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270482

Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma

Article

Last updated: 22 Jan 2023

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Clinical Research (Surgical)

Abstract

Background: Pelvic traumas are severe and disabling injuries. Although plain radiographic evaluation of the pelvis includes many views such as anteroposterior, inlet, and outlet views; however, plain radiographs are not always accurate in the assessment of displacement's degree. Image quality can be compromised by different factors, like suboptimal positioning, obesity, bowel gas, and bladder contrast, also plain radiographs can't assess the associated soft tissue injuries and hematomas. Aim: To evaluate the role of Multidetector Computed tomography (MDCT) as a useful diagnostic modality in the accurate diagnosis of pelvic trauma patients. Subjects and Methods: This cross-sectional descriptive study was carried out in the Diagnostic Radiology Department at Suez Canal University Hospitals from November 2019 to February 2021. It included 20 patients with pelvic trauma that were treated with internal fixation. Results: Regarding age, 70% of cases were in the age group (20–50) years. Regarding gender, males constitute 55% of cases. This study found that the sensitivity of 3D CT in the detection of bone fracture was 100%, specificity was 100%, PPV was 100%, NPV was 100% and accuracy was 100%. The sensitivity of MDCT in the detection of organ injury was 92.3%, specificity was 100%, PPV was 100%, NPV was 87.5%, accuracy was 95%, and accuracy was 95% with area under ROC curve (AUC) 0.99. Conclusions: MDCT is an excellent imaging modality to evaluate patients with pelvic trauma, being a reliable, safe, and non-invasive procedure. It also decreases unnecessary exploration and improves patient survival.
 

DOI

10.21608/scumj.2022.270482

Keywords

Multidetector, Computed tomography, scan, pelvic, Trauma

Authors

First Name

Ahmed

Last Name

Housseini

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Khaled

Last Name

Yousef

MiddleName

A.

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Laila

Last Name

Al-Kady

MiddleName

M.

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Elsherif

MiddleName

A.

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

elsherif_mahmoud@hotmail.com

City

ismailia

Orcid

0000-0002-2856-3791

Volume

25

Article Issue

4

Related Issue

37696

Issue Date

2022-12-01

Receive Date

2022-11-19

Publish Date

2022-12-01

Page Start

12

Page End

18

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 25_Issue 4_Pages 12-18.pdf

PDF . 509.3kB

Link

https://scumj.journals.ekb.eg/article_270482.html

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https://scumj.journals.ekb.eg/service?article_code=270482

Order

2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023