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Inicio Radiología (English Edition) Checklist: Neck computed tomography in non-traumatic emergencies
Journal Information
Vol. 66. Issue 2.
Pages 155-165 (March - April 2024)
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Vol. 66. Issue 2.
Pages 155-165 (March - April 2024)
Radiology through images
Checklist: Neck computed tomography in non-traumatic emergencies
Lista de verificación: tomografía computarizada de cuello en urgencias no traumáticas
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6
J. Martínez-Checa Guiote
Corresponding author
jmchecaguiote@gmail.com

Corresponding author.
, C. Utrilla Contreras, P. García Raya, S. Ossaba Vélez, M. Martí de Gracia, G. Garzón Moll
Servicio de Radiodiagnóstico, Hospital Universitario La Paz, Madrid, Spain
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Abstract

Patients attending the emergency department (ED) with cervical inflammatory/infectious symptoms or presenting masses that may involve the aerodigestive tract or vascular structures require a contrast-enhanced computed tomography (CT) scan of the neck. Its radiological interpretation is hampered by the anatomical complexity and pathophysiological interrelationship between the different component systems in a relatively small area.

Recent studies propose a systematic evaluation of the cervical structures, using a 7-item checklist, to correctly identify the pathology and detect incidental findings that may interfere with patient management.

As a conclusion, the aim of this paper is to review CT findings in non-traumatic pathology of the neck in the ED, highlighting the importance of a systematic approach in its interpretation and synthesis of a structured, complete, and concise radiological report.

Keywords:
Neck
Computed tomography
Emergencies
Checklist
Resumen

A los pacientes que acuden a urgencias con síntomas inflamatorio/infecciosos a nivel cervical o con masas que pueden comprometer el tracto aerodigestivo o las estructuras vasculares, es necesario hacerles una tomografía computarizada (TC) de cuello con contraste. Su interpretación radiológica se ve dificultada por la complejidad anatómica y la interrelación fisiopatológica entre los diferentes sistemas que lo componen, en un área de estudio relativamente pequeña.

Estudios recientes proponen realizar una evaluación sistemática de las estructuras cervicales, utilizando para ello un listado de verificación de 7 elementos, para identificar correctamente la patología, y detectar los hallazgos incidentales que pueden interferir en el manejo del paciente.

El objetivo de este trabajo es revisar los hallazgos de la TC en la patología no traumática del cuello en urgencias siguiendo una lectura sistemática, tras la cual se pueda realizar un informe radiológico estructurado, completo y conciso.

Palabras clave:
Cuello
Tomografía computarizada
Urgencias
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