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- Title
Contrast-enhanced ultrasound performance in predicting blunt splenic injuries requiring only observation and monitoring.
- Authors
Tagliati, Corrado; Argalia, Giulio; Giuseppetti, Gian Marco
- Abstract
<bold>Aims: </bold>To assess contrast enhanced ultrasound (CEUS) performance in the prediction of non-operatively managed blunt spleen injuries requiring only observation and monitoring during follow-up and to evaluate if CEUS accuracy was higher than conventional ultrasound (US) in this field.<bold>Material and Methods: </bold>In 112 hemodynamic stable blunt spleen trauma patients, CEUS was performed for follow-up after computed tomography evaluation in the emergency department. CEUS and US performance were assessed considering as true negative cases patients that had not underwent interventional or surgical treatment during follow-up and were assessed as negative for splenic complications respectively by CEUS or US examinations.<bold>Results: </bold> CEUS showed sensitivity of 100%, specificity of 96.1%, positive predictive value of 69.2%, negative predictive value of 100.0% and accuracy of 96.4%. CEUS showed a significantly higher accuracy than conventional US (p=0.013).<bold>Conclusions: </bold> CEUS is a very useful imaging modality during follow-up of blunt splenic trauma non-operatively managed, allowing an efficientprediction of splenic injuries requiring only observation and monitoring during follow-up.
- Subjects
SPLEEN injuries; CONTRAST-enhanced ultrasound; PATIENT monitoring; BLUNT trauma; COMPUTED tomography
- Publication
Medical Ultrasonography, 2019, Vol 21, Issue 1, p16
- ISSN
1844-4172
- Publication type
journal article
- DOI
10.11152/mu-1700