caa a22 4500 606172181 CHVBK 20210128100727.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10140-014-1257-6 doi (NATIONALLICENCE)springer-10.1007/s10140-014-1257-6 Evolving concepts in MDCT diagnosis of penetrating diaphragmatic injury [Elektronische Daten] [David Dreizin, Peter Bergquist, Anil Taner, Uttam Bodanapally, Nikki Tirada, Felipe Munera] This article reviews current and evolving concepts in the diagnosis of penetrating diaphragmatic injury with multidetector CT (MDCT). As criteria for nonoperative management in the setting of penetrating trauma become more inclusive, confident exclusion of penetrating diaphragmatic injury (PDI) has become imperative. Diagnostic performance of MDCT for PDI has improved substantially with the use of thin sections and multiplanar reformats. Evaluation of injury trajectory in nonstandard planes using 3D post-processing software can aid in the diagnosis. Contiguous injury and transdiaphragmatic trajectory are the best predictors of PDI. Careful appraisal of the diaphragm for defects should be undertaken in all patients with thoracoabdominal penetrating trauma. American Society of Emergency Radiology, 2014 Diaphragm nationallicence MDCT nationallicence Penetrating trauma nationallicence Nonoperative management nationallicence Multiplanar reformats nationallicence Dreizin David Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut Bergquist Peter Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut Taner Anil Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut Bodanapally Uttam Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut Tirada Nikki Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut Munera Felipe Department of Diagnostic Radiology, University of Miami Leonard Miller School of Medicine, Jackson Memorial Hospital and Ryder Trauma Center, 1611 NW 12th Ave, West Wing 279, 33136, Miami, FL, USA aut Emergency Radiology Springer Berlin Heidelberg 22/2(2015-04-01), 149-156 1070-3004 22:2<149 2015 22 10140 https://doi.org/10.1007/s10140-014-1257-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-014-1257-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dreizin David Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Bergquist Peter Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Taner Anil Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Bodanapally Uttam Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Tirada Nikki Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S Greene, 21201, St, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Munera Felipe Department of Diagnostic Radiology, University of Miami Leonard Miller School of Medicine, Jackson Memorial Hospital and Ryder Trauma Center, 1611 NW 12th Ave, West Wing 279, 33136, Miami, FL, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/2(2015-04-01), 149-156 1070-3004 22:2<149 2015 22 10140