Iranian Journal of Radiology

Published by: Kowsar

Diagnostic Accuracy of Secondary Ultrasound Exam in Blunt Abdominal Trauma

Alireza Rajabzadeh Kanafi 1 , Masoumeh Giti 2 , Mohammad Hossein Gharavi 1 , Ahmad Alizadeh 1 , Ramin Pourghorban 3 and Babak Shekarchi 4 , *
Authors Information
1 Department of Radiology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
2 Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Radiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Radiology, 501 Hospital, AJA University of Medical Sciences, Tehran, Iran
Article information
  • Iranian Journal of Radiology: July 01, 2014, 11 (3); e21010
  • Published Online: July 20, 2014
  • Article Type: Research Article
  • Received: September 10, 2012
  • Revised: November 20, 2013
  • Accepted: January 1, 1970
  • DOI: 10.5812/iranjradiol.21010

To Cite: Rajabzadeh Kanafi A, Giti M, Gharavi M H, Alizadeh A, Pourghorban R, et al. Diagnostic Accuracy of Secondary Ultrasound Exam in Blunt Abdominal Trauma, Iran J Radiol. 2014 ; 11(3):e21010. doi: 10.5812/iranjradiol.21010.

Copyright © 2014, Tehran University of Medical Sciences and Iranian Society of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Kristensen JK, Buemann B, Kuhl E. Ultrasonic scanning in the diagnosis of splenic haematomas. Acta Chir Scand. 1971; 137(7): 653-7[PubMed]
  • 2. Rozycki GS, Ochsner MG, Jaffin JH, Champion HR. Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients. J Trauma. 1993; 34(4): 516-26[PubMed]
  • 3. Boulanger BR, Kearney PA, Brenneman FD, Tsuei B, Ochoa J. Utilization of FAST (Focused Assessment with Sonography for Trauma) in 1999: results of a survey of North American trauma centers. Am Surg. 2000; 66(11): 1049-55[PubMed]
  • 4. McKenney M, Lentz K, Nunez D, Sosa JL, Sleeman D, Axelrad A, et al. Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma? J Trauma. 1994; 37(3): 439-41[PubMed]
  • 5. Polk JD, Fallon WF, Jr, Kovach B, Mancuso C, Stephens M, Malangoni MA. The "Airmedical F.A.S.T." for trauma patients--the initial report of a novel application for sonography. Aviat Space Environ Med. 2001; 72(5): 432-6[PubMed]
  • 6. Rozanski TA, Edmondson JM, Jones SB. Ultrasonography in a forward-deployed military hospital. Mil Med. 2005; 170(2): 99-102[PubMed]
  • 7. Boysen SR, Rozanski EA, Tidwell AS, Holm JL, Shaw SP, Rush JE. Evaluation of a focused assessment with sonography for trauma protocol to detect free abdominal fluid in dogs involved in motor vehicle accidents. J Am Vet Med Assoc. 2004; 225(8): 1198-204[PubMed]
  • 8. Miller MT, Pasquale MD, Bromberg WJ, Wasser TE, Cox J. Not so FAST. J Trauma. 2003; 54(1): 52-9[DOI][PubMed]
  • 9. Dolich MO, McKenney MG, Varela JE, Compton RP, McKenney KL, Cohn SM. 2,576 ultrasounds for blunt abdominal trauma. J Trauma. 2001; 50(1): 108-12[PubMed]
  • 10. Branney SW, Wolfe RE, Moore EE, Albert NP, Heinig M, Mestek M, et al. Quantitative sensitivity of ultrasound in detecting free intraperitoneal fluid. J Trauma. 1995; 39(2): 375-80[PubMed]
  • 11. Gracias VH, Frankel HL, Gupta R, Malcynski J, Gandhi R, Collazzo L, et al. Defining the learning curve for the Focused Abdominal Sonogram for Trauma (FAST) examination: implications for credentialing. Am Surg. 2001; 67(4): 364-8[PubMed]
  • 12. Sirlin CB, Casola G, Brown MA, Patel N, Bendavid EJ, Hoyt DB. Patterns of fluid accumulation on screening ultrasonography for blunt abdominal trauma: comparison with site of injury. J Ultrasound Med. 2001; 20(4): 351-7[PubMed]
