Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
700 results found
Article
Pneumorrhachis
Pneumorrhachis refers to the presence of gas within the spinal canal (either intra- or extradural). It is rare.
Clinical presentation
Patients can often be asymptomatic 3.
Pathology
Etiology
Pneumorrhachis can result from a number of causes:
trauma (traumatic pneumorrhachis): can occur in ...
Article
Bowel and mesenteric trauma
Bowel and mesenteric trauma can result from blunt force, penetrating and iatrogenic trauma. CT is the gold standard imaging modality but CT findings are nonspecific 12.
Epidemiology
The bowel and mesentery are injured in ~2.5% (range 0.3-5%) of blunt force abdominal trauma 1,3,5,8. However not...
Article
Bowel and mesenteric trauma injury grading
A number of bowel and mesenteric injury grading systems have been proposed and validated for trauma to the bowel and/or mesentery based on CT and clinical parameters.
Classifications
RAPTOR 1
The RAdiographic Predictors of Therapeutic intervention score predicts the need for early therapeutic...
Article
Knee (horizontal beam lateral view)
The horizontal beam lateral view (cross-table lateral) is an orthogonal view of the AP view of the knee requiring little to no patient movement and is hence the lateral projection of choice for acute knee injuries.
Indications
This view is the ideal projection to assess the presence of knee jo...
Article
Labeled imaging anatomy cases
This article lists a series of labeled imaging anatomy cases by body region and modality.
Brain
CT head: non-contrast axial
CT head: non-contrast coronal
CT head: non-contrast sagittal
CT head: non-contrast axial with clinical questions
CT head: angiogram axial
CT head: angiogram coronal
...
Article
Resuscitative endovascular balloon occlusion of the aorta
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a treatment for hemorrhagic shock used in major trauma patients with life-threatening abdominal or lower limb bleeding.
The aortic balloon is delivered on a catheter via the femoral artery in order to reduce any distal bleedi...
Article
Modified Memphis criteria for blunt cerebrovascular injury
The modified Memphis criteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) in trauma. The presence of one or more of these criteria makes necessary a complementary CTA or DSA study to exclude a BCVI.
The screening protocol criteria for BCVI are:
base of skull fractur...
Article
Urethral injury
Urethral injuries can result in long-term morbidity and most commonly result from trauma. The male urethra is much more commonly injured than the female urethra and is the focus of this article.
Clinical presentation
In the setting of trauma, the classic triad of blood of the external urethral...
Article
Infantile retinal hemorrhage
Infantile retinal hemorrhages occur when, in infants, blood leaks from retinal capillaries into the surrounding retinal tissue.
Retinal hemorrhages are usually diagnosed by ophthalmologists, but they may be seen by ER, ICU, or hospitalist physicians. They are occasionally seen on MR SWI imaging...
Article
Straight left heart border sign
Straight left heart border sign is a described finding on chest radiograph in cases of hemopericardium. It is a fairly specific (84%) sign of hemopericardium after a penetrating chest trauma, although sensitivity at 40% is relatively poor. Positive predictive value (PPV) was found to be 89% 1.
...
Article
AAST liver injury scale
The AAST (American Association for the Surgery of Trauma) liver injury scale, revised in 2018, is the most widely used liver injury grading system 3.
The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral injury 3.
Cla...
Article
Meyers and McKeever classification of ACL avulsion fractures
Meyers and McKeever classification of ACL avulsion fractures is the most frequently employed system to describe ACL avulsion fractures.
Classification
Under the Meyers and McKeever system (with modifications by Zaricznyj) injuries are classified into four main types:
type 1: minimally/nondisp...
Article
High-velocity penetrating brain injury
High-velocity penetrating brain injuries, in practical terms most often due to cranial gunshot injuries, are a form of penetrating traumatic brain injuries, which are much less common than blunt traumatic brain injuries and distinguished from low-velocity penetrating brain injuries (such as stab...
Article
Rotterdam CT score of traumatic brain injury
The Rotterdam CT score of traumatic brain injury is a classification aimed at improving prognostic evaluation of patients admitted with moderate or severe traumatic brain injuries.
It was published in 2006 1 and is gaining in popularity. Along with the Marshall classification system, at the ti...
Article
Renal trauma
Renal trauma can result from direct, blunt, penetrating, and iatrogenic injury.
Epidemiology
Renal injuries account for ~10% of abdominal trauma, and thus the demographic of affected individuals reflect that population. The incidence of renal injuries increases in pre-existing congenital or ac...
Article
Finger pulley injury
Finger pulley injuries can occur at any one of the five flexor tendon pulleys of the fingers, but most commonly affects the A2 pulley.
Clinical presentation
These are overwhelmingly the result of a discrete trauma occurring with the hand in a finger grip position. They are most frequently see...
Article
Chalk stick fracture
Chalk stick, also known as carrot stick fractures, are fractures of the fused spine, classically seen in ankylosing spondylitis.
Terminology
Some authors define the chalk stick fracture as a fracture through a Pagetoid long bone (see Paget disease) 3.
Pathology
They usually occur through the...
Article
Salter-Harris classification
The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and, at the time of writing (January 2023) remains the most widely used system for describing physeal fractures.
Classification
Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.
type I
s...
Article
Scaphoid fracture
Scaphoid fractures (i.e. fractures through the scaphoid bone) are common, in some instances can be difficult to diagnose, and can result in significant functional impairment.
Epidemiology
Scaphoid fractures account for 70-80% of all carpal bone fractures 1. Although they occur essentially at a...
Article
Supracondylar humeral fracture
Supracondylar humeral fractures, often simply referred to as supracondylar fractures, are a classic pediatric injury which requires vigilance as imaging findings can be subtle.
Epidemiology
Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults; 90% a...
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