The American Association for the Surgery of Trauma Organ Injury Scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist.


Journal

Emergency radiology
ISSN: 1438-1435
Titre abrégé: Emerg Radiol
Pays: United States
ID NLM: 9431227

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 09 07 2019
accepted: 20 08 2019
pubmed: 7 9 2019
medline: 18 11 2020
entrez: 7 9 2019
Statut: ppublish

Résumé

The most widely used trauma injury grading system is the Organ Injury Scale (OIS) by the American Association for the Surgery of Trauma (AAST). The AAST OIS for renal trauma was revised in 2018 to reflect necessary updates based on decades of experience with computed tomography (CT)-based injury diagnosis and, specifically, to better incorporate vascular injuries, which were not comprehensively addressed in the original OIS. In this review article, we describe CT findings of the AAST OIS for the kidney according to the 2018 revision, with an emphasis on real-world application, and highlight important differences from the prior grading scheme. Routine use of this grading system allows for a standardized classification of the range of renal injuries to aid in management, adding value in the imaging care of trauma patients.

Identifiants

pubmed: 31489487
doi: 10.1007/s10140-019-01721-z
pii: 10.1007/s10140-019-01721-z
doi:

Types de publication

Journal Article Practice Guideline Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

63-73

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Auteurs

Ling-Chen Chien (LC)

Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road NE, Atlanta, GA, 30322, USA. Ling-chen.chien@emory.edu.

Mona Vakil (M)

Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.

Jonathan Nguyen (J)

Grady Memorial Hospital, Department of Surgery, Division of Trauma and Critical Care, Morehouse School of Medicine, Atlanta, GA, 30303, USA.

Amanda Chahine (A)

Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.

Krystal Archer-Arroyo (K)

Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.

Tarek N Hanna (TN)

Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.

Keith D Herr (KD)

Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, 30308, USA.

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