CT multiplanar reconstructions (MPR) for shrapnel injury trajectory

We report our experience in implementing CT multiplanar reformats (MPRs) to demonstrate the trajectory of penetrating trauma. It is an easily learned tool that can be conveniently and speedily applied in the fragments injury. We describe the detailed technique of performing MPRs, depicted by various examples. Furthermore, benefits and limitations of the technique (such as numerous fragments, change in position and respiratory phase, and embolization of fragments) are presented. We conclude that MPRs in the fragments trajectory can be helpful for accurate and fast diagnosis of injury. In addition, MPRs serve as a vivid presentation of injured and spared organs.