Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Blunt abdominal trauma may represent an immediate threat to life and requires rapid diagnosis and treatment. A diagnostic tool is required for assessment of abdominal injuries since clinical examination and physical examination is unreliable in most of the cases. The management of patients with blunt abdominal injury has evolved greatly over the last few decades. Major changes in the diagnostics of hemodynamically stable patients with blunt trauma have occurred. Major changes in the diagnostics of hemodynamically stable patients with blunt trauma have occurred. Magnetic resonance imaging (MRI), with the lack of radiation exposure and iodinated contrast material, is an attractive option for diagnosis in stable patient. To compare the diagnostic efficacy of USG, CT and MRI of Abdomen in Blunt Abdominal Trauma in order to bring out the most effective diagnostic modality. The patients, satisfying the inclusion criteria, after clinical evaluation, were subjected to Abdominal X‐ray, Ultrasonography, Computed Tomography and Magnetic Resonance Imaging and a report was obtained from the radiologist regarding the pathology associated. This was compared with the intra‐operative finding during Exploratory Laparotomy Procedure. The data was collected in a pretested Case Record Proforma designed for the study and was assessed by appropriate statistical methods. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of USG was determined to be 73.68%, 96.43%, 96.55%, 72.97% and 83.33% respectively. In CT and MRI sensitivity was 85.53% and 96.05%, specificity was 96.43% and 98.21%, PPV was 97.01% and 98.65%, NPV was 83.08% and 94.83% and accuracy was 90.15% and 96.97% respectively. Higher sensitivity and specificity along with greater accuracy was noted in MRI as compared to CT and USG.
How to cite this article:
Vinu Gopinath and Prahaladh Ramaswamy. Comparitive Study of USG, CT and MRI in Assessment of Blunt Trauma Abdomen.
DOI: https://doi.org/10.36478/makrjms.2025.4.25.36
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.4.25.36