image: Left: AP radiography of cervical spine demonstrates single-density well-defined bullet within right posterolateral soft tissues of neck at C4 level—consistent with full metal jacket bullet Right: Two different densities of ballistic material. Lower-density fragment in left upper lobe is copper jacket and high-density metal fragment is lead score—consistent with semi-jacketed bullet. view more
Credit: 2022 American Roentgen Ray Society Annual Meeting in New Orleans, LA
New Orleans, LA, May 4, 2021—Understanding the most recent mechanisms of ballistic trauma and injury patterns aids to guide radiologists’ interpretation, an award-winning Electronic Exhibit noted this morning during the 2022 ARRS Annual Meeting in New Orleans, LA.
Both direct and indirect injury is caused by the bullet and the shockwave created around its path.
“When interpreting imaging, one should use a mechanistic approach to establish bullet trajectory followed by assessment for injuries along the established path. Retained bullet fragments should be considered MRI conditional, and with the appropriate preceding workup patients, may be safely imaged,” wrote Jaykumar Nair, Submitting and First Author, from St. Michael's Hospital and University of Toronto in Ontario, Canada.
Moreover, these updates point out key anatomic and pathophysiologic issues, as well as imaging findings and techniques, of firearms and ballistics tissue injuries.
North America’s first radiological society, the American Roentgen Ray Society (ARRS) remains dedicated to the advancement of medicine through the profession of medical imaging and its allied sciences. An international forum for progress in radiology since the discovery of the x-ray, ARRS maintains its mission of improving health through a community committed to advancing knowledge and skills with the world’s longest continuously published radiology journal—American Journal of Roentgenology—the ARRS Annual Meeting, InPractice magazine, topical symposia, myriad multimedia educational materials, as well as awarding scholarships via The Roentgen Fund®.
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