CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma. During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. CT Chest Without And With IV Contrast There is no relevant literature regarding the usefulness of adding a noncontrast phase to a contrast-enhanced CT chest for initial evaluation of penetrating torso trauma limited to the chest CT Chest Without IV Contrast During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. Noncontrast imaging of the chest is inadequate to definitively evaluate the chest for vascular injuries in the setting of ballistic trauma isolated to the chest. CTA Abdomen and Pelvis With IV Contrast Nummela et al [29] concluded that CTA of the whole body is recommended because multiple injuries and active bleeding are common in penetrating thoracic trauma. CTA of the abdomen and pelvis should be used liberally because the terminal ballistics of bullets and other fragments may have an unpredictable trajectory. CTA Chest With IV Contrast CTA of the chest is a valuable modality in assessment of penetrating transmediastinal injury in hemodynamically stable patients. It can guide immediate surgical intervention versus expectant management in conjunction with Penetrating Torso Trauma transesophageal echocardiogram [38]. CTA may better demonstrate pseudoaneurysm, vascular occlusion, active contrast extravasation, intimal tear, and early venous filling in arteriovenous fistulas. MRI Abdomen and Pelvis Without And With IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without and with IV contrast for initial evaluation of patients with penetrating torso trauma.
Penetrating Torso Trauma. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma. During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. CT Chest Without And With IV Contrast There is no relevant literature regarding the usefulness of adding a noncontrast phase to a contrast-enhanced CT chest for initial evaluation of penetrating torso trauma limited to the chest CT Chest Without IV Contrast During the global shortage of contrast in 2022, unenhanced CT scans were used for acute and posttraumatic patients in emergency departments at some institutions [36]. Noncontrast imaging of the chest is inadequate to definitively evaluate the chest for vascular injuries in the setting of ballistic trauma isolated to the chest. CTA Abdomen and Pelvis With IV Contrast Nummela et al [29] concluded that CTA of the whole body is recommended because multiple injuries and active bleeding are common in penetrating thoracic trauma. CTA of the abdomen and pelvis should be used liberally because the terminal ballistics of bullets and other fragments may have an unpredictable trajectory. CTA Chest With IV Contrast CTA of the chest is a valuable modality in assessment of penetrating transmediastinal injury in hemodynamically stable patients. It can guide immediate surgical intervention versus expectant management in conjunction with Penetrating Torso Trauma transesophageal echocardiogram [38]. CTA may better demonstrate pseudoaneurysm, vascular occlusion, active contrast extravasation, intimal tear, and early venous filling in arteriovenous fistulas. MRI Abdomen and Pelvis Without And With IV Contrast There is no relevant literature regarding the use of MRI abdomen and pelvis without and with IV contrast for initial evaluation of patients with penetrating torso trauma.