Contrast-enhanced ultrasound performance in predicting blunt splenic injuries requiring only observation and monitoring

Corrado Tagliati, Giulio Argalia, Gian Marco Giuseppetti

Abstract


Aims: To assess contrast enhanced ultrasound (CEUS) performance in the prediction of non-operatively managed blunt spleen injuries requiring only observation and monitoring during follow-up and to evaluate if CEUS accuracy was higher than conventional ultrasound (US) in this field.

Material and methods: In 112 hemodynamic stable blunt spleen trauma patients, CEUS was performed for follow-up after computed tomography evaluation in the emergency department. CEUS and US performance were assessed considering as true negative cases patients that had not underwent interventional or surgical treatment during follow-up and were assessed as negative for splenic complications respectively by CEUS or US examinations.

Results: CEUS showed sensitivity of 100%, specificity of 96.1%, positive predictive value of 69.2%, negative predictive value of 100.0% and accuracy of 96.4%. CEUS showed a significantly higher accuracy than conventional US (p=0.013).

Conclusions: CEUS is a very useful imaging modality during follow-up of blunt splenic trauma non-operatively managed, allowing an efficient
prediction of splenic injuries requiring only observation and monitoring during follow-up.


Keywords


contrast-enhanced ultrasound; ultrasonography; spleen; blunt trauma

Full Text:

PDF



DOI: http://dx.doi.org/10.11152/mu-1700

Refbacks

  • There are currently no refbacks.
By clicking ‘Accept’, you agree to the use of cookies, and to the Privacy Policy on this website. Read our Privacy and Cookie Policies to find out more.