Applicability of high-field MRI in the diagnosis of closed splenic trauma

YANG Bo; LUO Chao; LIU Zhengyang; HUANG Lvshuai

PDF(707 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2021, Vol. 32 ›› Issue (6) : 494-496.

Applicability of high-field MRI in the diagnosis of closed splenic trauma

YANG Bo¹, LUO Chao¹, LIU Zhengyang¹, HUANG Lvshuai²

Author information +

History +

Abstract

Objective To explore the diagnostic value of high-field 1.5T MRI in closed splenic trauma. Methods The 1.5T magnetic resonance image information about 54 patients with closed splenic trauma confirmed by pathology or follow-up was retrospectively analyzed and compared with the CT image during the first visit. Intrasplenic hematoma and splenic capsule hematoma were chosen as direct diagnostic signs while uneven density or signals, an increase in volume, rough edges and hemoperitoneum were regarded as indirect diagnostic signs. The difference in the number of direct and indirect signs detected by MRI and by CT imaging was studied. Results Among the 54 cases of splenic trauma, 46 were diagnosed by CT during the first visit, 5 were suspected, and 3 cases were missed, compared with 51 and 3 diagnosed by MR that had no missed cases. MRI detected not only more intrasplenic hematomas than CT, but fewer splenic capsule hematomas and indirect signs. The difference between the two groups was statistically significant(P＜0.05). Conclusions There is something unique about MRI imaging of splenic of trauma, which can complement CT examination in some occult cases, and is of more referential value for the diagnosis and treatment of splenic trauma.

Key words

MRI / splenic trauma

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YANG Bo, LUO Chao, LIU Zhengyang, HUANG Lvshuai. Applicability of high-field MRI in the diagnosis of closed splenic trauma[J]. Medical Journal of the Chinese People Armed Police Forces. 2021, 32(6): 494-496

References

[1] Ruscelli P, Gemini A, Rimini M, et al. The role of grade of injury in non-operative management of blunt hepatic and splenic trauma: case series from a multicenter experience[J]. Medicine, 2019, 98(35):e16746-e16746.
[2] Moamena E M, Gaby J, Ayman E M, et al.Blunt splenic trauma:assessment, management and outcomes[J]. Surgeon,2016,14(1):52-58.
[3] Marco C A, Gangidine M,Greene P J, et al. Delayed diagnosis of splenic injuries: a case series[J]. Am J Emerg Med,2020,38(2):243-246.
[4] Coccolini F, Montori G, Catena F, et al. Splenic trauma: WSES classification and guidelines for adult and pediatric patients[J]. World J Emerg Surg, 2017, 12(1): 1-26.
[5] 王科星.多层螺旋CT、3.0T MRI联合检查在脾脏外伤诊断中的价值意义分析[J].中国医药指南, 2013,11(8):404-405.
[6] Gordic S, Alkadhi H, Simmen H P, et al.Characterization of indeterminate spleen lesions in primary CT after blunt abdominal trauma: potential role of MR imaging[J]. Emerg Radiol, 2014,5(1):491-498.
[7] Palas J, Matos A P, Ramalho M. The spleen revisited: an overview on magnetic resonance imaging[J]. Radiol Res Pract, 2013,11(25):1-15.
[8] 张富源,王林林,王昌亮,等.外伤性迟发性脾破裂损伤时间推断1例[J]. 法医学杂志, 2019,35(2):178-180.
[9] Weishaupt D,Grozaj A M,Willmann J K, et al. Traumatic injuries: imaging of abdominal and pelvic injuries[J]. Eur Radiol,2002,4(12):1295-1311.
[10] Bundy A L,Scott M,DruckmanD, et al. Delayed and occult splenic rupture[J]. Compurerized Radial, 1985,9(5):299-305.
[11] Nanavati P, Parker B, Winters M E. Delayed traumatic splenic injury[J]. Am J Emerg Med, 2017,35(2):375.e3-375.e4.
[12] Girard E, Abba J, Cristiano N, et al. Management of splenic and pancreatic trauma[J]. J Visc Surg,2016,153(4):45-60.
[13] Shi H, Teoh W C, Chin F W K, et al. CT of blunt splenic injuries: what the trauma team wants to know from the radiologist[J]. Clin Radiol, 2019, 74(12): 903-911.
[14] Hedrick T L, Sawyer R G, Young J S. MRI for the diagnosis of blunt abdominal trauma: a case report[J]. Emerg Radiol,2005,5(11):309-311.
[15] Hekimoglu A, Ergun O, Özkan S, et al. Comparison of ultrasound and physical examination with computerized tomography in patients with blunt abdominal trauma[J]. Ulus Travma Acil Cerrahi Derg,2019,25(4):369-377.