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Abdominal Imaging

, Volume 34, Issue 2, pp 225–234 | Cite as

CEUS in abdominal trauma: multi-center study

  • Orlando Catalano
  • Luca Aiani
  • Libero Barozzi
  • Daniela Bokor
  • Armanda De Marchi
  • Carlo Faletti
  • Fabio Maggioni
  • Nicola Montanari
  • Paolo Emilio Orlandi
  • Alfredo Siani
  • Paul S. Sidhu
  • Peter K. Thompson
  • Massimo Valentino
  • Angelo Ziosi
  • Alberto Martegani
Article

Abstract

The objective of this study was to evaluate the concordance of US and contrast-enhanced US (CEUS) with CT in the assessment of solid organ injury following blunt trauma. Patients underwent complete US examination, including free fluid search and solid organ analysis. CEUS followed, using low-mechanical index techniques and SonoVue. CT was performed within 1 h. Among 156 enrolled patients, 91 had one or more abnormalities (n = 107) at CT: 26 renal, 38 liver, 43 spleen. Sensitivity, specificity, and accuracy for renal trauma at baseline US were 36%, 98%, and 88%, respectively, after CEUS values increased to 69%, 99%, and 94%. For liver baseline US values were 68%, 97%, and 90%; after CEUS were 84%, 99%, and 96%. For spleen, results were 77%, 96%, and 91% at baseline US and 93%, 99%, and 97% after CEUS. Per patient evaluation gave the following results in terms of sensitivity, specificity and accuracy: 79%, 82%, 80% at baseline US; 94%, 89%, and 92% following CEUS. CEUS is more sensitive than US in the detection of solid organ injury, potentially reducing the need for further imaging. False negatives from CEUS are due to minor injuries, without relevant consequences for patient management and prognosis.

Keywords

Abdomen trauma Liver trauma Spleen trauma Kidney trauma Trauma sonography Sonography contrast media 

Notes

Acknowledgment

Authors are in debt with Massimo Di Maio, M.D., for providing statistical analysis.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Orlando Catalano
    • 1
    • 2
  • Luca Aiani
    • 3
  • Libero Barozzi
    • 4
  • Daniela Bokor
    • 5
  • Armanda De Marchi
    • 6
  • Carlo Faletti
    • 6
  • Fabio Maggioni
    • 5
  • Nicola Montanari
    • 7
  • Paolo Emilio Orlandi
    • 7
  • Alfredo Siani
    • 1
  • Paul S. Sidhu
    • 8
  • Peter K. Thompson
    • 9
  • Massimo Valentino
    • 4
  • Angelo Ziosi
    • 4
  • Alberto Martegani
    • 3
  1. 1.Department of RadiologyI.N.T. PascaleNaplesItaly
  2. 2.NaplesItaly
  3. 3.Department of RadiologyValduce HospitalComoItaly
  4. 4.Department of Emergency RadiologyS.Orsola-Malpighi HospitalBolognaItaly
  5. 5.Imaging Guided & Integrated Technology DepartmentBracco Imaging SpAMilanItaly
  6. 6.Department of RadiologyC.T.O.TurinItaly
  7. 7.Department of RadiologyMaggiore HospitalBolognaItaly
  8. 8.Department of RadiologyKing’s College HospitalLondonUK
  9. 9.Department of Accident and EmergencyCollege HospitalLondonUK

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