest ed. Stuart E. Mirvis ... |
| title_short | Emergency chest imaging |
| title_sort | emergency chest imaging |
| topic | Acute aandoeningen gtt Beeldverwerkende diagnostiek gtt Borstkas gtt Chest Diseases Diagnosis Chest Imaging Emergencies Emergency medicine Radiography, Thoracic |
| topic_facet | Acute aandoeningen Beeldverwerkende diagnostiek Borstkas Chest Diseases Diagnosis Chest Imaging Emergencies Emergency medicine Radiography, Thoracic |
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