Article
Medicine, General & Internal
Nils Becker, Antonia Hammen, Felix Blaesius, Christian David Weber, Frank Hildebrand, Klemens Horst
Summary: This study aimed to identify the risk factors for early recognition of high-risk adult patients and reduce the incidence of complications in patients with severe injuries. The severity of the initial trauma predominantly influences immediate and early mortality, while severe head injuries and organ failure are significant factors for late mortality in patients with moderate or high injury severity.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Guoyang Dai, Xin Lu, Feng Xu, Deli Xu, Pengfei Li, Xionghui Chen, Fengbao Guo
Summary: This retrospective study analyzed clinical data of 283 acute trauma patients and found that Trauma Index (TI) performed the best in predicting early mortality risk, while different types of shock indices also had certain predictive value for early mortality risk in trauma patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Keiko Suzuki, Hideshi Okada, Kazuyuki Sumi, Hiroyuki Tomita, Ryo Kobayashi, Takuma Ishihara, Yosuke Mizuno, Fuminori Yamaji, Ryo Kamidani, Tomotaka Miura, Ryu Yasuda, Yuichiro Kitagawa, Tetsuya Fukuta, Kodai Suzuki, Takahito Miyake, Norihide Kanda, Tomoaki Doi, Takahiro Yoshida, Shozo Yoshida, Nobuyuki Tetsuka, Shinji Ogura, Akio Suzuki
Summary: This study investigated the utility of serum SDC-1 in evaluating trauma severity in patients. The results showed a significant association between serum SDC-1 level and injury severity score and probability of survival. Serum SDC-1 may serve as a useful biomarker for monitoring trauma severity.
FRONTIERS IN MEDICINE
(2022)
Article
Medicine, General & Internal
Jana Vorbeck, Manuel Bachmann, Helena Duesing, Rene Hartensuer
Summary: The aim of this study was to analyze the mortality of polytrauma patients and identify prediction parameters. A score for the prehospital predictive evaluation of 30-day survival was created based on the results. Significant influencing factors on the survival of polytrauma patients were identified, and a score combining these factors with the shock index showed high specificity and sensitivity in predicting mortality risk.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Jan Gewiess, Christoph Emanuel Albers, Hans-Christoph Pape, Hannes Bangerter, Wolf-Dieter Zech, Marius Johann Baptist Keel, Johannes Dominik Bastian
Summary: This study used ISS data to analyze trauma mechanisms, causes of death, injury patterns, and potential survivability in prehospital trauma victims. It found that severity of injuries to the head/neck and chest regions was higher, with a significant amount of victims dying from CNS-related injuries. Efforts should be made to improve rescue efforts for highly traumatized patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Esref Belger, Daniel Truhn, Christian David Weber, Ulf Peter Neumann, Frank Hildebrand, Klemens Horst
Summary: This study analyzed the correlation between body mass composition (BC) variables and outcomes in trauma patients. The results showed that low muscle mass and high adipose tissue index were associated with a poor outcome in multiple trauma (MT) patients. The body mass composition at the fourth thoracic vertebra level had comparable results to that at the third lumbar level. Therefore, body mass composition is clinically valuable for assessing the prognosis of trauma patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Emergency Medicine
Yan Ho Li, Janice Hiu Hung Yeung, Kevin Kei Ching Hung, Chun Yu Lai, Ling Yan Leung, Chi Hung Cheng, Nai Kwong Cheung, Colin A. Graham
Summary: This study analyzed the changes between AIS1998 and AIS2015, and their impact on injury severity scoring and survival prediction models. The results showed that AIS2015 had significant reductions in the classification of serious, severe, and critical categories, with an increase in the mild and moderate categories. Additionally, there were no significant differences in the number of cases, 30-day mortality, and discrimination of the prediction model between AIS2015 and AIS1998 at an ISS>15 threshold.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Mathias Berger, Rolf Lefering, Michael Bauer, Gunther O. Hofmann, Stefan Reske, Peter Hilbert-Carius
Summary: The use of whole-body computed tomography (WB-CT) in the diagnosis of injured children does not improve outcomes compared to a step-wise diagnostic procedure, according to data from the trauma registry of the German Society for Trauma Surgery. The risks and benefits of WB-CT in children, including the potential for radiation exposure and malignancy, should be carefully considered in team discussions.
