{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:01:29Z","timestamp":1790395289841,"version":"4.1.0"},"reference-count":97,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacr.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American College of Radiology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jacr.2026.01.034","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T21:05:01Z","timestamp":1772139901000},"page":"1145-1162","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["ACR Appropriateness Criteria\u00ae Minor Blunt Trauma"],"prefix":"10.1016","volume":"23","author":[{"given":"Carrie N.","family":"Hoff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farid","family":"Hajibonabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James T.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc A.","family":"Camacho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin F.","family":"Donnelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeeva P.","family":"Kalva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Khosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson S.","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Ptak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali S.","family":"Raja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushal H.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie Y.","family":"Valenzuela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacr.2026.01.034_bib1","doi-asserted-by":"crossref","first-page":"S160","DOI":"10.1016\/j.jacr.2020.01.024","article-title":"ACR Appropriateness Criteria\u00ae major blunt trauma","volume":"17","author":"Shyu","year":"2020","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib2","doi-asserted-by":"crossref","first-page":"S264","DOI":"10.1016\/j.jacr.2019.02.002","article-title":"ACR Appropriateness Criteria\u00ae suspected spine trauma","volume":"16","author":"Beckmann","year":"2019","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib3","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1016\/j.injury.2015.07.007","article-title":"Prehospital ultrasound of the abdomen and thorax changes trauma patient management: a systematic review","volume":"46","author":"O\u2019Dochartaigh","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib4","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1016\/j.injury.2019.09.034","article-title":"Prehospital ultrasound in the management of trauma patients: Systematic review of the literature","volume":"50","author":"van der Weide","year":"2019","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib6","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/j.jemermed.2017.08.036","article-title":"Low yield of clinically significant injury with head-to-pelvis computed tomography in blunt trauma evaluation","volume":"53","author":"Murphy","year":"2017","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib7","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1111\/1742-6723.13174","article-title":"Yield of serious axial injury from pan scans after blunt trauma in haemodynamically stable low-risk trauma patients","volume":"31","author":"Roberts","year":"2019","journal-title":"Emerg Med Australas"},{"key":"10.1016\/j.jacr.2026.01.034_bib8","first-page":"64","article-title":"Systematic review: effect of whole-body computed tomography on mortality in trauma patients","volume":"7","author":"Hajibandeh","year":"2015","journal-title":"J Inj Violence Res"},{"key":"10.1016\/j.jacr.2026.01.034_bib9","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ijsu.2017.09.063","article-title":"A nomogram predicting the need for abdominal and pelvic computed tomography in blunt trauma patients: a retrospective cohort study","volume":"47","author":"Lee","year":"2017","journal-title":"Int J Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib10","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1177\/0003134821998665","article-title":"Chest and pelvis x-rays as a screening tool for abdominal injury in geriatric blunt trauma patients","volume":"88","author":"Leede","year":"2022","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.annemergmed.2018.08.423","article-title":"Pneumothorax and hemothorax in the era of frequent chest computed tomography for the evaluation of adult patients with blunt trauma","volume":"73","author":"Rodriguez","year":"2019","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib12","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.injury.2015.11.043","article-title":"Pulmonary contusion in the pan-scan era","volume":"47","author":"Rodriguez","year":"2016","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib13","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1016\/j.injury.2015.03.015","article-title":"Sternal fracture in the age of pan-scan","volume":"46","author":"Perez","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib14","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1111\/acem.13010","article-title":"Prevalence and diagnostic performance of isolated and combined NEXUS chest CT decision criteria","volume":"23","author":"Raja","year":"2016","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib15","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.annemergmed.2018.11.012","article-title":"Minor