Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.

IF 2.3 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-07-18 DOI:10.1007/s00247-025-06321-3

Shaimaa AbdelSattar Mohammad, Reem Abdelhamed Elsayed, Nouran Esam Arafa, Esraa Yahia Ragab, Nesma Naguib Elsayed, Mirna Eehab Hassan, Marwa Mohammad Abdulghaffar, Ghada Samir Ibrahim

{"title":"Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.","authors":"Shaimaa AbdelSattar Mohammad, Reem Abdelhamed Elsayed, Nouran Esam Arafa, Esraa Yahia Ragab, Nesma Naguib Elsayed, Mirna Eehab Hassan, Marwa Mohammad Abdulghaffar, Ghada Samir Ibrahim","doi":"10.1007/s00247-025-06321-3","DOIUrl":null,"url":null,"abstract":"<p><p>Abdominal trauma is the leading cause of fatal injuries in pediatric patients, affecting approximately 25% of children with major trauma. Computed tomography (CT) remains the gold standard imaging modality for assessing stable patients with potential abdominal injuries. This review outlines CT protocols specifically adapted for the pediatric population in the context of blunt abdominal trauma, with a focus on strategies to mitigate radiation exposure. It also highlights the 2018 update of the American Association for the Surgery of Trauma Organ Injury Scale-a detailed classification system ranging from grade I (minor) to grade V (severe)-and explores its relevance and impact on the management of pediatric patients compared to adults. A series of CT images illustrating the different grades of abdominal injuries along with a structured interpretation algorithm are provided to act as a pocket guide for radiology residents in emergency settings.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00247-025-06321-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Abdominal trauma is the leading cause of fatal injuries in pediatric patients, affecting approximately 25% of children with major trauma. Computed tomography (CT) remains the gold standard imaging modality for assessing stable patients with potential abdominal injuries. This review outlines CT protocols specifically adapted for the pediatric population in the context of blunt abdominal trauma, with a focus on strategies to mitigate radiation exposure. It also highlights the 2018 update of the American Association for the Surgery of Trauma Organ Injury Scale-a detailed classification system ranging from grade I (minor) to grade V (severe)-and explores its relevance and impact on the management of pediatric patients compared to adults. A series of CT images illustrating the different grades of abdominal injuries along with a structured interpretation algorithm are provided to act as a pocket guide for radiology residents in emergency settings.

查看原文本刊更多论文

儿童腹部创伤的计算机断层扫描：优化利用和提高诊断解释。

腹部创伤是儿科患者致命伤害的主要原因，约有25%的严重创伤儿童受到影响。计算机断层扫描（CT）仍然是评估稳定的潜在腹部损伤患者的金标准成像方式。这篇综述概述了专门适用于儿童钝性腹部创伤的CT方案，重点是减轻辐射暴露的策略。它还强调了美国创伤器官损伤外科协会2018年的更新-一个从I级（轻微）到V级（严重）的详细分类系统-并探讨了与成人相比，其对儿科患者管理的相关性和影响。提供了一系列显示腹部损伤不同级别的CT图像以及结构化的解释算法，作为紧急情况下放射科住院医师的口袋指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.