ISSN: 1859 - 2872
Characteristics and value of multi-slice computed tomography in the evaluation of arterial injury in solid organ traumatic patients at Phu Tho Provincial General Hospital
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Abstract
Objective: This study aims to evaluate the imaging characteristics and value of multi-slice computed tomography (MSCT) in diagnosing arterial injury in patients with solid organ trauma compared to digital subtraction angiography (DSA). Subject and method: A retrospective study was performed on 51 patients with clinical manifestations of solid organ trauma who were diagnosed with arterial injury on MSCT and then underwent DSA at Phu Tho Provincial General Hospital from January 2020 to December 2023. Result: The average age was 35.7 years; men accounted for 74.5%. The majority of patients were hospitalised with hemodynamic instability (60.1%). The most common traumatic organ was the liver (51%). There were 51 arterial lesions on MSCT, including active extravasation (80.4%) and pseudoaneurysm (19.6%). The sensitivity, specificity, and accuracy of active extravasation and pseudoaneurysm on MSCT compared to DSA were 97.6%, 91.7%, 96.2% and 90%, 97.7%, 96.2%, respectively. Conclusion: MSCT has high sensitivity, specificity and accuracy for diagnosing arterial injury in patients with solid organ trauma.
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References
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