blunt thoracic trauma in the emergency department: sensitivity and specificity of chest ultralow-dose computed tomography compared with conventional radiography","volume":"73","author":"Macri","year":"2019","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib16","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.injury.2019.10.020","article-title":"Torso injuries after fall from standing-empiric abdominal or thoracic CT imaging is not indicated","volume":"51","author":"Hagan","year":"2020","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib17","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1177\/000313481508100818","article-title":"Torso Computed tomography can be bypassed after thorough trauma bay examination of patients who fall from standing","volume":"81","author":"Lavingia","year":"2015","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib18","first-page":"710","article-title":"Ground level falls: computed tomography findings and clinical outcomes by age groups","volume":"29","author":"Parlak","year":"2023","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"10.1016\/j.jacr.2026.01.034_bib19","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1097\/TA.0000000000002208","article-title":"Chest computed tomography imaging utility for radiographically occult rib fractures in elderly fall-injured patients","volume":"86","author":"Singleton","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2023.111239","article-title":"Re-thinking the value of cross-sectional torso imaging for ground-level fall patients with altered mental status: outcomes from a level 1 trauma center","volume":"55","author":"Beaulieu-Jones","year":"2024","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib21","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s00256-023-04399-0","article-title":"MRI in suspected chest wall fractures: diagnostic value in work-related chest blunt trauma","volume":"53","author":"Capelastegui","year":"2024","journal-title":"Skeletal Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib22","article-title":"Magnetic resonance imaging has better accuracy in detecting new-onset rib fractures as compared to computed tomography","volume":"27","author":"Zhang","year":"2021","journal-title":"Med Sci Monit"},{"key":"10.1016\/j.jacr.2026.01.034_bib23","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1136\/bjsports-2013-092681","article-title":"Thoracic injuries in professional rugby players: mechanisms of injury and imaging characteristics","volume":"48","author":"Hayashi","year":"2014","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib24","doi-asserted-by":"crossref","first-page":"S227","DOI":"10.1016\/j.jacr.2019.02.019","article-title":"ACR Appropriateness Criteria\u00ae rib fractures","volume":"16","author":"Henry","year":"2019","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib25","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s10140-018-1596-9","article-title":"To reduce routine computed tomographic angiography for thoracic aortic injury assessment in level II blunt trauma patients using three mediastinal signs on the initial chest radiograph: a preliminary report","volume":"25","author":"Harris","year":"2018","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib26","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.1148\/rg.2021210042","article-title":"Imaging manifestations of chest trauma","volume":"41","author":"Lewis","year":"2021","journal-title":"Radiographics"},{"key":"10.1016\/j.jacr.2026.01.034_bib27","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1053\/j.sult.2018.03.006","article-title":"Imaging and management of thoracic trauma","volume":"39","author":"Newbury","year":"2018","journal-title":"Semin Ultrasound CT MR"},{"key":"10.1016\/j.jacr.2026.01.034_bib28","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s10140-022-02061-1","article-title":"Blunt thoracic trauma: role of chest radiography and comparison with CT\u2014findings and literature review","volume":"29","author":"Polireddy","year":"2022","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib29","doi-asserted-by":"crossref","first-page":"546","DOI":"10.29271\/jcpsp.2018.07.546","article-title":"Diagnostic accuracy of initial chest x-rays in thorax trauma","volume":"28","author":"Tataroglu","year":"2018","journal-title":"J Coll Physicians Surg Pak"},{"key":"10.1016\/j.jacr.2026.01.034_bib30","doi-asserted-by":"crossref","first-page":"144","DOI":"10.3122\/jabfm.2021.01.200276","article-title":"One-view chest radiograph for initial management of most ambulatory patients with rib pain","volume":"34","author":"Nishimura","year":"2021","journal-title":"J Am Board Fam Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib31","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1067\/j.cpradiol.2017.05.011","article-title":"Clinical and radiologic predictive factors of rib fractures in outpatients with chest pain","volume":"47","author":"Zhang","year":"2018","journal-title":"Curr Probl Diagn Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib32","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1136\/emermed-2017-207416","article-title":"Comparison