Emergency Radiology最新文献

Wide-Detector CT-Based optimized triple Rule-Out CT angiography for emergency chest pain: reducing contrast and radiation without compromising diagnostic quality. 基于宽探测器CT的优化三重排除CT血管造影用于急诊胸痛：在不影响诊断质量的情况下降低对比度和辐射。

IF 1.7

Emergency Radiology Pub Date : 2025-05-28 DOI: 10.1007/s10140-025-02351-4

Qiuhua Zhang, Kun Wang, Hong Ren

{"title":"Wide-Detector CT-Based optimized triple Rule-Out CT angiography for emergency chest pain: reducing contrast and radiation without compromising diagnostic quality.","authors":"Qiuhua Zhang, Kun Wang, Hong Ren","doi":"10.1007/s10140-025-02351-4","DOIUrl":"https://doi.org/10.1007/s10140-025-02351-4","url":null,"abstract":"Background: The triple rule-out computed tomography angiography (TRO-CTA) has recently emerged as a technique that noninvasively evaluates the coronary arteries (CAs), the pulmonary arteries (PAs) and the thoracic aorta (TA).Objective: To evaluate the feasibility of an optimized scanning protocol to reduce the volume of iodine contrast media (ICM), injection rate, and radiation dose in patients undergoing TRO-CTA.Methods: Patients undergoing TRO-CTA were assigned to either group A or group B using a 16 cm wide-detector CT. Patients in group A were imaged with a traditional triple scanning protocol with a sequence of the PA, CAs, and TA. Patients in group B were imaged using the modified protocol with scanning sequence of PA, TA, and CAs, ICM of 55 ml, and injection rate of 4.5 mL/s. The image quality and effective radiation dose (ED) were compared.Results: There were no significant differences in basic information between groups A and B. Other than the left PA, RA, and RV, there were no significant differences in the CT attenuation values of relevant vascular structures between groups A and B. There were no significant differences in CNR values between the two groups except the LAD-D and LCX. The image quality scores were comparable between groups A and B except the CAs. However, there were significant differences between the two groups in ICM (p < 0.05), scanning time (p < 0.001) and ED (p = 0. 023).Conclusions: The optimized TRO-CTA scanning protocol can achieve less ICM and lower ED while maintaining image quality.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Yield of MRI in patients with spontaneous deep intracerebral hemorrhage. 自发性深部脑出血患者的MRI表现。

IF 1.7

Emergency Radiology Pub Date : 2025-05-20 DOI: 10.1007/s10140-025-02348-z

Hudson McKinney, Bryan A Kirk, Anuj J Jailwala, Aaron McFarlane, Jackson L Sullivan, Raghav Agarwal, Kevin D Hiatt

{"title":"Yield of MRI in patients with spontaneous deep intracerebral hemorrhage.","authors":"Hudson McKinney, Bryan A Kirk, Anuj J Jailwala, Aaron McFarlane, Jackson L Sullivan, Raghav Agarwal, Kevin D Hiatt","doi":"10.1007/s10140-025-02348-z","DOIUrl":"https://doi.org/10.1007/s10140-025-02348-z","url":null,"abstract":"Purpose: Hypertensive hemorrhage is the most common type of nontraumatic intracerebral hemorrhage (ICH), and it characteristically originates in deep structures, particularly the basal ganglia, internal capsules, thalami, brainstem, and cerebellum. While advanced imaging modalities like MRI can help uncover culprit lesions in cases of unexplained ICH, we hypothesized that the yield of brain MRI would be low in patients with spontaneous deep intracerebral hemorrhage.Methods: With IRB approval, we retrospectively reviewed cases of deep ICH at a single tertiary care academic center over a 5-year period and excluded cases with a known cause for hemorrhage. Patient history and demographics, initial blood pressure, and the results of the initial noncontrast head CT and subsequent imaging studies were recorded.Results: 222 patients met study inclusion criteria, with a median age of 67 and 43.2% female sex. 188 patients (84.7%) had a history of hypertension, while 14 (6.3%) had a urine drug screen positive for cocaine or amphetamines during their hospital admission. The majority of hemorrhages were centered in the basal ganglia or internal capsules (116, 52.3%). Brain MRI was obtained for 120 (54.1%) of cases at a median interval of 0.97 days following the initial head CT, and of these studies, 85 (70.8%) included postcontrast imaging. Only 1 MRI study (0.8%) identified a culprit lesion adjacent to a cerebellar hematoma, which was later found to represent a pilocytic astrocytoma. 33.8% of patients overall met the modified Hong Kong Rule. Of the 77 MRIs performed in patients not meeting the modified Hong Kong Rule, 0 revealed a culprit lesion.Conclusion: Brain MRI obtained in the acute evaluation of patients with spontaneous deep intracerebral hemorrhage rarely uncovers a culprit lesion. Routine ordering of MRI in this cohort should be reconsidered, particularly in patients not meeting the modified Hong Kong Rule.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sinonasal NK/T-cell lymphoma - imaging features overlap with non-neoplastic etiologies. 鼻窦NK/ t细胞淋巴瘤的影像学特征与非肿瘤性病因重叠。

