The efficacy of ultrasonography in hemodynamically stable children with blunt abdominal trauma a prospective comparison with computed tomography

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Küçük Resim

Tarih

2004

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

European Journal of Radiology

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Purpose: In this prospective study we aimed to investigate the diagnostic value of ultrasonography (US) in hemodynamically stable children after blunt abdominal trauma (BAT) using computed tomography (CT) as the gold standard. Materials and methods: Between 1997 and 2001, 96 children with BAT were evaluated prospectively. CT was performed first, followed by US. US and CT examinations were independently evaluated by two radiologists for free fluid and organ injury. The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of US were assessed regarding CT as the gold standard. Results: Overall 128 organ injuries were determined in 96 patients with CT; however, 20 (15.6%) of them could not be seen with US. Free intraabdominal fluid (FIF) was seen in 82 of 96 patients by CT (85.4%) and eight of them (9.7%) could not be seen by US. We found that sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of the US for free intra-abdominal fluid were 90.2, 100, 100, 63.6 and 91.7%, respectively. Conclusions: US for BAT in children is highly accurate and specific. It is highly sensitive in detecting liver, spleen and kidney injuries whereas its sensitivity is moderate for the detection of gastrointestinal tract (GIT) and pancreatic injuries. © 2003 Published by Elsevier Ireland Ltd.

Açıklama

European Journal of Radiology 51 (2004) 91–96.

Anahtar Kelimeler

Blunt abdominal trauma, Ultrasonography, Computed tomography, Children

Kaynak

European Journal of Radiology

WoS Q Değeri

Scopus Q Değeri

Cilt

51

Sayı

0

Künye

Taş, Fikret, Ceran Özcan, C., Atalar, M. H., Bulut, S., Bilge, Selbeş, & A Oktay, Işık. (2004). The Efficacy Of Ultrasonography İn Hemodynamically Stable Children With Blunt Abdominal Trauma A Prospective Comparison With Computed Tomography. European Journal Of Radiology, 51(1), 91–96.