The clinical benefit of a follow-up thoracic computed tomography scan regarding parenchymal lung injury and acute respiratory distress syndrome in polytraumatized.

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Presentation transcript:

The clinical benefit of a follow-up thoracic computed tomography scan regarding parenchymal lung injury and acute respiratory distress syndrome in polytraumatized patients Lukas L. Negrin, MD, MSc, Helmut Prosch, MD, Stephan Kettner, MD, Gabriel Halat, MD, Thomas Heinz, MD, Stefan Hajdu, MD, MBA Journal of Critical Care Volume 37, Pages 211-218 (February 2017) DOI: 10.1016/j.jcrc.2016.10.003 Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 1 Volumetric analysis: defined ROIs—PLI areas (top left) and lung borders (top right); 3D—reconstruction of selected PLI areas (middle left) and the corresponding left lung (middle right)—not scaled properly; visualization of the entire pathology in a 3D model (ap and lateral)—scaled correctly (bottom). Journal of Critical Care 2017 37, 211-218DOI: (10.1016/j.jcrc.2016.10.003) Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 2 Change in PLI volumes. A, Scatterplot and (B) bar chart summarizing the changes of relative PLI volumes between initial and follow-up CT scans. Journal of Critical Care 2017 37, 211-218DOI: (10.1016/j.jcrc.2016.10.003) Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 3 CT scan of a motorcycle accident victim. Male, 53 years; ISS, 24; AISThorax, 4; directly after admission (top) and after 40 hours (bottom). Journal of Critical Care 2017 37, 211-218DOI: (10.1016/j.jcrc.2016.10.003) Copyright © 2016 Elsevier Inc. Terms and Conditions

Fig. 4 The PLI volume and ARDS. A, Differences in initial relative PLI volume depending on ARDS incidence. B, The ROC curve for initial relative PLI volume and ARDS. Journal of Critical Care 2017 37, 211-218DOI: (10.1016/j.jcrc.2016.10.003) Copyright © 2016 Elsevier Inc. Terms and Conditions