Angelini F

CT diagnosis of spontaneous dissection of the superior mesenteric artery.

We report two cases of spontaneous superior mesenteric artery dissection diagnosed by CT. In both cases lamination of the arterial wall and enhancement of both true and false lumina were the key to the diagnosis.

Sonographic evaluation of bone fractures: a reliable alternative in clinical practice?

OBJECTIVE The objective was to compare the diagnostic accuracy of conventional radiography and ultrasonography (US) for the diagnosis of suspected bone fractures. METHOD Eighty-six patients were assessed using conventional radiography and US on the affected bone district. RESULTS Radiographic and sonographic findings were concordant in 93% of cases. In one case, US suggested a fracture not seen on radiographic assessment. Ultrasonography showed a sensitivity of 0.94 and a specificity of 0.92. CONCLUSION In clinical practice, US could become the first diagnostic approach.