Loupatatzis, Christos; Schindera, Sebastian; Gralla, Jan; Hoppe, Hanno; Bittner, Jan; Schröder, Ralph; Srivastav, Sudesh; Bonel, Harald Marcel (2008). Whole-body computed tomography for multiple traumas using a triphasic injection protocol. European radiology, 18(6), pp. 1206-14. Berlin: Springer-Verlag 10.1007/s00330-008-0875-3
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To evaluate a triphasic injection protocol for whole-body multidetector computed tomography (MDCT) in patients with multiple trauma. Fifty consecutive patients (41 men) were examined. Contrast medium (300 mg/mL iodine) was injected starting with 70 mL at 3 mL/s, followed by 0.1 mL/s for 8 s, and by another bolus of 75 mL at 4 mL/s. CT data acquisition started 50 s after the beginning of the first injection. Two experienced, blinded readers independently measured the density in all major arteries, veins, and parenchymatous organs. Image quality was assessed using a five-point ordinal rating scale and compared to standard injection protocols [n = 25 each for late arterial chest, portovenous abdomen, and MDCT angiography (CTA)]. With the exception of the infrarenal inferior caval vein, all blood vessels were depicted with diagnostic image quality using the multiple-trauma protocol. Arterial luminal density was slightly but significantly smaller compared to CTA (P < 0.01). Veins and parenchymatous organs were opacified significantly better compared to all other protocols (P < 0.01). Arm artifacts reduced the density of spleen and liver parenchyma significantly (P < 0.01). Similarly high image quality is achieved for arteries using the multiple-trauma protocol compared to CTA, and parenchymatous organs are depicted with better image quality compared to specialized protocols. Arm artifacts should be avoided.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology 04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology |
UniBE Contributor: |
Schindera, Sebastian Tobias, Gralla, Jan, Hoppe, Hanno, Bonel, Harald Marcel |
ISSN: |
0938-7994 |
ISBN: |
18270712 |
Publisher: |
Springer-Verlag |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:54 |
Last Modified: |
05 Dec 2022 14:16 |
Publisher DOI: |
10.1007/s00330-008-0875-3 |
PubMed ID: |
18270712 |
Web of Science ID: |
000255743500016 |
BORIS DOI: |
10.7892/boris.23070 |
URI: |
https://boris.unibe.ch/id/eprint/23070 (FactScience: 38801) |
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