CT Chest - Screening vs Diagnosis - Aortography

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Ken,

Usually I agree with you.  This time I will go with Sal and Karim.

Mickey


----- Original Message ----- 
From: <SJASMD at aol.com>
To: <trauma-list at trauma.org>
Sent: Saturday, November 26, 2005 10:47 PM
Subject: Re: CT Chest - Screening vs Diagnosis - Aortography


>
> ken
> for the life of me i cannot understand you stance
>
> while i do not agree with you, i would be able to understand you if you 
> said
> that you thought that ct was inadequate to characterize an aortic injury.
> but to say that you cannot diagnose an aortic injury with ct just eludes 
> me.
>
> by the way, i do not think i would be able to see or characterize all the
> anomalies you need to see better with angiography than ct. I certainly 
> cant
>
> Mind you i am an angiographer first. I am the one who still believes in
> angiography for penetrating trauma. i am the one who uses this wonderful
> technique every day. but i cannot agree with you when you say that CT is 
> inferior to
> aortography in this circumstance.
>
> Frankly, with the advent of digital subtraction, I think we lost something
> from conventional aortography especially when patients move or breath
>
> i am not convinced that anyone has ever proven equivalency of digital
> subtraction angiography and conventional angiography
>
> sal
>
> sal
>
> In a message dated 11/26/2005 2:05:04 P.M. Eastern Standard Time,
> KMATTOX at aol.com writes:
>
>
> In a  message dated 11/26/2005 12:11:00 PM Central Standard Time,
> mgstein at bezeqint.net writes:
>
> the  modality of choice to  diagnose or rule out
> Traumatic Toracic Aortic  Rupture
>
>
> I  could not DISAGREE MORE.   I was going along with your  argument  until
> you
> chose the word, "diagnose".   You  simply cannot diagnose  blunt thoracic
> aortic injury with  CTA.   Therein lies the real medical  legal, ethical,
> economic,
> and logical problem.
>
> k
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