Evidence map›Paper›PMID 30361921›Full record

ReviewJournal of ultrasound2018

Role of contrast-enhanced ultrasound (CEUS) in the diagnosis and management of traumatic splenic injuries.

Claudia Lucia Piccolo, Margherita Trinci, Antonio Pinto, Luca Brunese, Vittorio Miele

Abstract readReview
In one paragraph

Review in Journal of ultrasound, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Contrast-enhanced ultrasound (CEUS) in the follow-up of abdominal solid organ trauma: an international survey prior to the PseAn study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  4. Microbubble Contrast Agents Improve Detection of Active Hemorrhage.IEEE open journal of engineering in medicine and biology · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Claudia Lucia PiccoloDipartimento di Medicina e Scienze della Salute-Università degli Studi del Molise, Campobasso, Italy. clapiccolo@libero.it.ORCID http://orcid.org/0000-0001-9178-5605
Margherita TrinciDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Antonio PintoRadiology Department, CTO Hospital, Naples, Italy.
Luca BruneseDipartimento di Medicina e Scienze della Salute-Università degli Studi del Molise, Campobasso, Italy.
Vittorio MieleDepartment of Radiology, University Hospital Careggi, L.go Giovanni Alessandro Brambilla, 3, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Splenic injuries are common emergencies in the setting of abdominal trauma, as the spleen is the second most frequently injured abdominal organ after the liver. The treatment of splenic injuries underwent a severe shift from operative to non-operative due to an increased awareness of the double physiological function, both immunological and hematological, of the spleen. This, in turn, led to an increased application of splenic preservation techniques. The non-operative approach has been strengthened through radiological imaging and interventional radiology. While multidetector computed tomography is mandatory in the evaluation of hemodynamically stable patients after high-energy trauma, one ultrasound (US) can be used as a first-line technique to examine patients in cases of low-energy trauma. Unfortunately, baseline US has low sensitivity in the detection of traumatic injuries. With the introduction of contrast-enhanced ultrasound (CEUS) as a reliable alternative to baseline ultrasound for low-grade abdominal trauma, the sensitivity of the US technique in recognizing traumatic abdominal lesions has strongly increased, reaching levels of accuracy similar to those of the CT. It has also been strongly recommended for use with children, as it allows for the performance of imaging techniques with the lowest dose of radiation possible. In this review, the authors aim to present the typical appearance of traumatic splenic injuries, using enhanced CEUS capability to overcome baseline US limits, and to describe the different techniques applied according to the hemodynamic stability of the patient.

Indexed as

UltrasonographyContrast MediaDisease ManagementHumansSpleenContrast MediaBATBlunt abdominal traumaCEUSContrast-enhanced ultrasoundMDCTMultidetector computed tomographyNon-operative managementSplenic traumaTraumaTrauma imagingTraumatic splenic injuries

Identifiers

PMID30361921
PMCPMC6237713

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.