1.2.3 Conclusion
In the emergency room the increased acquisition speed of MDCT together with the high resolution accelerate the diagnostic work-up of traumatic and nontraumatic emergency conditions, thus potentially leading to earlier therapy and decreased mortality. Caused by the immensely increasing number of acquired images and augmented by frequently needed orthogonal reformations, 3D VR visualization of CT volume data sets have become essential also in the emergency department
This chapter explains the impact of postprocessing application on the acceleration of the work-flow and on the communication between physicians in the emergency department, and it also demonstrates, using multiple examples, that the accuracy on diagnostic findings and the support for diagnostic findings can strongly benefit from 3D imaging
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References
Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma. Radiol Clin North Am 1999; 37:591–612, vi–vii
Harris JH Jr. Reflections: emergency radiology. Radiology 2001; 218:309–316
Frauenfelder T, Wildermuth S, Marincek B, Boehm T. Nontraumatic emergent abdominal vascular conditions: advantages of multi-detector row CT and three-dimensional imaging. Radiographics 2004; 24:481–496
Alkadhi H, Wildermuth S, Desbiolles L et al. Vascular emergencies of the thorax after blunt and iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics 2004; 24:1239–1255
Gralla J, Spycher F, Pignolet C, Ozdoba C, Vock P, Hoppe H. Evaluation of a 16-MDCT scanner in an emergency department: initial clinical experience and workflow analysis. Am J Roentgenol 2005; 185:232–238
Philipp MO, Kubin K, Hormann M, Metz VM. Radiological emergency room management with emphasis on multidetector-row CT. Eur J Radiol 2003; 48:2–4
Prokop M. General principles of MDCT. Eur J Radiol 2003; 45(Suppl 1):S4–S10
Rubin GD. 3-D imaging with MDCT. Eur J Radiol 2003; 45(Suppl 1):S37–S41
Kirchgeorg MA, Prokop M. Increasing spiral CT benefits with postprocessing applications. Eur J Radiol 1998; 28:39–54
Soto JA, Lucey BC, Stuhlfaut JW, Varghese JC. Use of 3D imaging in CT of the acute trauma patient: impact of a PACS-based software package. Emerg Radiol 2005; 11:173–176
Salvolini L, Bichi Secchi E, Costarelli L, Nicola M de. Clinical applications of 2D and 3D CT imaging of the airways: a review. Eur J Radiol 2000; 34:9–25
Blank M, Kalender WA. Medical volume exploration: gaining insights virtually. Eur J Radiol 2000; 33:161–169
Kuszyk BS, Heath DG, Bliss DF, Fishman EK. Skeletal 3-D CT: advantages of volume rendering over surface rendering. Skeletal Radiol 1996; 25:207–214
Noroozian M, Cohan RH, Caoili EM, Cowan NC, Ellis JH. Multislice CT urography: state of the art. Br J Radiol 2004; 77 (Spec no 1):S74–S86
Prokop M. Multislice CT angiography. Eur J Radiol 2000; 36:86–96
Munera F, Soto JA, Nunez D. Penetrating injuries of the neck and the increasing role of CTA. Emerg Radiol 2004;10:303–309
Schertler T, Pfammatter T, Eid K, Wildermuth S. Embolization of the splenic artery after splenic gunshot wound. Swiss Surg 2003; 9:87–91 [in German]
Takahashi K, Stanford W. Multidetector CT of the thoracic aorta. Int J Cardiovasc Imaging 2005; 21:141–153
Batra P, Bigoni B, Manning J et al. Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics 2000; 20:309–320
Quint LE, Francis IR, Williams DM et al. Evaluation of thoracic aortic disease with the use of helical CT and multiplanar reconstructions: comparison with surgical findings. Radiology 1996; 201:37–41
Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet 2005; 365:1577–1589
Kramer SC, Seifarth H, Pamler R, Fleiter T, Gorich J. Geometric changes in aortic endografts over a 2-year observation period. J Endovasc Ther 2001; 8:34–38
Lloyd GM, Bown MJ, Norwood MG et al. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. J Vasc Surg 2004; 39:788–791
Dyer DS, Moore EE, Mestek MF et al. Can chest CT be used to exclude aortic injury? Radiology 1999; 213:195–202
Patel NH, Stephens KE, Jr., Mirvis SE, Shanmuganathan K, Mann FA. Imaging of acute thoracic aortic injury due to blunt trauma: a review. Radiology 1998; 209:335–348
Pech M, Wieners G, Lopez-Hanninen E et al. The diagnostic value of radial multiplanar reformatting (MPR) in the CT-diagnosis of pulmonary embolism. Rofo 2004; 176:1576–1581 [in German]
Remy J, Remy-Jardin M, Artaud D, Fribourg M. Multiplanar and three-dimensional reconstruction techniques in CT: impact on chest diseases. Eur Radiol 1998; 8:335–351
Gruden JF, Ouanounou S, Tigges S, Norris SD, Klausner TS. Incremental benefit of maximum-intensity-projection images on observer detection of small pulmonary nodules revealed by multidetector CT. Am J Roentgenol 2002; 179:149–157
Schoepf UJ, Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology 2004; 230:329–337
Pope JH, Aufderheide TP, Ruthazer R et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 2000; 342:1163–1170
Papaconstantinou HD, Marshall AJ, Burrell CJ. Diagnostic cardiac catheterisation in a hospital without on-site cardiac surgery. Heart 1999; 81:465–469
