Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

The Need for an Additional Pelvic CT in Cases of Acute Osseous Pelvic Injury that Has Already Been Diagnosed by Abdominal CT.

복부 전산화단층촬영 결과 진단된 급성 외상성 골반골 골절에서 추가적인 3차원 재구성 골반 전산화단층촬영이 필요한가?

  • Kim, Byoung kwon (Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong Hyuk (Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Han, Sang Kuk (Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Pil Cho (Department of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Young Han (Department of Radiology, Yonsei university College of Medicine) ;
  • Park, Ha Young (Department of Emergency Medicine, Armed Forces Capital Hospital) ;
  • Bae, Soo Ho (Department of Radiology, Armed Forces Capital Hospital) ;
  • Song, Hyoung Gon (Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김병권 (강북삼성병원 응급의학과) ;
  • 신동혁 (강북삼성병원 응급의학과) ;
  • 한상국 (강북삼성병원 응급의학과) ;
  • 최필조 (강북삼성병원 응급의학과) ;
  • 이영한 (연세대학교 의과대학 영상의학교실) ;
  • 박하영 (국군수도병원 응급의학과) ;
  • 배수호 (국군수도병원 영상의학과) ;
  • 송형곤 (삼성서울병원 응급의학과)
  • Received : 2009.08.21
  • Accepted : 2009.11.05
  • Published : 2009.12.30
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Abstract

Purpose: Abdominal CT (computed tomography) is a principal diagnostic imaging modality for torso trauma at the Emergency Department (ED). When acute osseous pelvic injuries are detected by abdominal CT, additional three-dimensional (3D) reconstruction pelvic CT is often performed. We compared abdominal CT with pelvic CT to provide information about acute osseous pelvic injuries. Methods: A retrospective investigation of patients'electronic medical records during the five year period between January 1, 2004 and December 31, 2008 among Korean soldiers who underwent pelvic CT after abdominal CT at the ED was conducted. Axial images of abdominal CT were compared with axial images and 3D reconstruction images of pelvic CT. Results: Sixteen patients underwent subsequent pelvic CT after abdominal CT. Axial images of abdominal CT showed the same results in terms of fracture detection and classification when compared to axial images and 3D reconstruction images of pelvic CT. Pelvic CT (including 3D reconstruction images) followed by abdominal CT neither detected additional fracture nor changed the fracture type. Conclusion: This study has failed to show any superiority of pelvic CT (including 3D reconstruction images) over abdominal CT in detecting acute osseous pelvic injury. When 3D information is deemed be mandatory, 3D reconstructions of abdominal CT can be requested rather than obtaining an additional pelvic CT for 3D reconstruction.

Keywords

References

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