{
  "id": 427568,
  "title": "Getting Started with Abdominal Trauma | Research Articles",
  "url": "/competitions/rsna-2023-abdominal-trauma-detection/discussion/427568",
  "author_name": "Azmine Toushik Wasi",
  "post_date": "2023-07-28T14:25:31.102000",
  "votes": 7,
  "comment_count": 1,
  "views": 0,
  "content": "<h2>Getting Started with Abdominal Trauma | Research Articles</h2>\n<h3><strong>Learn more about Abdominal Trauma</strong></h3>\n<ul>\n<li>Abdominal trauma is common in pediatric patients with major trauma, with the spleen being the most commonly injured organ. Nonoperative management is used in the majority of cases, but penetrating injuries often require operative management. Computed Tomography (CT) is the preferred method for identifying intra-abdominal injury, while Focused Assessment with Sonography for Trauma (FAST) has limited utility in children. Initial management of trauma patients in shock includes fluid boluses and transfusion if necessary, with emergent laparotomy indicated in specific cases.<br>\n-<a href=\"https://www.bmj.com/content/336/7650/938.extract\" target=\"_blank\">Investigation of blunt abdominal trauma</a></li>\n<li><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0733862707000600\" target=\"_blank\">Advances in Abdominal Trauma</a></li>\n<li><a href=\"https://pubs.rsna.org/doi/abs/10.1148/radiology.138.3.6450962\" target=\"_blank\">Evaluation of abdominal trauma by computed tomography.</a></li>\n<li><a href=\"https://pubs.rsna.org/doi/abs/10.1148/radiol.12120354\" target=\"_blank\">Multidetector CT of Blunt Abdominal Trauma</a></li>\n</ul>\n<h3><strong>Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal Trauma</strong></h3>\n<ul>\n<li>This study aimed to determine the imaging findings and prevalence of active hemorrhage on contrast-enhanced multidetector CT in patients with blunt abdominal trauma. Active hemorrhage was detected in 13% of patients, with a majority of bleeding sites being intraperitoneal. Immediate surgical or angiographic intervention is required when extravasation is detected on multidetector CT, as delay in treatment can lead to patient mortality.</li>\n<li><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149\" target=\"_blank\">https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149</a></li>\n</ul>\n<h3><strong>CT-based diagnostic algorithm to identify bowel and/or mesenteric injury in patients with blunt abdominal trauma</strong></h3>\n<ul>\n<li>A CT-based algorithm was developed and evaluated for the diagnosis of blunt bowel and/or mesenteric injury (BBMI) in patients with blunt abdominal trauma. The algorithm used extraluminal gas and no/moderate bowel wall enhancement as CT signs for the diagnosis of BBMI. The algorithm achieved high diagnostic performance with 86% sensitivity and 96% specificity in the training cohort and 92% sensitivity and 88% specificity in the validation cohort.</li>\n<li><a href=\"https://doi.org/10.1007/s00330-022-09200-9\" target=\"_blank\">https://doi.org/10.1007/s00330-022-09200-9</a></li>\n</ul>\n<h3><strong>Role of CT in Evaluation of Blunt Abdominal Trauma</strong></h3>\n<ul>\n<li>CT is considered the gold standard method for evaluating blunt abdominal trauma, allowing for the detection and grading of organ injuries. MDCT is not only important for detecting and grading organ injuries, but also for follow-up and detecting life-threatening conditions such as active hemorrhage.</li>\n<li><a href=\"http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf\" target=\"_blank\">http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf</a></li>\n</ul>",
  "messages": [
    {
      "id": 2363133,
      "postDate": "2023-07-28T14:25:31.103Z",
      "content": "<h2>Getting Started with Abdominal Trauma | Research Articles</h2>\n<h3><strong>Learn more about Abdominal Trauma</strong></h3>\n<ul>\n<li>Abdominal trauma is common in pediatric patients with major trauma, with the spleen being the most commonly injured organ. Nonoperative management is used in the majority of cases, but penetrating injuries often require operative management. Computed Tomography (CT) is the preferred method for identifying intra-abdominal injury, while Focused Assessment with Sonography for Trauma (FAST) has limited utility in children. Initial management of trauma patients in shock includes fluid boluses and transfusion if necessary, with emergent laparotomy indicated in specific cases.