Dorgelo J, Willems TP, Geluk CA, van Ooijen PM, Zijlstra F, Oudkerk M. Multidetector computed tomography-guided treatment strategy in patients with non-ST elevation acute coronary syndromes: a pilot study. Eur Radiol 2005; 15:708–713
Leschka S, Alkadhi H, Plass A et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005; 26:1482–1487
Sato Y, Matsumoto N, Ichikawa M et al. Efficacy of multislice computed tomography for the detection of acute coronary syndrome in the emergency department. Circ J 2005; 69:1047–1051
Cahir JG, Freeman AH, Courtney HM. Multislice CT of the abdomen. Br J Radiol 2004; 77 (Spec no 1):S64–S73
Urban BA, Fishman EK. Tailored helical CT evaluation of acute abdomen. Radiographics 2000; 20:725–749
Paulson EK, Jaffe TA, Thomas J, Harris JP, Nelson RC. MDCT of patients with acute abdominal pain: a new perspective using coronal reformations from submillimeter isotropic voxels. Am J Roentgenol 2004; 183:899–906
Werner A, Diehl SJ, Farag-Soliman M, Duber C. Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol 2003; 13:2596–2603
Kaiser AM, Jiang JK, Lake JP et al. The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol 2005; 100:910–917
Raptopoulos V, Schwartz RK, McNicholas MM, Movson J, Pearlman J, Joffe N. Multiplanar helical CT enterography in patients with Crohn’s disease. Am J Roentgenol 1997; 169:1545–1550
Maglinte DD, Reyes BL, Harmon BH et al. Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. Am J Roentgenol 1996; 167:1451–1455
Alkadhi H, Boehm T, Hahnloser D, Marincek B, Wildermuth S. Images of interest. Gastrointestinal: adenocarcinoma of the ileum. J Gastroenterol Hepatol 2005; 20:648
Khurana B, Ledbetter S, McTavish J, Wiesner W, Ros PR. Bowel obstruction revealed by multidetector CT. Am J Roentgenol 2002; 178:1139–1144
Aufort S, Charra L, Lesnik A, Bruel JM, Taourel P. Multidetector CT of bowel obstruction: value of post-processing. Eur Radiol 2005; 15:2323–2329
Kirkpatrick ID, Kroeker MA, Greenberg HM. Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience. Radiology 2003; 229:91–98
Wildermuth S, Leschka S, Alkadhi H, Marincek B. Multislice CT in the pre-and postinterventional evaluation of mesenteric perfusion. Eur Radiol 2005; 15:1203–1210
Fielding JR, Silverman SG, Samuel S, Zou KH, Loughlin KR. Unenhanced helical CT of ureteral stones: a replacement for excretory urography in planning treatment. Am J Roentgenol 1998; 171:1051–1053
Nadler RB, Stern JA, Kimm S, Hoff F, Rademaker AW. Coronal imaging to assess urinary tract stone size. J Urol 2004; 172:962–964
Gong JS, Xu JM. Role of curved planar reformations using multidetector spiral CT in diagnosis of pancreatic and peripancreatic diseases. World J Gastroenterol 2004; 10:1943–1947
Sheridan R, Peralta R, Rhea J, Ptak T, Novelline R. Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma 2003; 55:665–669
Wintermark M, Mouhsine E, Theumann N et al. Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology 2003; 227:681–689
Hauser CJ, Visvikis G, Hinrichs C et al. Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. J Trauma 2003; 55:228–234
Falchi M, Rollandi GA. CT of pelvic fractures. Eur J Radiol 2004; 50:96–105
Borrelli J Jr, Goldfarb C, Catalano L, Evanoff BA. Assessment of articular fragment displacement in acetabular fractures: a comparison of computerized tomography and plain radiographs. J Orthop Trauma 2002; 16:449–456
Buitrago-Tellez CH, Schilli W, Bohnert M, Alt K, Kimmig M. A comprehensive classification of craniofacial fractures: postmortem and clinical studies with two-and three-dimensional computed tomography. Injury 2002; 33:651–668
Linnau KF, Stanley RB Jr, Hallam DK, Gross JA, Mann FA. Imaging of high-energy midfacial trauma: what the surgeon needs to know. Eur J Radiol 2003; 48:17–32
Alkadhi H, Wildermuth S, Marincek B, Boehm T. Accuracy and time efficiency for the detection of thoracic cage fractures: volume rendering compared with transverse computed tomography images. J Comput Assist Tomogr 2004; 28:378–385
Buckwalter KA, Farber JM. Application of multidetector CT in skeletal trauma. Semin Musculoskelet Radiol 2004; 8:147–156
Pretorius ES, Fishman EK. Volume-rendered three-dimensional spiral CT: musculoskeletal applications. Radiographics 1999; 19:1143–1160
Quint LE, Whyte RI, Kazerooni EA et al. Stenosis of the central airways: evaluation by using helical CT with multiplanar reconstructions. Radiology 1995; 194:871–877
Zeiberg AS, Silverman PM, Sessions RB, Troost TR, Davros WJ, Zeman RK. Helical (spiral) CT of the upper airway with three-dimensional imaging: technique and clinical assessment. Am J Roentgenol 1996; 166:293–299
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Husmann, L., Leschka, S., Alkadhi, H., Wildermuth, S. (2007). Role of 3D Imaging in the Emergency Room. In: Marincek, B., Dondelinger, R.F. (eds) Emergency Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68908-9_2
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