IF 1.7

Emergency Radiology Pub Date : 2025-05-17 DOI: 10.1007/s10140-025-02350-5

Sneh Brahmbhatt, Jeremiah Daniel, Amit Agarwal, Vivek Gupta, Alok A Bhatt

{"title":"Sinonasal NK/T-cell lymphoma - imaging features overlap with non-neoplastic etiologies.","authors":"Sneh Brahmbhatt, Jeremiah Daniel, Amit Agarwal, Vivek Gupta, Alok A Bhatt","doi":"10.1007/s10140-025-02350-5","DOIUrl":"https://doi.org/10.1007/s10140-025-02350-5","url":null,"abstract":"Purpose: The purpose of this retrospective study is to evaluate imaging features of sinonasal NK/T-cell lymphoma, potentially aiding early diagnosis and improving patient outcomes through timely biopsy evaluation and treatment.Materials & methods: This study was designed as a retrospective review. Imaging characteristics in a total of 28 patients with histology confirmed sinonasal NK/T-cell lymphoma were evaluated by two radiologists. Demographic data and clinical features were extracted from the electronic medical record.Results: Among 28 patients, 84.6% presented with nasal cavity involvement and 88.5% with an isoattenuating lesion on CT and 63.6% with T2 hypointensity on MRI. Notably, 57.7% showed osseous destruction and 27.3% had devascularized tissue, highlighting significant radiologic features that may overlap with non-neoplastic etiologies.Conclusion: Sinonasal NK/T-cell lymphoma should be in the differential diagnosis in patients presenting with chronic sinonasal symptoms and imaging findings of tissue necrosis, osseous destruction, and adjacent fat infiltration. Imaging features overlap with entities such as aggressive fungal sinusitis and granulomatosis with polyangiitis.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating clinical indicators for neuroimaging abnormalities in acute headache cases: insights from a retrospective study. 研究急性头痛病例神经影像学异常的临床指标：来自回顾性研究的见解。

IF 1.7

Emergency Radiology Pub Date : 2025-05-14 DOI: 10.1007/s10140-025-02347-0

Felipe Mejía-Herrera, Roger Figueroa-Paz, Jaime Quintero-Ramirez, Luis Alfonso Bustamante-Cristancho

{"title":"Investigating clinical indicators for neuroimaging abnormalities in acute headache cases: insights from a retrospective study.","authors":"Felipe Mejía-Herrera, Roger Figueroa-Paz, Jaime Quintero-Ramirez, Luis Alfonso Bustamante-Cristancho","doi":"10.1007/s10140-025-02347-0","DOIUrl":"https://doi.org/10.1007/s10140-025-02347-0","url":null,"abstract":"Purpose: Headache is common at emergency services and neuroimaging can help in timely diagnosis of life-threatening pathologies. We evaluated clinical indicators associated with abnormal neuroimaging in patients with acute headache, aiming to develop a scoring system with reliable diagnostic performance.Methods: This analytical and retrospective study was conducted at a teaching tertiary care hospital in Cali, Colombia, from January 2011 to December 2019. Patients aged 18 years or older with non-traumatic headaches who attended the emergency department and underwent neuroimaging were included. Demographic and clinical data were recorded, including headache associated signs and symptoms, imaging diagnosis and disposition. Statistically significant variables and clinically relevant variables were selected. Data was analyzed using a combination of logistic regression and Receiver Operator Characteristic (ROC) curves, leading to the derivation of three models.Results: 626 patients were included, 15.5% with abnormal neuroimaging. The variables with the highest odds ratio (OR) were: age > 40 years (OR 3.2 CI 1.86-5.56), motor deficit (OR 5.4 CI 2.62-11.18), visual deficit (OR 3.2 CI 1.56-6.63) and gait disturbance (OR 2.27 CI 0.87-5.96). Three abnormal neuroimaging prediction logistic regression models have been derived. The better scale is performed with model 1, which is validated internally and a cut-off point of 0.179, the Area Under the Curve (AUC) of 0.757 is obtained with a diagnostic accuracy of 0.79 (0.73-0.85).Conclusion: Our straightforward scale incorporates clinical factors associated with abnormal neuroimaging, with the aim of improving diagnostic performance and predictive capacity to distinguish patients who require neuroimaging.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid abdominal MRI for appendicitis for evaluation of ovarian torsion in children. 快速腹部MRI对阑尾炎儿童卵巢扭转的评价。

