Chest Trauma :Prediction of Thoracic Injuries Clinically and Radiologically

Study Overview
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Brief Summary
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• Trauma is a major cause of morbidity and mortality worldwide. Despite the advent of specialized trauma centers the outcome of patients who sustain major trauma remains disappointing. Plain radiography and more advanced imaging techniques such as ultrasound, computerised tomography (CT) and angiography, have a major role to play in the early decision making and subsequent management of patients who sustain polytrauma. This article discusses the choice of emergency imaging techniques available in chest trauma for clinicians and radiologists; their evaluation and some of the common pitfalls that may lead to errors of interpretation.

Detailed Description
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Imaging plays a key role for both, the primary diagnostic work-up, and the secondary assessment of potential treatment. Despite its well-known limitations, the posteroanterior chest radiograph remains the starting point of the imaging work-up. Adjunctive imaging with computed tomography, that recently is increasingly often performed on multidetector computed tomography units, adds essential information not readily available on the conventional radiograph. This allows better definition of trauma-associated thoracic injuries not only in acute traumatic aortic injury, but also in pulmonary, tracheobronchial, cardiac, diaphragmal, and thoracic skeletal injuries. This article reviews common radiographic findings in patients after chest trauma, shows typical imaging features resulting from thoracic injury, presents imaging algorithms, and recalls to the reader less common but clinically relevant entities encountered in patients after thoracic trauma.

Official Title
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Chest Trauma:Prediction of Associated Thoracic Injuries by Clinical and Radiological Studies .Specificity and Sensitivity

Conditions
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Chest Trauma, Fluid Balance; Disorder

Intervention / Treatment
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* Radiation: chest trauma


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: chest trauma 2. recent trauma: presented within48 h Exclusion Criteria: Old trauma more than 48h 2-Pt transferred urgently to operating room
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| chest trauma<br>Early detection and diagnosis of associated thoracic injuries . decrease of costs required for investigations . 3- sensitivity and specificity of the investigations | Radiation: chest trauma<br>* clinical and radiological study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| detection of associated thoracic injuries : fracture rib ,sternum…. etc detection of sensitivity and specificity of clinical and radiological finding detection of associated thoracic injuries : fracture rib ,sternum…. etc | prediction of associated thoracic injuries by clinical and radiological studies .specificity and sensitivity | after one week |