Housseini, A., Yousef, K., Al-Kady, L., Elsherif, M. (2022). Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma. Suez Canal University Medical Journal, 25(4), 12-18. doi: 10.21608/scumj.2022.270482
Ahmed Housseini; Khaled A. Yousef; Laila M. Al-Kady; Mahmoud A. Elsherif. "Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma". Suez Canal University Medical Journal, 25, 4, 2022, 12-18. doi: 10.21608/scumj.2022.270482
Housseini, A., Yousef, K., Al-Kady, L., Elsherif, M. (2022). 'Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma', Suez Canal University Medical Journal, 25(4), pp. 12-18. doi: 10.21608/scumj.2022.270482
Housseini, A., Yousef, K., Al-Kady, L., Elsherif, M. Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma. Suez Canal University Medical Journal, 2022; 25(4): 12-18. doi: 10.21608/scumj.2022.270482
Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma
1Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.
2Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background: Pelvic traumas are severe and disabling injuries. Although plain radiographic evaluation of the pelvis includes many views such as anteroposterior, inlet, and outlet views; however, plain radiographs are not always accurate in the assessment of displacement’s degree. Image quality can be compromised by different factors, like suboptimal positioning, obesity, bowel gas, and bladder contrast, also plain radiographs can’t assess the associated soft tissue injuries and hematomas. Aim: To evaluate the role of Multidetector Computed tomography (MDCT) as a useful diagnostic modality in the accurate diagnosis of pelvic trauma patients. Subjects and Methods: This cross-sectional descriptive study was carried out in the Diagnostic Radiology Department at Suez Canal University Hospitals from November 2019 to February 2021. It included 20 patients with pelvic trauma that were treated with internal fixation. Results: Regarding age, 70% of cases were in the age group (20–50) years. Regarding gender, males constitute 55% of cases. This study found that the sensitivity of 3D CT in the detection of bone fracture was 100%, specificity was 100%, PPV was 100%, NPV was 100% and accuracy was 100%. The sensitivity of MDCT in the detection of organ injury was 92.3%, specificity was 100%, PPV was 100%, NPV was 87.5%, accuracy was 95%, and accuracy was 95% with area under ROC curve (AUC) 0.99. Conclusions: MDCT is an excellent imaging modality to evaluate patients with pelvic trauma, being a reliable, safe, and non-invasive procedure. It also decreases unnecessary exploration and improves patient survival.
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