IF 1.7

Emergency Radiology Pub Date : 2025-05-06 DOI: 10.1007/s10140-025-02346-1

Sharon W Gould, Tejal Mody, Mary D Gould, Heidi Kecskemethy, Simone Veale, Jobayer Hossain, Arabinda K Choudhary

{"title":"Rapid abdominal MRI for appendicitis for evaluation of ovarian torsion in children.","authors":"Sharon W Gould, Tejal Mody, Mary D Gould, Heidi Kecskemethy, Simone Veale, Jobayer Hossain, Arabinda K Choudhary","doi":"10.1007/s10140-025-02346-1","DOIUrl":"https://doi.org/10.1007/s10140-025-02346-1","url":null,"abstract":"Purpose: Diagnosing adnexal torsion is challenging due to non-specific presentation and ultrasound findings. MRI may provide alternative assessment of adnexal torsion. We evaluated an MRI appendicitis protocol for torsion identification.Methods: Retrospective chart and image review was performed for girls with appendicitis MRI exams from 2013 to 2019. Ovarian volumes, stromal T2 signal, and apparent diffusion coefficient (ADC) ratios were tabulated. Ovarian and paratubal cysts' size and location were recorded as well as presence or absence of torsion. Statistical analysis was performed.Results: Six hundred-fifty cases were included, eight with torsion. Higher ovarian volumes and volume ratios were found with torsion (p < 0.0001 and p < 0.0001, respectively). Ovarian volume ratio less than 4:1 had 99.7% negative predictive value (NPV). Ovarian volume less than 20 mL had 99.8% NPV. Five of six cases with 7 cm or larger adnexal cysts were torsed. T2 signal and ADC ratios overlapped between torsed and untorsed groups. No torsed adnexa appeared normal on MRI.Conclusion: Torsed cases tended to have larger ovaries and higher volume ratios. Adnexal cysts greater than 7 cm diameter were likely to be torsed. No torsion cases had normal adnexae on MRI. Normal appearing adnexae on MRI are very unlikely to be torsed.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imaging in penetrating neck injuries. 穿透性颈部损伤的影像学分析。

IF 1.7

Emergency Radiology Pub Date : 2025-04-25 DOI: 10.1007/s10140-025-02345-2

Snehal Ishwar Kose

引用次数: 0

Point-of-care lung ultrasound - a rapid and reliable diagnostic tool for emergency physicians treating patients with acute dyspnea in high-volume emergency departments. 即时肺超声-急诊医生在大容量急诊科治疗急性呼吸困难患者的快速可靠的诊断工具。

IF 1.7

Emergency Radiology Pub Date : 2025-04-22 DOI: 10.1007/s10140-025-02343-4

Irina Ciumanghel, Eliza Barbuta, Adi-Ionut Ciumanghel, Iulian Buzincu, Gabriela Grigorasi, Diana Cimpoesu