of the use of lung ultrasound and chest radiography in the diagnosis of rib fractures: a systematic review","volume":"36","author":"Battle","year":"2019","journal-title":"Emerg Med J"},{"key":"10.1016\/j.jacr.2026.01.034_bib33","doi-asserted-by":"crossref","first-page":"66","DOI":"10.11152\/mu-3309","article-title":"Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis","volume":"25","author":"Tian","year":"2023","journal-title":"Med Ultrason"},{"key":"10.1016\/j.jacr.2026.01.034_bib34","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jemermed.2020.06.063","article-title":"The diagnostic accuracy of ultrasonography for the diagnosis of rib fractures in patients presenting to emergency department with blunt chest trauma","volume":"60","author":"Celik","year":"2021","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib35","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s00068-015-0620-y","article-title":"Chest abdominal-focused assessment sonography for trauma during the primary survey in the emergency department: the CA-FAST protocol","volume":"44","author":"Zanobetti","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib36","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1017\/cem.2019.381","article-title":"Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis","volume":"21","author":"Netherton","year":"2019","journal-title":"CJEM"},{"key":"10.1016\/j.jacr.2026.01.034_bib37","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.annemergmed.2022.02.006","article-title":"Test characteristics of chest ultrasonography for rib fractures following blunt chest trauma: a systematic review and meta-analysis","volume":"79","author":"Gilbertson","year":"2022","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib38","doi-asserted-by":"crossref","DOI":"10.1186\/cc13016","article-title":"Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis","volume":"17","author":"Alrajab","year":"2013","journal-title":"Crit Care"},{"key":"10.1016\/j.jacr.2026.01.034_bib39","article-title":"Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department","volume":"7","author":"Chan","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jacr.2026.01.034_bib40","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/TA.0000000000003429","article-title":"Not so FAST\u2014chest ultrasound underdiagnoses traumatic pneumothorax","volume":"92","author":"Santorelli","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib41","doi-asserted-by":"crossref","first-page":"3751","DOI":"10.1177\/00031348231175105","article-title":"Are chest radiographs or ultrasound more accurate in predicting a pneumothorax or need for a thoracostomy tube in trauma patients?","volume":"89","author":"DeLoach","year":"2023","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib42","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1055\/a-2225-7320","article-title":"Fracture sonography\u2014literature review and current recommendations","volume":"45","author":"Ackermann","year":"2024","journal-title":"Ultraschall Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib43","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s00590-018-2283-y","article-title":"PoCUS evaluating blunt thoracic trauma: a retrospective analysis of 18 months of emergency department activity","volume":"29","author":"Riccardi","year":"2019","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.jacr.2026.01.034_bib44","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/MEJ.0b013e328356f754","article-title":"Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course","volume":"20","author":"Abbasi","year":"2013","journal-title":"Eur J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib45","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1111\/acem.14663","article-title":"Thoracic point-of-care ultrasound is an accurate diagnostic modality for clinically significant traumatic pneumothorax","volume":"30","author":"DeMasi","year":"2023","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib46","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1177\/00031348221087926","article-title":"Diagnostic inaccuracies using extended focused assessment with sonography in trauma for traumatic pneumothorax","volume":"89","author":"Butts","year":"2023","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib47","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1186\/s12880-022-00942-y","article-title":"Efficacy of extended focused assessment with sonography for trauma using a portable handheld device for detecting hemothorax in a low resource setting; a multicenter longitudinal study","volume":"22","author":"Kithinji","year":"2022","journal-title":"BMC Med Imaging"},{"key":"10.1016\/j.jacr.2026.01.034_bib48","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1272\/jnms.JNMS.2018_86-403","article-title":"Closed fracture diagnosed by bedside ultrasonography during hemodialysis: a report of seven cases and relevant clinical characteristics","volume":"86","author":"Yamazaki","year":"2019","journal-title":"J Nippon Med Sch"},{"key":"10.1016\/j.jacr.2026.01.034_bib49","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.annemergmed.2022.09.027","article-title":"Effect