DEUTSCHES ARZTEBLATT INTERNATIONAL
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Leonie Goelz, Annika Syperek, Stephanie Heske, Sven Mutze, Norbert Hosten, Michael Kirsch
Summary: A retrospective cohort study conducted at an urban level 1 trauma center from 2006 to 2014 found that 23.6% of cases experienced orbital injuries after severe trauma. Among orbital fractures, around 67% involved the orbital floor, with soft tissue injuries including dislocated extraocular muscles, deformation of the ocular globe, and elongation of the optic nerve.
Article
Medicine, General & Internal
Jure M. Colnaric, Rayan H. El Sibai, Rana H. Bachir, Mazen J. El Sayed
Summary: This study examined the correlation between ISS and mortality in adult trauma patients with different mechanisms of injury. The results showed that ISS is a good predictor of mortality, but using ISS >= 16 as a threshold to identify high-mortality risk patients is not feasible. Individualized mortality risk assessment based on clinical evaluation should be conducted.
Article
Neurosciences
Rong Zeng, Shaoping Li, Jiangtao Yu, Haoli Ma, Yan Zhao
Summary: VWF levels were significantly elevated in patients with TBI compared with healthy individuals. VWF levels showed a negative correlation with GCS scores and a positive correlation with Rotterdam CT scores. Combining VWF with either the GCS or Rotterdam CT score improved the prediction ability for the prognosis of TBI patients.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Critical Care Medicine
Jan Tilmann Vollrath, Cora Rebecca Schindler, Eva Herrmann, Rene D. Verboket, Dirk Henrich, Ingo Marzi, Philipp Stoermann
Summary: This study evaluated the ability of different serum markers to identify polytraumatized patients at risk of developing pneumonia. The study found that individual serum markers were not helpful in accurately identifying the risk of pneumonia, but a combination of IL-6, IL-10, PTX-3, and sRAGE may be useful for identification.
Article
Orthopedics
S. Kim, L. Goelz, F. Muenn, D. Kim, M. Millrose, A. Eisenschenk, S. Thelen, M. Lautenbach
Summary: The visibility of hand and forearm fractures in whole-body CT scans plays a significant role in the delayed diagnosis of such fractures. Late diagnoses or completely missed fractures were more common around 5 pm and 1 am. Slice thickness did not significantly affect the detection of fractures within or after 24 hours.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Sophia A. Doerr, Carly Weber-Levine, Andrew M. Hersh, Tolulope Awosika, Brendan Judy, Yike Jin, Divyaansh Raj, Ann Liu, Daniel Lubelski, Craig K. Jones, Haris Sair, Nicholas Theodore
Summary: This study demonstrates a novel deep learning method to automatically predict injury morphology and PLC disruption with high accuracy, which can streamline and improve diagnostic decision support for patients with thoracolumbar spinal trauma.
NEUROSURGICAL FOCUS
(2022)
Article
Critical Care Medicine
P. Tsinaslanidis, Toby O. Smith, O. S. Brown, G. Tsinaslanidis, S. Umarji, C. B. Hing
Summary: This study investigated the incidence, injury pattern, and association of hand and wrist injuries in multiply injured trauma patients. The results showed that hand and wrist injuries were prevalent, significantly associated with lower limb and pelvic injuries, but not statistically associated with the ISS score.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Thusitha Mabotuwana, Christopher S. Hall, Vadiraj Hombal, Prashanth Pai, Usha Nandini Raghavan, Shawn Regis, Brady McKee, Sandeep Dalal, Christoph Wald, Martin L. Gunn
AMERICAN JOURNAL OF ROENTGENOLOGY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Malak Itani, Brian W. Bresnahan, Kenneth Rice, Martin L. Gunn, Sherry S. Wang, Jonathan W. Revels, Achille Mileto
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jeff L. Fidler, Martin L. Gunn, Jorge A. Soto, Olga R. Brook, Brian C. Allen, Flavius F. Guglielmo, David J. Grand, Michael S. Gee, Michael L. Wells, Alvaro Huete, Ashish Khandalwal, Farnoosh Sokhandon, Vijay Ramalingam, Mahmoud M. Al-Hawary, Christina A. LeBedis, Seong Ho Park
ABDOMINAL RADIOLOGY
(2019)
Article
Radiology, Nuclear Medicine & Medical Imaging
Sandeep Dalal, Vadiraj Hombal, Wei-Hung Weng, Gabe Mankovich, Thusitha Mabotuwana, Christopher S. Hall, Joseph Fuller, Bruce E. Lehnert, Martin L. Gunn
JOURNAL OF DIGITAL IMAGING
(2020)
Article
Critical Care Medicine
Kelley R. Branch, Ravi Hira, Robin Brusen, Charles Maynard, Peter J. Kudenchuk, Bradley J. Petek, Jared Strote, Michael R. Sayre, Medley Gatewood, David Carlbom, Catherine Counts, Jeffrey L. Probstfield, Martin Gunn
Article
Emergency Medicine
Kelley R. H. Branch, Jared Strote, Martin Gunn, Charles Maynard, Peter J. Kudenchuk, Robin Brusen, Bradley J. Petek, Michael R. Sayre, Rachael Edwards, David Carlbom, Catherine R. Counts, Jeffrey L. Probstfield, Medley O. Gatewood
Summary: This study indicates that early SDCT scanning is safe, can expedite the diagnosis of potential causes, and can meaningfully change clinical management after idiopathic OHCA.