<br>\n-<a href=\"https://www.bmj.com/content/336/7650/938.extract\" target=\"_blank\">Investigation of blunt abdominal trauma</a></li>\n<li><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0733862707000600\" target=\"_blank\">Advances in Abdominal Trauma</a></li>\n<li><a href=\"https://pubs.rsna.org/doi/abs/10.1148/radiology.138.3.6450962\" target=\"_blank\">Evaluation of abdominal trauma by computed tomography.</a></li>\n<li><a href=\"https://pubs.rsna.org/doi/abs/10.1148/radiol.12120354\" target=\"_blank\">Multidetector CT of Blunt Abdominal Trauma</a></li>\n</ul>\n<h3><strong>Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal Trauma</strong></h3>\n<ul>\n<li>This study aimed to determine the imaging findings and prevalence of active hemorrhage on contrast-enhanced multidetector CT in patients with blunt abdominal trauma. Active hemorrhage was detected in 13% of patients, with a majority of bleeding sites being intraperitoneal. Immediate surgical or angiographic intervention is required when extravasation is detected on multidetector CT, as delay in treatment can lead to patient mortality.</li>\n<li><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149\" target=\"_blank\">https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149</a></li>\n</ul>\n<h3><strong>CT-based diagnostic algorithm to identify bowel and/or mesenteric injury in patients with blunt abdominal trauma</strong></h3>\n<ul>\n<li>A CT-based algorithm was developed and evaluated for the diagnosis of blunt bowel and/or mesenteric injury (BBMI) in patients with blunt abdominal trauma. The algorithm used extraluminal gas and no/moderate bowel wall enhancement as CT signs for the diagnosis of BBMI. The algorithm achieved high diagnostic performance with 86% sensitivity and 96% specificity in the training cohort and 92% sensitivity and 88% specificity in the validation cohort.</li>\n<li><a href=\"https://doi.org/10.1007/s00330-022-09200-9\" target=\"_blank\">https://doi.org/10.1007/s00330-022-09200-9</a></li>\n</ul>\n<h3><strong>Role of CT in Evaluation of Blunt Abdominal Trauma</strong></h3>\n<ul>\n<li>CT is considered the gold standard method for evaluating blunt abdominal trauma, allowing for the detection and grading of organ injuries. MDCT is not only important for detecting and grading organ injuries, but also for follow-up and detecting life-threatening conditions such as active hemorrhage.</li>\n<li><a href=\"http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf\" target=\"_blank\">http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf</a></li>\n</ul>",
      "rawMarkdown": "## Getting Started with Abdominal Trauma | Research Articles\n\n### **Learn more about Abdominal Trauma**\n- Abdominal trauma is common in pediatric patients with major trauma, with the spleen being the most commonly injured organ. Nonoperative management is used in the majority of cases, but penetrating injuries often require operative management. Computed Tomography (CT) is the preferred method for identifying intra-abdominal injury, while Focused Assessment with Sonography for Trauma (FAST) has limited utility in children. Initial management of trauma patients in shock includes fluid boluses and transfusion if necessary, with emergent laparotomy indicated in specific cases.\n-[Investigation of blunt abdominal trauma](https://www.bmj.com/content/336/7650/938.extract)\n- [Advances in Abdominal Trauma](https://www.sciencedirect.com/science/article/abs/pii/S0733862707000600)\n- [Evaluation of abdominal trauma by computed tomography.](https://pubs.rsna.org/doi/abs/10.1148/radiology.138.3.6450962)\n- [Multidetector CT of Blunt Abdominal Trauma](https://pubs.rsna.org/doi/abs/10.1148/radiol.12120354)\n\n### **Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal Trauma**\n- This study aimed to determine the imaging findings and prevalence of active hemorrhage on contrast-enhanced multidetector CT in patients with blunt abdominal trauma. Active hemorrhage was detected in 13% of patients, with a majority of bleeding sites being intraperitoneal. Immediate surgical or angiographic intervention is required when extravasation is detected on multidetector CT, as delay in treatment can lead to patient mortality.