Radionuclide imaging and ultrasound in liver/spleen trauma: a prospective comparison

Journal Article · Mon Nov 01 00:00:00 EST 1982 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.145.2.7134453· OSTI ID:6328336

Froelich, J W ^[1]; Simeone, J F; McKusick, K A; Winzelberg, G G; Strauss, H W

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1. Univ. of Michigan, Ann Arbor

In a prospective blind study of liver/spleen trauma, 32 consecutive patients were evaluated by radionuclide imaging (/sup 99m/Tc-sulfur colloid) and gray-scale ultrasound. Six patients (19%) had inadequate sonograms due to injuries and pain. Thirteen (41%) were normal, 13 (41%) were abnormal with one technique or the other, and there was a discrepancy in 2 (6%). Of the 13 abnormal patients, 1 had a lacerated spleen, 2 had angiographic confirmation of a subcapsular hematoma, and 10 showed resolution on follow-up. Two patients with left-sided trauma had abnormal radionuclide scans of the liver; sonograms were initially normal in one of them, but subsequent imaging confirmed the abnormality. The authors feel that imaging with /sup 99m/Tc-sulfur colloid should be the primary screening examination for liver/spleen trauma.

• OSTI ID: 6328336
• Journal Information: Radiology; (United States), Vol. 145:2
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
LIVER
SCINTISCANNING
COMPARATIVE EVALUATIONS
SPLEEN
TECHNETIUM 99
ULTRASONOGRAPHY
HEMATOMAS
INJURIES
ISOMERIC NUCLEI
PATIENTS
RADIOCOLLOIDS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
COLLOIDS
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISPERSIONS
GLANDS
HOURS LIVING RADIOISOTOPES
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES
550601* - Medicine- Unsealed Radionuclides in Diagnostics