of the extended focused assessment with sonography for trauma on the screening performance of the national emergency x-radiography utilization study chest decision instrument","volume":"81","author":"Grade","year":"2023","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib50","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/000313481808400228","article-title":"eFAST for pneumothorax: real-life application in an urban level 1 center by trauma team members","volume":"84","author":"Maximus","year":"2018","journal-title":"Am Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib51","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s10140-020-01843-9","article-title":"Patients with falls from standing height and head or neck injury may not require body CT in the absence of signs or symptoms of body injury","volume":"28","author":"Baig","year":"2021","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib52","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.injury.2022.11.051","article-title":"Utilization of torso computed tomography for the evaluation of ground level falls: more imaging does not equal better care","volume":"54","author":"Zhu","year":"2023","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib53","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/j.rcl.2015.02.005","article-title":"Imaging of urinary system trauma","volume":"53","author":"Gross","year":"2015","journal-title":"Radiol Clin North Am"},{"key":"10.1016\/j.jacr.2026.01.034_bib54","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.cjtee.2014.11.002","article-title":"Multi-slice computed tomography for diagnosis of combined thoracoabdominal injury","volume":"18","author":"Liu","year":"2015","journal-title":"Chin J Traumatol"},{"key":"10.1016\/j.jacr.2026.01.034_bib55","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.diii.2013.01.018","article-title":"Evaluation of the value of abdominopelvic acquisition without contrast injection when performing a whole body CT scan in a patient who may have multiple trauma","volume":"94","author":"Naulet","year":"2013","journal-title":"Diagn Interv Imaging"},{"key":"10.1016\/j.jacr.2026.01.034_bib56","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/TA.0b013e318270df2b","article-title":"Process improvement in trauma: traumatic bladder injuries and compliance with recommended imaging evaluation","volume":"74","author":"Myers","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib57","first-page":"101","article-title":"A contemporary review of adult bladder trauma","volume":"11","author":"Mahat","year":"2019","journal-title":"J Inj Violence Res"},{"key":"10.1016\/j.jacr.2026.01.034_bib58","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/s10140-014-1277-2","article-title":"Sports-related genitourinary trauma in the male athlete","volume":"22","author":"Nicola","year":"2015","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib59","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1007\/s00068-017-0817-3","article-title":"Trauma to the bladder and ureter: a review of diagnosis, management, and prognosis","volume":"43","author":"Phillips","year":"2017","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib60","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/bju.16236","article-title":"Bladder trauma: a guideline of the guidelines","volume":"133","author":"Reddy","year":"2024","journal-title":"BJU Int"},{"key":"10.1016\/j.jacr.2026.01.034_bib61","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/bju.13040","article-title":"Guideline of guidelines: a review of urological trauma guidelines","volume":"117","author":"Bryk","year":"2016","journal-title":"BJU Int"},{"key":"10.1016\/j.jacr.2026.01.034_bib62","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10140-019-01739-3","article-title":"Imaging of urinary bladder injury: the role of CT cystography","volume":"27","author":"Fouladi","year":"2020","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib63","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.rcl.2016.10.007","article-title":"Imaging genitourinary trauma","volume":"55","author":"Dane","year":"2017","journal-title":"Radiol Clin North Am"},{"key":"10.1016\/j.jacr.2026.01.034_bib64","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s10140-019-01721-z","article-title":"The American Association for the Surgery of Trauma Organ Injury Scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist","volume":"27","author":"Chien","year":"2020","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib65","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s10140-022-02027-3","article-title":"CT findings in renovascular injuries following abdominal trauma: a pictorial review","volume":"29","author":"Nair","year":"2022","journal-title":"Emerg Radiol"},{"issue":"suppl 1","key":"10.1016\/j.jacr.2026.01.034_bib66","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/bju.12902","article-title":"The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand","volume":"114","author":"McCombie","year":"2014","journal-title":"BJU Int"},{"key":"10.1016\/j.jacr.2026.01.034_bib67","first-page":"8191","article-title":"Contemporary evaluation and management of renal trauma","volume":"23","author":"Chouhan","year":"2016","journal-title":"Can J Urol"},{"key":"10.1016\/j.jacr.2026.01.034_bib68","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/1319-2442.391003","article-title":"Essentials of computed tomography imaging of hematuria","volume":"34","author":"Patel","year":"2023","journal-title":"Saudi J Kidney Dis Transpl"},{"key":"10.1016\/j.jacr.2026.01.034_bib69","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s10140-017-1507-5","article-title":"Multi-modality imaging of the leaking ureter: why does detection of traumatic and iatrogenic ureteral injuries remain a challenge?","volume":"24","author":"Alabousi","year":"2017","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib70","doi-asserted-by":"crossref","first-page":"3962","DOI":"10.1007\/s00261-019-02161-6","article-title":"Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis","volume":"44","author":"Haroon","year":"2019","journal-title":"Abdom Radiol (N Y)"},{"key":"10.1016\/j.jacr.2026.01.034_bib71","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/TA.0b013e31827d5d5a","article-title":"Process improvement in trauma: compliance with recommended imaging evaluation in the diagnosis of high-grade renal injuries","volume":"74","author":"Hardee","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib72","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/TA.0000000000002098","article-title":"Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma","volume":"86","author":"Keihani","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib73","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.urology.2021.11.051","article-title":"Ureteral injuries secondary to blunt abdominal trauma: a 15-year review of presentation, management, and outcomes at a level 1 trauma center","volume":"164","author":"Orcutt","year":"2022","journal-title":"Urology"},{"key":"10.1016\/j.jacr.2026.01.034_bib74","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/j.jemermed.2015.03.048","article-title":"Importance of pelvic radiography for initial trauma assessment: an orthopedic perspective","volume":"50","author":"Verbeek","year":"2016","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib75","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1590\/0100-69912017006015","article-title":"Ruling out intra-abdominal injuries in blunt trauma patients using clinical criteria and abdominal ultrasound","volume":"44","author":"Moura","year":"2017","journal-title":"Rev Col Bras Cir"},{"key":"10.1016\/j.jacr.2026.01.034_bib76","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.injury.2014.11.023","article-title":"Do we really rely on fast for decision-making in the management of blunt abdominal trauma?","volume":"46","author":"Carter","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib77","first-page":"CD004446","article-title":"Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma","volume":"2015","author":"Stengel","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jacr.2026.01.034_bib78","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.eururo.2014.12.034","article-title":"Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel","volume":"67","author":"Serafetinides","year":"2015","journal-title":"Eur Urol"},{"key":"10.1016\/j.jacr.2026.01.034_bib79","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.annemergmed.2009.04.007","article-title":"Clinical prediction rules for identifying adults at very low risk for intra-abdominal injuries after blunt trauma","volume":"54","author":"Holmes","year":"2009","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib80","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s10140-014-1233-1","article-title":"Utilization of a clinical prediction rule for abdominal-pelvic CT scans in patients with blunt abdominal trauma","volume":"21","author":"Corwin","year":"2014","journal-title":"Emerg Radiol"},{"key":"10.1016\/j.jacr.2026.01.034_bib81","doi-asserted-by":"crossref","first-page":"66","DOI":"10.7205\/MILMED-D-16-00084","article-title":"The ABC\u2019s of pancreatic trauma: airway, breathing, and computerized tomography scan?","volume":"182","author":"Vasquez","year":"2017","journal-title":"Mil Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib82","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1007\/s00261-016-0908-3","article-title":"Traumatic injuries of the diaphragm: overview of imaging findings and diagnosis","volume":"42","author":"Hammer","year":"2017","journal-title":"Abdom Radiol (N Y)"},{"key":"10.1016\/j.jacr.2026.01.034_bib83","doi-asserted-by":"crossref","first-page":"3586","DOI":"10.1016\/j.injury.2022.07.002","article-title":"Current trends in the diagnosis and management of traumatic diaphragmatic injuries: a systematic review and a diagnostic accuracy meta-analysis of blunt trauma","volume":"53","author":"Reitano","year":"2022","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib84","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1177\/1076029614553024","article-title":"Evaluation of risk factors for rectus sheath hematoma","volume":"22","author":"Sheth","year":"2016","journal-title":"Clin Appl Thromb Hemost"},{"key":"10.1016\/j.jacr.2026.01.034_bib85","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1097\/TA.0000000000003990","article-title":"Current use and utility of magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, and pancreatic duct stents: A secondary analysis from the Western Trauma Association multicenter trials group on pancreatic injuries","volume":"95","author":"Biffl","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib86","doi-asserted-by":"crossref","first-page":"9003","DOI":"10.3748\/wjg.v19.i47.9003","article-title":"Pancreatic trauma: a concise review","volume":"19","author":"Debi","year":"2013","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.jacr.2026.01.034_bib87","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.jemermed.2020.06.057","article-title":"Patients with abrasion or ecchymosis seat belt sign have high risk for abdominal injury, but initial computed tomography is 100% sensitive","volume":"59","author":"Shreffler","year":"2020","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib88","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1097\/TA.0000000000001872","article-title":"A negative computed tomography may be sufficient to safely discharge patients with abdominal seatbelt sign from the emergency department: a case series analysis","volume":"84","author":"Barmparas","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib89","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.injury.2019.10.089","article-title":"The use of computed tomography imaging for abdominal seatbelt sign: A single-center, prospective evaluation","volume":"51","author":"Delaplain","year":"2020","journal-title":"Injury"},{"key":"10.1016\/j.jacr.2026.01.034_bib90","doi-asserted-by":"crossref","first-page":"2934","DOI":"10.1007\/s00261-020-02445-2","article-title":"The abdominal seatbelt sign","volume":"45","author":"Redmond","year":"2020","journal-title":"Abdom Radiol (N Y)"},{"key":"10.1016\/j.jacr.2026.01.034_bib91","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.csm.2012.12.006","article-title":"Blunt bladder injury","volume":"32","author":"Guttmann","year":"2013","journal-title":"Clin Sports Med"},{"key":"10.1016\/j.jacr.2026.01.034_bib93","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/TA.0000000000002132","article-title":"Management of blunt force bladder injuries: a practice management guideline from the Eastern Association for the Surgery of Trauma","volume":"86","author":"Yeung","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib94","first-page":"S1","article-title":"Emergency management of renal and genitourinary trauma: best practices update [digest]","volume":"19","author":"Bryant","year":"2017","journal-title":"Emerg Med Pract"},{"key":"10.1016\/j.jacr.2026.01.034_bib95","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/s13017-019-0274-x","article-title":"Kidney and uro-trauma: WSES-AAST guidelines","volume":"14","author":"Coccolini","year":"2019","journal-title":"World J Emerg Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib96","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1007\/s00068-020-01584-x","article-title":"Value of repeat CT for nonoperative management of patients with blunt liver and spleen injury: a systematic review","volume":"47","author":"Malloum Boukar","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.jacr.2026.01.034_bib97","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.919617","article-title":"Delayed rupture of a normal appearing spleen after trauma: is our knowledge enough? Two case reports","volume":"21","author":"Romeo","year":"2020","journal-title":"Am J Case Rep"},{"key":"10.1016\/j.jacr.2026.01.034_bib98","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1177\/1941738116664041","article-title":"Sports ultrasound: applications beyond the musculoskeletal system","volume":"8","author":"Finnoff","year":"2016","journal-title":"Sports Health"},{"key":"10.1016\/j.jacr.2026.01.034_bib99","series-title":"Measuring sex, gender identity, and sexual orientation","article-title":"Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Committee on National Statistics; Committee on Measuring Sex, Gender Identity, and Sexual Orientation. Measuring sex, gender identity, and sexual orientation","year":"2022"}],"container-title":["Journal of the American College of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144026000566?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1546144026000566?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:34:06Z","timestamp":1790393646000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1546144026000566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":97,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1546144026000566"],"URL":"https:\/\/doi.org\/10.1016\/j.jacr.2026.01.034","relation":{},"ISSN":["1546-1440"],"issn-type":[{"value":"1546-1440","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"ACR Appropriateness Criteria\u00ae Minor Blunt Trauma","name":"articletitle","label":"Article Title"},{"value":"Journal of the American College of Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacr.2026.01.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American College of Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}