PT  - JOURNAL ARTICLE
AU  - Ball, Chad G.
AU  - Clements, Thomas S.
AU  - Kirkpatrick, Andrew W.
AU  - Vogt, Kelly
AU  - Biffl, Walter
AU  - Hameed, Morad
TI  - Inviting a friend to evaluate potential grade III pancreatic injuries: Are they truly occult, or simply missed on CT?
AID  - 10.1503/cjs.001421
DP  - 2021 Dec 21
TA  - Canadian Journal of Surgery
PG  - E677--E679
VI  - 64
IP  - 6
4099  - http://canjsurg.ca/content/64/6/E677.short
4100  - http://canjsurg.ca/content/64/6/E677.full
SO  - CAN J SURG2021 Dec 21; 64
AB  - Traumatic inuries to the pancreas are notoriously challenging to diagnose and treat. Detecting a main pancreatic ductal injury can be particularly difficult on screening computed tomography (CT). Twenty-four blinded faculty clinicians from 4 differing specialties and 6 institutions reviewed 9 video CT cases of potential pancreatic ductal injuries. Clinician performance in detection of confirmed grade III pancreatic injuries varied widely among specialties. This heterogeneity confirms the critical need for multidisciplinary care and image interpretation for even “minor” (i.e., not grade IV or V) potential pancreatic injuries to optimize outcomes for injured patients. The ubiquitous availability of electronic devices allows real-time collegial second opinions to be easily available.