ACADEMIC EMERGENCY MEDICINE
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jeff L. Fidler, Flavius F. Guglielmo, Olga R. Brook, Lisa L. Strate, David H. Bruining, Avneesh Gupta, Brian C. Allen, Mark A. Anderson, Michael L. Wells, Vijay Ramalingam, Martin L. Gunn, David J. Grand, Michael S. Gee, Alvaro Huete, Ashish Khandalwal, Farnoosh Sokhandon, Seong Ho Park, Don C. Yoo, Jorge A. Soto
Summary: Both stable and unstable patients with overt lower GI bleeding are frequently imaged with CTA, while CTE is commonly performed for suspected occult small bowel bleeding.
ABDOMINAL RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Larry M. Cai, Daniel S. Hippe, David A. Zamora, Jinjin Cao, Anushri Parakh, Avinash R. Kambadakone, Jennifer M. Xiao, Sherry S. Wang, Giuseppe Toia, Martin L. Gunn, Carolyn L. Wang, Achille Mileto
Summary: The study showed that the developed cross-platform method can significantly decrease between-platform variability in quantification of low iodine content using DECT in anthropomorphic phantoms and patients. This method may help expand the clinical use of DECT iodine quantification, providing meaningful IC values for patients undergoing serial examinations on different platforms.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Flavius F. Guglielmo, Michael L. Wells, David H. Bruining, Lisa L. Strate, Alvaro Huete, Avneesh Gupta, Jorge A. Soto, Brian C. Allen, Mark A. Anderson, Olga R. Brook, Michael S. Gee, David J. Grand, Martin L. Gunn, Ashish Khandelwal, Seong Ho Park, Vijay Ramalingam, Farnoosh Sokhandon, Don C. Yoo, Jeff L. Fidler
Summary: Gastrointestinal (GI) bleeding is a common and potentially life-threatening medical condition that often requires multidisciplinary collaboration for proper diagnosis and management. CT imaging plays a vital role in identifying the location and cause of bleeding, but interpreting CT scans in patients with GI bleeding can be challenging for radiologists.
Article
Cardiac & Cardiovascular Systems
Aris Karatasakis, Basar Sarikaya, Linda Liu, Martin L. Gunn, Peter J. Kudenchuk, Medley O. Gatewood, Charles Maynard, Michael R. Sayre, Catherine R. Counts, David J. Carlbom, Rachael M. Edwards, Kelley R. H. Branch
Summary: This study aimed to assess the prevalence, types, and effects of resuscitation-associated injuries in patients resuscitated from out-of-hospital circulatory arrest (OHCA). The study found that computed tomography scans were able to identify resuscitation injuries in most OHCA patients, with nearly 1 in 7 having time-critical complications and half having extensive rib-cage injuries.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Medicine, General & Internal
Yao Yan, Thomas Schaffter, Timothy Bergquist, Thomas Yu, Justin Prosser, Zafer Aydin, Amhar Jabeer, Ivan Brugere, Jifan Gao, Guanhua Chen, Jason Causey, Yuxin Yao, Kevin Bryson, Dustin R. Long, Jeffrey G. Jarvik, Christoph Lee, Adam Wilcox, Justin Guinney, Sean Mooney
Summary: This study utilized machine learning algorithms to predict the diagnosis and hospitalization outcomes of COVID-19 patients, achieving high performance especially in the female group and showing performance variations across different age groups.
Article
Radiology, Nuclear Medicine & Medical Imaging
Jalal B. Andre, Thomas Amthor, Christopher S. Hall, Martin L. Gunn, Michael N. Hoff, Wendy Cohen, Norman J. Beauchamp
Summary: The study aims to evaluate the correlation between MRI motion artifacts and repeated sequences, and investigate the use of log files in quantifying the impact of patient motion on operations. The analysis of clinical MR exams and MLFs revealed a correlation between higher motion scores and higher repetition probability. It was concluded that repetition probability and associated time loss can be quantified for individual sequence types.
CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Wilson Lau, Kevin Lybarger, Martin L. Gunn, Meliha Yetisgen
Summary: This paper presents a study on semantic annotation of radiology reports using deep learning models. The authors built a corpus of 500 annotated reports and extracted trigger words and argument entities using the advanced deep learning architecture BERT. They predicted the linkages between triggers and argument entities and demonstrated the model's generalizability through testing on an external validation set.
JOURNAL OF DIGITAL IMAGING
(2023)
Article
Urology & Nephrology
M. Kennedy Hall, Jeff Thiel, Barbrina Dunmire, Patrick C. Samson, Ross Kessler, Peter Sunaryo, Robert M. Sweet, Ian S. Metzler, Helena C. Chang, Martin Gunn, Manjiri Dighe, Layla Anderson, Christina Popchoi, Ravi Managuli, Bryan W. Cunitz, Barbara H. Burke, Lisa Ding, Brianna Gutierrez, Ziyue Liu, Mathew D. Sorensen, Hunter Wessells, Michael R. Bailey, Jonathan D. Harper
Summary: This study aimed to test the efficacy and safety of using transcutaneous focused ultrasound, through ultrasonic propulsion and burst wave lithotripsy, to reposition and break ureteral stones in awake subjects in order to relieve pain and facilitate passage.
JOURNAL OF UROLOGY
(2022)
Article
Critical Care Medicine
Kelley R. H. Branch, Medley O. Gatewood, Peter J. Kudenchuk, Charles Maynard, Michael R. Sayre, David J. Carlbom, Rachel M. Edwards, Catherine R. Counts, Jeffrey L. Probstfield, Robin Brusen, Nicholas Johnson, Martin L. Gunn
Summary: The study aimed to determine whether a head-to-pelvis CT scan improves the diagnostic yield and speed for identifying causes of out of hospital circulatory arrest. Patients who were successfully resuscitated from OHCA were included in the study, and it was found that adding SDCT scanning significantly increased the diagnostic yield and reduced the time to diagnosis compared to standard of care alone.
Article
Radiology, Nuclear Medicine & Medical Imaging
Larissa Bastos Costa, Renata Moreira, Priscilla Romano Gaspar, Felipe de Galiza Barbosa
RADIOLOGIC CLINICS OF NORTH AMERICA
(2024)
Article
Radiology, Nuclear Medicine & Medical Imaging
Tristan Barrett, Kang-Lung Lee, Maarten de Rooij, Francesco Giganti
Summary: Prostate MR imaging plays a crucial role in the diagnostic pathway of prostate cancer. Adherence to technical parameters alone is not enough to ensure high-quality imaging. AI solutions can enhance image quality and potentially monitor the imaging process. The PI-QUAL system aims to provide an objective assessment of image quality but requires further validation for clinical effectiveness.
RADIOLOGIC CLINICS OF NORTH AMERICA
(2024)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jorge Abreu-Gomez, Christopher Lim, Masoom A. Haider
Summary: PI-RADSv2.1 made important modifications for the assessment of category 3 lesions, with a small impact. The combination of PSAD is the most likely approach to aid in clinical decision making for PI-RADS 3 category. Commercially available fluidic markers are being used to supplement this, but further evidence is needed to improve the accuracy of PI-RADS alone in detecting csPCa.
RADIOLOGIC CLINICS OF NORTH AMERICA
(2024)
Article
Radiology, Nuclear Medicine & Medical Imaging
Devaki Shilpa Sudha Surasi, Praneeth Kalva, Ken-Pin Hwang, Tharakeswara Kumar Bathala
Summary: mpMR imaging is a valuable tool for diagnosing and staging prostate cancer, often superior to traditional methods. Standardized protocols aid in evaluating prostate mpMR imaging. Radiologists need to thoroughly study prostate imaging and be aware of potential pitfalls. Additional sequences can improve tumor detection sensitivity. This study emphasizes the importance of recognizing factors that complicate prostate MR imaging interpretation.
RADIOLOGIC CLINICS OF NORTH AMERICA
(2024)
Article
Radiology, Nuclear Medicine & Medical Imaging
Daniel N. Costa, Debora Z. Recchimuzzi, Nicola Schieda
RADIOLOGIC CLINICS OF NORTH AMERICA
(2024)