\n- https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149\n\n### **CT-based diagnostic algorithm to identify bowel and/or mesenteric injury in patients with blunt abdominal trauma**\n- A CT-based algorithm was developed and evaluated for the diagnosis of blunt bowel and/or mesenteric injury (BBMI) in patients with blunt abdominal trauma. The algorithm used extraluminal gas and no/moderate bowel wall enhancement as CT signs for the diagnosis of BBMI. The algorithm achieved high diagnostic performance with 86% sensitivity and 96% specificity in the training cohort and 92% sensitivity and 88% specificity in the validation cohort.\n- https://doi.org/10.1007/s00330-022-09200-9\n\n### **Role of CT in Evaluation of Blunt Abdominal Trauma**\n- CT is considered the gold standard method for evaluating blunt abdominal trauma, allowing for the detection and grading of organ injuries. MDCT is not only important for detecting and grading organ injuries, but also for follow-up and detecting life-threatening conditions such as active hemorrhage.\n- http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf",
      "votes": 7
    },
    {
      "id": 2370243,
      "postDate": "2023-08-02T09:10:00.660Z",
      "content": "<p>Thanks for the link and introduction, it will be helpful.</p>",
      "rawMarkdown": "Thanks for the link and introduction, it will be helpful.",
      "votes": 1
    }
  ],
  "comments": [
    {
      "id": 2370243,
      "author_name": "Yang.Xu21",
      "author_url": "",
      "post_date": "2023-08-02T09:10:00.660000",
      "content": "<p>Thanks for the link and introduction, it will be helpful.</p>",
      "votes": 1,
      "replies": []
    }
  ],
  "raw_markdown_by_id": {
    "2363133": "## Getting Started with Abdominal Trauma | Research Articles\n\n### **Learn more about Abdominal Trauma**\n- Abdominal trauma is common in pediatric patients with major trauma, with the spleen being the most commonly injured organ. Nonoperative management is used in the majority of cases, but penetrating injuries often require operative management. Computed Tomography (CT) is the preferred method for identifying intra-abdominal injury, while Focused Assessment with Sonography for Trauma (FAST) has limited utility in children. Initial management of trauma patients in shock includes fluid boluses and transfusion if necessary, with emergent laparotomy indicated in specific cases.\n-[Investigation of blunt abdominal trauma](https://www.bmj.com/content/336/7650/938.extract)\n- [Advances in Abdominal Trauma](https://www.sciencedirect.com/science/article/abs/pii/S0733862707000600)\n- [Evaluation of abdominal trauma by computed tomography.](https://pubs.rsna.org/doi/abs/10.1148/radiology.138.3.6450962)\n- [Multidetector CT of Blunt Abdominal Trauma](https://pubs.rsna.org/doi/abs/10.1148/radiol.12120354)\n\n### **Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal Trauma**\n- This study aimed to determine the imaging findings and prevalence of active hemorrhage on contrast-enhanced multidetector CT in patients with blunt abdominal trauma. Active hemorrhage was detected in 13% of patients, with a majority of bleeding sites being intraperitoneal. Immediate surgical or angiographic intervention is required when extravasation is detected on multidetector CT, as delay in treatment can lead to patient mortality.\n- https://www.sciencedirect.com/science/article/abs/pii/S0887217104000149\n\n### **CT-based diagnostic algorithm to identify bowel and/or mesenteric injury in patients with blunt abdominal trauma**\n- A CT-based algorithm was developed and evaluated for the diagnosis of blunt bowel and/or mesenteric injury (BBMI) in patients with blunt abdominal trauma. The algorithm used extraluminal gas and no/moderate bowel wall enhancement as CT signs for the diagnosis of BBMI. The algorithm achieved high diagnostic performance with 86% sensitivity and 96% specificity in the training cohort and 92% sensitivity and 88% specificity in the validation cohort.\n- https://doi.org/10.1007/s00330-022-09200-9\n\n### **Role of CT in Evaluation of Blunt Abdominal Trauma**\n- CT is considered the gold standard method for evaluating blunt abdominal trauma, allowing for the detection and grading of organ injuries. MDCT is not only important for detecting and grading organ injuries, but also for follow-up and detecting life-threatening conditions such as active hemorrhage.\n- http://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150305.11.pdf",
    "2370243": "Thanks for the link and introduction, it will be helpful."
  }
}