ArticleEmergency radiology2019
The additional value of the arterial phase in the CT assessment of liver vascular injuries after high-energy blunt trauma.
Article in Emergency radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- ESR Essentials: blunt abdominal trauma in adult patients: vascular injuries to solid organs and mesentery-practice recommendations by the European Society of Emergency Radiology.European radiology · 2026Guideline
- Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.Pediatric radiology · 2025Review
- Prevalence, characteristics and treatment of concomitant injury to liver and spleen with vascular injury after blunt abdominal trauma.Scientific reports · 2025Article
- CTA Imaging of Peripheral Arterial Injuries.Diagnostics (Basel, Switzerland) · 2024Review
- Early precise screening of pulmonary nodules: risk factor analysis for malignant nodules.American journal of translational research · 2024Article
- Abdominal compartment syndrome: what radiologist needs to know.La Radiologia medica · 2023Review
- Pelvic ring fractures with concomitant large hematomas: diagnostic investigation with arteriography and eventual embolization in 157 trauma patients, with or without contrast extravasation at emergency CT.La Radiologia medica · 2023Article
- Hepatobiliary-specific magnetic resonance contrast agents: role in biliary trauma.Gland surgery · 2023Review
- Imaging in Non-Traumatic Emergencies.Tomography (Ann Arbor, Mich.) · 2023Article
- Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT.Diagnostics (Basel, Switzerland) · 2023Review
- Value of contrast-enhanced arterial phase imaging in addition to portovenous phase in CT evaluation of blunt abdominopelvic trauma.European radiology · 2023Article
- Economic and clinical benefits of immediate total-body CT in the diagnostic approach to polytraumatized patients: a descriptive analysis through a literature review.La Radiologia medica · 2022Review
- The Technique and Advantages of Contrast-Enhanced Ultrasound in the Diagnosis and Follow-Up of Traumatic Abdomen Solid Organ Injuries.Diagnostics (Basel, Switzerland) · 2022Review
- Current Standards for and Clinical Impact of Emergency Radiology in Major Trauma.International journal of environmental research and public health · 2022Review
- Role of MRI in early follow-up of patients with solid organ injuries: How and why we do it?La Radiologia medica · 2021Article
- Post-Traumatic Intraparenchymal Renal Hemorrhages: Correlation between CT and DSA Vascular Findings for Superselective Embolization Procedures.Diagnostics (Basel, Switzerland) · 2021Article
- Effect of Earlier Door-to-CT and Door-to-Bleeding Control in Severe Blunt Trauma: A Retrospective Cohort Study.Journal of clinical medicine · 2021Article
- Role of liver enzymes in patients with blunt abdominal trauma to diagnose liver injury.International journal of emergency medicine · 2021Article
- Contemporary Management of Hepatic Trauma: What IRs Need to Know.Seminars in interventional radiology · 2020Review
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn the literature, no consensus exists about which CT protocol is to be adopted in patients who underwent high-energy blunt trauma. The aim of the study is to evaluate the additional value of the arterial phase in the CT assessment of vascular injuries of the liver.
methodsAdmission CT examinations for patients with traumatic injury of the liver due to high-energy blunt trauma, performed between 2011 and 2017 in two major trauma centres, were retrospectively reviewed. Images were analysed for presence or absence of liver parenchymal injury, intrahepatic contained vascular injuries and active bleeding in the arterial and portal venous phase of the CT study.
resultsTwo hundred twelve patients have been identified. Parenchymal injuries were detected as isolated in 90.6% of cases, whereas they were associated with vascular injuries in 9.4% of cases: contained vascular injuries in 3.3% and active bleeding in 6.1%. Out of all parenchymal injuries detected on the CT portal venous phase, 90.5% were also detectable in the arterial phases (p < 0.0001). All of the contained vascular injuries were visible in the CT arterial phase, whereas they were detectable in 28.5% of cases also during the venous phase (p = 0.02). All 13 cases of active bleeding were detected on the CT venous phase, and 76.9% of these cases were also revealed in the arterial phase, thus confirming their arterial origin (p = 0.22).
conclusionThe addiction of the arterial phase to the venous phase in the CT assessment of patients who underwent high-energy blunt trauma allows an accurate identification and characterization of traumatic vascular injuries, so distinguishing between patients suitable for conservative management and those requiring interventional or surgical treatment.
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