Individuals who have sustained major trauma require a well led, efficient and cohesive multidisciplinary team to best manage their injuries. Having early and accurate knowledge of the injuries sustained allows correct and prompt management. Radiology, specifically multidetector computed tomography (MDCT), is now fundamental in managing almost all major trauma patients; it has been shown to […]
Dr Richard Clarke, Dr David Gay
Plymouth Hospitals NHS Trust
In the 1980s CT imaging of coronary arteries began after the introduction of electron beam CT (EBCT), with the main application being quantification of calcifications in the coronary arteries for risk stratification. In the late 1990s helical multidetector row CT (MDCT), starting with the four-detector row, was used for noninvasive evaluation of suspected coronary artery […]
Dr Hatef Mansoubi
Western Sussex Hospital NHS Foundation Trust
Trauma is defined as ‘wounding due to physical injury’, resulting from a wide variety of causes. Major trauma is defined as ‘trauma that has the potential to cause death or severe disability’. Trauma is a leading cause of mortality and morbidity in patients under 45 years of age. The primary goal of management is to […]
Dr E L Gerety, Dr S J Freeman, Dr S S Upponi
Cambridge University Hospitals NHS Foundation Trust
Gated multi-detector CT (MDCT) is now recognised as an excellent and robust application for non-invasive assessment of coronary arteries, and in many centres is routinely used. Some studies have shown that MDCT scanners with 64-detector row have a 99% negative predictive value for the detection of coronary artery stenosis. MDCT images obtained with ECG gating […]
Dr Swamy Gedela
Essex Cardiothoracic Centre