Gangrene CT: Difference between revisions
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{{CMG}}; {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | {{CMG}}; {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | ||
==Overview== | |||
[[Computed tomography]] ([[CT]]) [[scan]] with [[contrast]] is the best initial [[imaging test]] for [[gangrene]]. <ref name="pmid17278065">{{cite journal| author=Anaya DA, Dellinger EP| title=Necrotizing soft-tissue infection: diagnosis and management. | journal=Clin Infect Dis | year= 2007 | volume= 44 | issue= 5 | pages= 705-10 | pmid=17278065 | doi=10.1086/511638 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17278065 }} </ref> <ref name="pmid20479343">{{cite journal| author=Zacharias N, Velmahos GC, Salama A, Alam HB, de Moya M, King DR | display-authors=etal| title=Diagnosis of necrotizing soft tissue infections by computed tomography. | journal=Arch Surg | year= 2010 | volume= 145 | issue= 5 | pages= 452-5 | pmid=20479343 | doi=10.1001/archsurg.2010.50 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20479343 }} </ref> <ref name="pmid9015076">{{cite journal| author=Becker M, Zbären P, Hermans R, Becker CD, Marchal F, Kurt AM | display-authors=etal| title=Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. | journal=Radiology | year= 1997 | volume= 202 | issue= 2 | pages= 471-6 | pmid=9015076 | doi=10.1148/radiology.202.2.9015076 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9015076 }} </ref> | |||
==Computed Tomography (CT) Scan Findings== | |||
* [[Computed tomography]] ([[CT]]) [[scan]] with [[contrast]] is the best initial [[imaging test]] for [[gangrene]]. <ref name="pmid17278065">{{cite journal| author=Anaya DA, Dellinger EP| title=Necrotizing soft-tissue infection: diagnosis and management. | journal=Clin Infect Dis | year= 2007 | volume= 44 | issue= 5 | pages= 705-10 | pmid=17278065 | doi=10.1086/511638 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17278065 }} </ref> <ref name="pmid20479343">{{cite journal| author=Zacharias N, Velmahos GC, Salama A, Alam HB, de Moya M, King DR | display-authors=etal| title=Diagnosis of necrotizing soft tissue infections by computed tomography. | journal=Arch Surg | year= 2010 | volume= 145 | issue= 5 | pages= 452-5 | pmid=20479343 | doi=10.1001/archsurg.2010.50 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20479343 }} </ref> <ref name="pmid9015076">{{cite journal| author=Becker M, Zbären P, Hermans R, Becker CD, Marchal F, Kurt AM | display-authors=etal| title=Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. | journal=Radiology | year= 1997 | volume= 202 | issue= 2 | pages= 471-6 | pmid=9015076 | doi=10.1148/radiology.202.2.9015076 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9015076 }} </ref> | |||
*Clinically relevant findings seen in [[CT scan]]s include: | |||
**Presence of [[gas]] | |||
**Presence of [[fluid collections]] | |||
**Variation in the [[heterogeneity]] of [[soft tissues]] with the use of [[intravenous contrast]] | |||
**Presence of [[inflammatory changes]] underneath the [[fascia]]. <ref name="pmid33945021">{{cite journal| author=Bruls RJM, Kwee RM| title=CT in necrotizing soft tissue infection: diagnostic criteria and comparison with LRINEC score. | journal=Eur Radiol | year= 2021 | volume= 31 | issue= 11 | pages= 8536-8541 | pmid=33945021 | doi=10.1007/s00330-021-08005-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33945021 }} </ref> | |||
==References== | ==References== | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category: | [[Category:Up to Date]] | ||
Latest revision as of 20:35, 28 April 2022
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American Roentgen Ray Society Images of Gangrene CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.
Overview
Computed tomography (CT) scan with contrast is the best initial imaging test for gangrene. [1] [2] [3]
Computed Tomography (CT) Scan Findings
- Computed tomography (CT) scan with contrast is the best initial imaging test for gangrene. [1] [2] [3]
- Clinically relevant findings seen in CT scans include:
- Presence of gas
- Presence of fluid collections
- Variation in the heterogeneity of soft tissues with the use of intravenous contrast
- Presence of inflammatory changes underneath the fascia. [4]
References
- ↑ 1.0 1.1 Anaya DA, Dellinger EP (2007). "Necrotizing soft-tissue infection: diagnosis and management". Clin Infect Dis. 44 (5): 705–10. doi:10.1086/511638. PMID 17278065.
- ↑ 2.0 2.1 Zacharias N, Velmahos GC, Salama A, Alam HB, de Moya M, King DR; et al. (2010). "Diagnosis of necrotizing soft tissue infections by computed tomography". Arch Surg. 145 (5): 452–5. doi:10.1001/archsurg.2010.50. PMID 20479343.
- ↑ 3.0 3.1 Becker M, Zbären P, Hermans R, Becker CD, Marchal F, Kurt AM; et al. (1997). "Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management". Radiology. 202 (2): 471–6. doi:10.1148/radiology.202.2.9015076. PMID 9015076.
- ↑ Bruls RJM, Kwee RM (2021). "CT in necrotizing soft tissue infection: diagnostic criteria and comparison with LRINEC score". Eur Radiol. 31 (11): 8536–8541. doi:10.1007/s00330-021-08005-6. PMID 33945021 Check
|pmid=value (help).