The Use of Improvised Bullet Markers with 3D CT Reconstruction in the Evaluation of Penetrating Trauma

Radio-opaque markers placed over entry and exit wounds, have been used to help evaluate penetrating injuries and provide a permanent record of wound location on plain radiographs. To date there are no published reports of the application of improvised bullet markers in the evaluation of penetrating...

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Bibliographic Details
Published in:BMJ military health Vol. 154; no. 4; pp. 239 - 241
Main Authors: Ramasamy, Arul, Hinsley, DE, Brooks, AJ
Format: Journal Article
Language:English
Published: England BMJ Publishing Group LTD 01.12.2008
Subjects:
Adolescent
Adult
Blast Injuries - diagnostic imaging
Blast Injuries - surgery
Child
Humans
Imaging, Three-Dimensional
Lumbar Vertebrae - injuries
Male
Neck Injuries - diagnostic imaging
Neck Injuries - surgery
Prospective Studies
Spinal Fractures - diagnostic imaging
Tomography, X-Ray Computed - instrumentation
United Kingdom
Wounds, Gunshot - diagnostic imaging
Wounds, Gunshot - surgery
ISSN:0035-8665, 2633-3767, 2052-0468, 2633-3775
Online Access:Get full text
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Summary:Radio-opaque markers placed over entry and exit wounds, have been used to help evaluate penetrating injuries and provide a permanent record of wound location on plain radiographs. To date there are no published reports of the application of improvised bullet markers in the evaluation of penetrating injuries using computed tomography (CT). We report a series of 4 cases where bullet markers were used in combination with three-dimensional (3D) computerised tomography (CT) to ascertain the path of the bullets and to assess damage to vital structures. We believe that the use of bullet markers in penetrating trauma casualties undergoing CT is valuable in the surgical decision making process and allows planning of surgical approaches.
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ISSN:0035-8665
2633-3767
2052-0468
2633-3775
DOI:10.1136/jramc-154-04-06