Evidence map›Paper›PMID 33978795›Full record

ReviewPediatric radiology2021

Contrast-enhanced ultrasound of blunt abdominal trauma in children.

Harriet J Paltiel, Richard A Barth, Costanza Bruno, Aaron E Chen, Annamaria Deganello, Zoltan Harkanyi, M Katherine Henry, Damjana Ključevšek, Susan J Back

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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  14. Management of Pediatric Solid Organ Injuries.Children (Basel, Switzerland) · 2024
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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

9 authors at 7 institutions in 5 countries.

Harriet J PaltielDepartment of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave., Boston, MA, 02115, USA. harriet.paltiel@childrens.harvard.edu.
Richard A BarthDepartment of Radiology, Lucile Packard Children's Hospital at Stanford, Stanford University School of Medicine, Stanford, CA, USA.
Costanza BrunoDepartment of Radiology, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.
Aaron E ChenDepartment of Pediatrics, Division of Emergency Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Annamaria DeganelloDepartment of Radiology, King's College Hospital, Denmark Hill, London, UK.
Zoltan HarkanyiDepartment of Radiology, Heim Pal National Pediatric Institute, Budapest, Hungary.
M Katherine HenrySafe Place: The Center for Child Protection and Health, Division of General Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Damjana KljučevšekDepartment of Radiology, University Children's Hospital Ljubljana, Ljubljana, Slovenia.
Susan J BackDepartment of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9672-5775
Children's Hospital of Philadelphia · USBoston Children's Hospital · USHeim Pál Országos Gyermekgyógyászati Intézet · HUKing's College Hospital · GBLjubljana University Medical Centre · SILucile Packard Children's Hospital · USUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma is the leading cause of morbidity and mortality in children, and rapid identification of organ injury is essential for successful treatment. Contrast-enhanced ultrasound (CEUS) is an appealing alternative to contrast-enhanced CT in the evaluation of children with blunt abdominal trauma, mainly with respect to the potential reduction of population-level exposure to ionizing radiation. This is particularly important in children, who are more vulnerable to the hazards of ionizing radiation than adults. CEUS is useful in hemodynamically stable children with isolated blunt low- to moderate-energy abdominal trauma to rule out solid organ injuries. It can also be used to further evaluate uncertain contrast-enhanced CT findings, as well as in the follow-up of conservatively managed traumatic injuries. CEUS can be used to detect abnormalities that are not apparent by conventional US, including infarcts, pseudoaneurysms and active bleeding. In this article we present the current experience from the use of CEUS for the evaluation of pediatric blunt abdominal trauma, emphasizing the examination technique and interpretation of major abnormalities associated with injuries in the liver, spleen, kidneys, adrenal glands, pancreas and testes. We also discuss the limitations of the technique and offer a review of the major literature on this topic in children, including an extrapolation of experience from adults.

Indexed as

Abdominal InjuriesWounds, NonpenetratingAdultChildContrast MediaHumansSpleenUltrasonographyContrast MediaAbdomenAdrenal glandsChildrenContrast-enhanced ultrasoundKidneyLiverPancreasSpleenTestesTraumaUltrasoundUltrasound contrast agents

Identifiers

PMID33978795
OpenAlexW3160748018

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.