  • 13. Sirlin CB, Casola G, Brown MA, Patel N, Bendavid EJ, Hoyt DB. Quantification of fluid on screening ultrasonography for blunt abdominal trauma: a simple scoring system to predict severity of injury. J Ultrasound Med. 2001; 20(4): 359-64[PubMed]
  • 14. Tsui CL, Fung HT, Chung KL, Kam CW. Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma. Int J Emerg Med. 2008; 1(3): 183-7[DOI][PubMed]
  • 15. Goldberg BB, Goodman GA, Clearfield HR. Evaluation of ascites by ultrasound. Radiology. 1970; 96(1): 15-22[DOI][PubMed]
  • 16. Chiu WC, Cushing BM, Rodriguez A, Ho SM, Mirvis SE, Shanmuganathan K, et al. Abdominal injuries without hemoperitoneum: a potential limitation of focused abdominal sonography for trauma (FAST). J Trauma. 1997; 42(4): 617-23[PubMed]
  • 17. McGahan JP, Rose J, Coates TL, Wisner DH, Newberry P. Use of ultrasonography in the patient with acute abdominal trauma. J Ultrasound Med. 1997; 16(10): 653-62[PubMed]
  • 18. Shatz DV, de la Pedraja J, Erbella J, Hameed M, Vail SJ. Efficacy of follow-up evaluation in penetrating thoracic injuries: 3- vs. 6-hour radiographs of the chest. J Emerg Med. 2001; 20(3): 281-4[DOI]
  • 19. Fernandez L, McKenney MG, McKenney KL, Cohn SM, Feinstein A, Senkowski C, et al. Ultrasound in blunt abdominal trauma. J Trauma. 1998; 45(4): 841-8[PubMed]
  • 20. Blackbourne LH, Soffer D, McKenney M, Amortegui J, Schulman CI, Crookes B, et al. Secondary ultrasound examination increases the sensitivity of the FAST exam in blunt trauma. J Trauma. 2004; 57(5): 934-8[PubMed]
  • 21. Nunes LW, Simmons S, Hallowell MJ, Kinback R, Trooskin S, Kozar R. Diagnostic performance of trauma US in identifying abdominal or pelvic free fluid and serious abdominal or pelvic injury. Acad Radiol. 2001; 8(2): 128-36[PubMed]
  • 22. Jehle D, Guarino J, Karamanoukian H. Emergency department ultrasound in the evaluation of blunt abdominal trauma. Am J Emerg Med. 1993; 11(4): 342-6[PubMed]
  • 23. Griffin XL, Pullinger R. Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigations for hemodynamically stable patients after blunt abdominal trauma? A review of the literature. J Trauma. 2007; 62(3): 779-84[DOI][PubMed]
  • 24. Yoshii H, Sato M, Yamamoto S, Motegi M, Okusawa S, Kitano M, et al. Usefulness and limitations of ultrasonography in the initial evaluation of blunt abdominal trauma. J Trauma. 1998; 45(1): 45-50[PubMed]
  • 25. Shackford SR, Rogers FB, Osler TM, Trabulsy ME, Clauss DW, Vane DW. Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum. J Trauma. 1999; 46(4): 553-62[PubMed]
  • 26. McKenney KL, McKenney MG, Cohn SM, Compton R, Nunez DB, Dolich M, et al. Hemoperitoneum score helps determine need for therapeutic laparotomy. J Trauma. 2001; 50(4): 650-4[PubMed]
  • 27. Boulanger BR, McLellan BA, Brenneman FD, Ochoa J, Kirkpatrick AW. Prospective evidence of the superiority of a sonography-based algorithm in the assessment of blunt abdominal injury. J Trauma. 1999; 47(4): 632-7[PubMed]
  • 28. Nural MS, Yardan T, Guven H, Baydin A, Bayrak IK, Kati C. Diagnostic value of ultrasonography in the evaluation of blunt abdominal trauma. Diagn Interv Radiol. 2005; 11(1): 41-4[PubMed]
  • 29. Coley BD, Mutabagani KH, Martin LC, Zumberge N, Cooney DR, Caniano DA, et al. Focused abdominal sonography for trauma (FAST) in children with blunt abdominal trauma. J Trauma. 2000; 48(5): 902-6[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments