Unexpected early pulmonary thrombi in war injured patients.

Journal: European radiology
Published Date: Aug 20, 2025

Abstract

OBJECTIVES: Pulmonary embolism is commonly associated with deep vein thrombosis and the components of Virchow's triad: hypercoagulability, stasis, and endothelial injury. High-risk patients are traditionally those with prolonged immobility and hypercoagulability. Recent findings of pulmonary thrombosis (PT) in healthy combat soldiers, found on CT performed for initial trauma assessment, challenge this assumption. The aim of this study was to investigate the prevalence and characteristics of PT detected in acute traumatic war injuries, and evaluate the effectiveness of an artificial intelligence (AI) algorithm in these settings.

Authors

  • Itai Sasson
    Departments of Radiology, Tel Aviv Sourasky Medical Center, Affiliated to the Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Vera Sorin
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Israel.
  • Tomer Ziv-Baran
    School of Public Health, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel.
  • Edith M Marom
    Diagnostic Imaging Institute, Sheba Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, Israel.
  • Evgenia Czerniawski
    Department of Radiology, Barzilai Medical Center, Ben-Gurion University, Beer-Sheva, Israel.
  • Sharon Z Adam
    Departments of Radiology, Tel Aviv Sourasky Medical Center, Affiliated to the Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
  • Galit Aviram
    Departments of Radiology, Tel Aviv Sourasky Medical Center, Affiliated to the Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel. aviramgalit@hotmail.com.

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