This chapter primarily explores the critical aspects of imaging diagnosis for liver trauma, encompassing the utilization of ultrasound, CT examination, and angiography in evaluating liver injuries. Ultrasound examination, owing to its convenience, rapidity, and precision, has emerged as a primary modality for assessing liver damage, especially suited for dynamically monitoring patients undergoing conservative treatment. CT scans, particularly contrast-enhanced CT, are considered the “gold standard” for liver trauma, as they precisely categorize the extent of damage and provide hemodynamic information, pivotal in determining the suitability of surgical or nonsurgical intervention. Angiography is utilized to assess vascular injuries in the liver. Imaging findings vary depending on the type of liver injury, with hepatic contusion and laceration exhibiting distinct characteristics on ultrasound and CT. The section dedicated to cases showcases a spectrum of different types of liver injuries, delineating the distinct imaging findings associated with each respective condition. This detailed depiction serves to enhance the understanding of the diagnostic characteristics of liver injuries, aiding in the accurate identification and classification of these lesions.

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Key Points of Imaging Diagnosis of Liver Trauma

  • Wen Shen,
  • Huijuan Zhang,
  • Yan Lin,
  • Jie Bian

摘要

This chapter primarily explores the critical aspects of imaging diagnosis for liver trauma, encompassing the utilization of ultrasound, CT examination, and angiography in evaluating liver injuries. Ultrasound examination, owing to its convenience, rapidity, and precision, has emerged as a primary modality for assessing liver damage, especially suited for dynamically monitoring patients undergoing conservative treatment. CT scans, particularly contrast-enhanced CT, are considered the “gold standard” for liver trauma, as they precisely categorize the extent of damage and provide hemodynamic information, pivotal in determining the suitability of surgical or nonsurgical intervention. Angiography is utilized to assess vascular injuries in the liver. Imaging findings vary depending on the type of liver injury, with hepatic contusion and laceration exhibiting distinct characteristics on ultrasound and CT. The section dedicated to cases showcases a spectrum of different types of liver injuries, delineating the distinct imaging findings associated with each respective condition. This detailed depiction serves to enhance the understanding of the diagnostic characteristics of liver injuries, aiding in the accurate identification and classification of these lesions.