TY - JOUR T1 - Inviting a friend to evaluate potential grade III pancreatic injuries: Are they truly occult, or simply missed on CT? JF - Canadian Journal of Surgery JO - CAN J SURG SP - E677 LP - E679 DO - 10.1503/cjs.001421 VL - 64 IS - 6 AU - Chad G. Ball AU - Thomas S. Clements AU - Andrew W. Kirkpatrick AU - Kelly Vogt AU - Walter Biffl AU - Morad Hameed Y1 - 2021/12/21 UR - http://canjsurg.ca/content/64/6/E677.abstract N2 - 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. ER -