{"title":"Point-of-care lung ultrasound - a rapid and reliable diagnostic tool for emergency physicians treating patients with acute dyspnea in high-volume emergency departments.","authors":"Irina Ciumanghel, Eliza Barbuta, Adi-Ionut Ciumanghel, Iulian Buzincu, Gabriela Grigorasi, Diana Cimpoesu","doi":"10.1007/s10140-025-02343-4","DOIUrl":"https://doi.org/10.1007/s10140-025-02343-4","url":null,"abstract":"Purpose: Acute dyspnea is a common presenting symptom in the Emergency Department (ED). The study aims to assess the concordance between emergency physician diagnosis (i.e., initial rapid assessment at ED admission including point-of-care lung ultrasound - PoC-LUS) and attending physician diagnosis (i.e., hospital admission diagnosis which also includes CT scans) in patients presenting with dyspnea.Method: We performed a prospective pilot observational study in the ED of tertiary care university hospital between 31.01.2022 and 03.09.2024. We included dyspneic patients presented when the physician involved in the study was on call.Results: A total of 103 patients were included (mean age, 70±16.1 years). An excellent agreement was found between emergency physician and attending physician diagnosis for all etiologies of dyspnea: pleural effusion (Cohen's kappa coefficient 1 for bilateral, 0.844 for right, 0.790 for left pleural effusion), pneumonia (κ = 0.979 for right, κ = 0.930 for left pneumonia), bronchopneumonia (κ = 0.912), acute pulmonary edema (κ = 1), chronic obstructive pulmonary disease exacerbation (κ = 0.904), pleuropulmonary tumors (k = 0.884), acute respiratory distress syndrome - ARDS (κ = 1), (p < 0.001 for all). The median(±SD) time needed to complete the emergency physician diagnosis was 16(±4) minutes and the median(±SD) time needed to complete the attending physician diagnosis was 480(±112) minutes.Conclusion: In patients presenting in the ED with dyspnea, PoC-LUS guided emergency physician diagnosis has a very good diagnosis performance. The time needed to complete the emergency physician diagnosis is much lower than the time needed to complete the attending physician diagnosis. Given its availability, PoC-LUS is a useful tool for the assessment of patients presenting with dyspnea.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Value assessment of augmentative artificial intelligence for assessment of pulmonary emboli on CT - a meta-analysis comprising 15,963 CT scans. 增强人工智能在CT上评估肺栓塞的价值评估——一项包含15963次CT扫描的荟萃分析。

IF 1.7

Emergency Radiology Pub Date : 2025-04-21 DOI: 10.1007/s10140-025-02344-3

Igor M Kitanovski, Alec Buetow, Steven C Schoettler-Woll, Abdul M Zafar

{"title":"Value assessment of augmentative artificial intelligence for assessment of pulmonary emboli on CT - a meta-analysis comprising 15,963 CT scans.","authors":"Igor M Kitanovski, Alec Buetow, Steven C Schoettler-Woll, Abdul M Zafar","doi":"10.1007/s10140-025-02344-3","DOIUrl":"https://doi.org/10.1007/s10140-025-02344-3","url":null,"abstract":"Purpose: Artificial Intelligence (AI) algorithms in radiology are currently deployed as tools to augment radiologists rather than autonomous readers. An augmentative tool should improve performance above and beyond the baseline performance achieved by the user alone. We conducted a meta-analysis to elucidate the added value of augmentative AI to radiologists for detecting Pulmonary Embolism (PE) on CT scan.Methods: Using PRISMA guidelines, studies in which both AI and Human Interpreter (HI) assessed CT scans for pulmonary emboli were selected. Data extracted from these studies were used to compare diagnostic performance of AI and HI with an emphasis on the performance of AI above and beyond that of HI.Results: Both HI and AI performed similarly with no statistically significant difference in the pooled estimates of sensitivity, specificity, PPV, NPV and accuracy. Subsequent analysis focusing on the differences between performance of AI and HI within each study, followed by pooled estimate, also did not demonstrate any significant difference (p < 0.05).Conclusions: In a meta-analysis of nearly sixteen thousand CTs, AI and HI had similar performance for detection of pulmonary emboli. On one hand, this buttresses AI's use for triaging and for second reads. On the other hand, the outcomes may or may not be different when AI is added-on. The findings of this meta-analysis can be used to re-examine the use-scenarios of AI and to re-calibrate its value proposition.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring knowledge, attitude and confidence in point-of-care ultrasound among emergency physicians and radiologists in Jordan: a cross-sectional study. 探索知识，态度和信心点护理超声在约旦急诊医生和放射科医生：一项横断面研究。

IF 1.7

Emergency Radiology Pub Date : 2025-04-21 DOI: 10.1007/s10140-025-02340-7

Maryam Yagbeh, Alaa O Oteir, Maram Alakhras, Zainab Alqudah, Liqaa Rafee, Asmaa Al-Mnayyis, Rasha Buhumaid, Brett Williams

{"title":"Exploring knowledge, attitude and confidence in point-of-care ultrasound among emergency physicians and radiologists in Jordan: a cross-sectional study.","authors":"Maryam Yagbeh, Alaa O Oteir, Maram Alakhras, Zainab Alqudah, Liqaa Rafee, Asmaa Al-Mnayyis, Rasha Buhumaid, Brett Williams","doi":"10.1007/s10140-025-02340-7","DOIUrl":"https://doi.org/10.1007/s10140-025-02340-7","url":null,"abstract":"Objective: This study explored POCUS knowledge, attitudes, confidence, barriers, enablers, and their associated factors among radiologists and emergency physicians in Jordan.Methods: A cross-sectional questionnaire-based study covered five sections: socio-demographics, knowledge, attitude, confidence, and barriers and enablers. Summary statistics, correlation, and regression analyses were performed.Results: A total of 164 physicians participated, with an average age of 33.8 (± 7.69) years; 52.4% were radiologists and 47.6% were emergency physicians. Participants exhibited good knowledge, attitudes, and confidence. Higher attitude scores (β = 0.28; p < 0.001) and having a POCUS machine (β = 1.70; p = 0.01) were associated with higher knowledge. Higher knowledge (β = 0.64; p < 0.001) predicted better attitudes, while attitude (β = 0.21; p = 0.01), specialty radiologist (β = 8.5; p < 0.001), age (β = 0.23; p < 0.001), and number of monthly scans (β = 0.01; p = 0.01) predicted confidence.Conclusion: Radiologists and emergency physicians in Jordan demonstrated good POCUS knowledge, attitudes, and confidence. Specialty and usage frequency influenced these factors. Future studies should explore training effects on skill acquisition. The study found different factors that are associated with knowledge, attitude, and confidence levels such as specialty, frequency of using POCUS, and the levels of knowledge, attitude and confidence. Future studies, including large prospective studies and/or experimental studies that examine the effect of training on skill acquisition among various healthcare professionals are warranted.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CT of the esophagus in the ER: what you need to know and what you need to remember. 在急诊室的食道CT：你需要知道什么，你需要记住什么。

IF 1.7

Emergency Radiology Pub Date : 2025-04-16 DOI: 10.1007/s10140-025-02339-0

Mohammad Yasrab, Charles K Crawford, Linda C Chu, Satomi Kawamoto, Elliot K Fishman

{"title":"CT of the esophagus in the ER: what you need to know and what you need to remember.","authors":"Mohammad Yasrab, Charles K Crawford, Linda C Chu, Satomi Kawamoto, Elliot K Fishman","doi":"10.1007/s10140-025-02339-0","DOIUrl":"https://doi.org/10.1007/s10140-025-02339-0","url":null,"abstract":"Computed tomography (CT) imaging is a crucial diagnostic tool in the emergency department (ED) for evaluating non-traumatic esophageal conditions. Advanced imaging techniques such as multidetector CT (MDCT) quickly provide detailed 3D images with high spatial resolution, making it ideal for rapid assessment of a variety of esophageal pathologies. This pictorial essay presents 10 illustrative cases to highlight the clinical applications of MDCT and its critical role in diagnosing conditions like perforation, foreign body impaction, inflammatory or infectious esophagitis, achalasia, fistulae, and neoplasms. Optimized CT protocols, such as contrast-enhanced imaging and advanced postprocessing techniques like maximum intensity projection (MIP) images and volumetric rendering technique (VRT), in addition to 3D cinematic rendering, are crucial in improving diagnostic accuracy and enhancing visualization of anatomical structures. The cases presented emphasize the importance of early detection and timely management of esophageal conditions, as small delays can lead to significantly increased morbidity and mortality. Ultimately, a multidisciplinary approach that coordinates clinical, radiological, and pathological evaluations ensures appropriate management and improved patient outcomes in esophageal emergencies.","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0