Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography
Purpose The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surg...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0093.pdf |
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| author | Mahn Jeong Ha Seung Han Yu Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim |
| author_facet | Mahn Jeong Ha Seung Han Yu Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim |
| author_sort | Mahn Jeong Ha |
| collection | DOAJ |
| description | Purpose The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020. Results The mean difference between TCS and CT in measuring the midline shift was –1.33 mm (95% confidence interval, –2.00 to –0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001). Conclusions TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries. |
| format | Article |
| id | doaj-art-4d195bbf7fb2457b97b4cbae3b6b3883 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-4d195bbf7fb2457b97b4cbae3b6b38832025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-0136181410.20408/jti.2021.00931196Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomographyMahn Jeong Ha0Seung Han Yu1Jung Hwan Lee2Hyuk Jin Choi3Byung Chul Kim4 Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, KoreaPurpose The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020. Results The mean difference between TCS and CT in measuring the midline shift was –1.33 mm (95% confidence interval, –2.00 to –0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001). Conclusions TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.http://jtraumainj.org/upload/pdf/jti-2021-0093.pdftraumatic brain injuriesintracranial pressuredecompressive craniectomyultrasonography |
| spellingShingle | Mahn Jeong Ha Seung Han Yu Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography Journal of Trauma and Injury traumatic brain injuries intracranial pressure decompressive craniectomy ultrasonography |
| title | Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography |
| title_full | Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography |
| title_fullStr | Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography |
| title_full_unstemmed | Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography |
| title_short | Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography |
| title_sort | usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries a comparison with postoperative computed tomography |
| topic | traumatic brain injuries intracranial pressure decompressive craniectomy ultrasonography |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0093.pdf |
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