INTRODUCTION: This study aimed to assess the ability of contrast-enhanced computed tomography (CECT) to detect active abdominopelvic @entity548 in @entity1 with blunt @entity130 as compared to digital subtraction angiography (DSA). METHODS: In this retrospective study, @entity1 who had DSA performed within 24 hours following CECT for blunt abdominal and/or pelvic @entity130 were identified. The CT @entity130 protocol consisted of a portal venous phase scan without CT angiography; delayed phase study was performed, if appropriate. All selected CECT studies for the presence of active extravasation of contrast were independently reviewed by two radiologists, who were blinded to the DSA results. Fisher's exact test was used to correlate the presence of extravasation on CT with subsequent confirmed @entity548 on DSA. RESULTS: During the 8-year study period, 51 @entity1 who underwent emergent DSA for abdominal or pelvic @entity130 also underwent prior CECT. Evidence of active extravasation of contrast on CECT was observed in 35 @entity1 , and active @entity548 was confirmed on DSA in 31 of these 35 @entity1 ; embolisation was performed in all 31 @entity1 . Two @entity1 who were negative for active extravasation of contrast on CECT, but positive for active @entity548 on DSA had extensive bilateral pelvic fractures and haematomas. The sensitivity, specificity, positive and negative predictive values of CECT in detecting active abdominopelvic @entity548 , as compared to DSA, were 93.9%, 77.8%, 88.6% and 87.5%, respectively. CONCLUSION: When compared with DSA, dual-phase CECT without CT angiography shows high sensitivity and positive predictive value for the detection of active @entity548 in @entity1 with blunt @entity130 .

The role of multidetector computed tomography versus digital subtraction angiography in triaging care and management in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'abdominopelvic trauma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage']
@entity130 :: (MESH:D014947,Disease) :: ['abdominopelvic trauma']
