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Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
Non-opaque soft tissue foreign body: sonographic findings
Afshin Mohammadi1, Mohammad Ghasemi-Rad, Maryam Khodabakhsh
1Radiology Department, Urmia University of Medical Sciences, Urmia, Iran. mohamadi_afshin@yahoo.com
BMC Medical Imaging
|April 12, 2011
Summary
Ultrasound effectively detects and locates non-radiopaque foreign bodies in soft tissues, improving emergency diagnosis. This imaging technique helps surgeons find and remove these objects, preventing misdiagnosis.
Area of Science:
- Orthopedic Surgery
- Diagnostic Imaging
- Emergency Medicine
Background:
- Soft tissue foreign bodies frequently lead to orthopedic consultations in emergency departments.
- Conventional radiology is limited to detecting radio-opaque foreign bodies, making non-opaque objects difficult to confirm.
- Sonography presents a valuable diagnostic tool for identifying non-opaque foreign bodies.
Purpose of the Study:
- To assess the diagnostic accuracy of sonography in detecting and localizing non-opaque foreign bodies.
- To evaluate the utility of ultrasound in guiding surgical removal of soft tissue foreign bodies.
Main Methods:
- 47 patients with suspected soft tissue foreign bodies underwent sonography using a 10 MHz linear array transducer.
- Examinations were performed by a single radiologist with 6 years of musculoskeletal sonography experience.
- Sonography was used to detect and localize foreign bodies, aiding surgical planning.
Main Results:
- Sonography successfully detected soft tissue foreign bodies in 45 cases, appearing as hyperechoic foci.
- Posterior acoustic shadowing was observed in 36 cases, and a halo sign (abscess/granulation tissue) in 5 cases.
- Surgery was performed on 39 patients, resulting in the removal of 44 foreign bodies.
Conclusions:
- Sonography is a highly effective imaging modality for the detection and localization of radiolucent foreign bodies within soft tissues.
- Utilizing sonography can prevent misdiagnosis during initial emergency evaluations.
- Ultrasound imaging facilitates surgical intervention for soft tissue foreign bodies.
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