A novel multiple-trauma CT-scanning protocol using patient repositioning

Hoppe, Hanno; Vock, Peter; Bonel, Harald Marcel; Ozdoba, Christoph; Gralla, Jan (2006). A novel multiple-trauma CT-scanning protocol using patient repositioning. Emergency radiology, 13(3), pp. 123-8. Heidelberg: Springer 10.1007/s10140-006-0490-z

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Emergency CT examination is considered to be a trade-off between a short scan time and the acceptance of artifacts. This study evaluates the influence of patient repositioning on artifacts and scan time. Eighty-three consecutive multiple-trauma patients were included in this prospective study. Patients were examined without repositioning (group 1, n=39) or with patient rotation to feet-first with arms raised for scanning the chest and abdomen/pelvis (group 2, n=44). The mean scan time was 21 min in group 1 and 25 min in group 2 (P=0.01). The mean repositioning time in group 2 was 8 min. Significantly, more artifacts were observed in group 1 (with a repeated scan in 7%) than in group 2 (P=0.0001). This novel multiple- trauma CT-scanning protocol with patient repositioning achieves a higher image quality with significantly fewer artifacts than without repositioning but increases scan time slightly.

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