A review of split-bolus single-pass CT in the assessment of trauma patients

Purpose The purpose of this study was to review and compare the image quality and radiation dose of split-bolus single-pass computed tomography(CT) in the assessment of trauma patients in comparison to standard multi-phase CT techniques. Methods An online electronic database was searched using the MESH terms “split-bolus,” “dual phase,” and “single pass.” Inclusion criteria required the research article to compare a split contrast bolus protocol in a single-pass scan in the assessment of trauma patients. Studies using split-bolus CT technique in non-traumatic injury assessment were excluded. Six articles met the inclusion criteria. Conclusions Parenchymal and vascular image qualities, as well as subjective image quality assessments, were equal or superior in comparison to non-split-bolus multi-phase trauma CT protocols. Split-bolus single-pass CT decreased radiation exposure in all studies. Further research is required to determine the superior split-bolus protocol and the specificity and sensitivity of detecting blunt cerebrovascular injury screening, splenic parenchymal vascular lesions, and characterization of pelvic vascular extravasation..

Medienart:

Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Emergency radiology - 25(2018), 4 vom: 24. Feb., Seite 367-374

Sprache:

Englisch

Beteiligte Personen:

Jeavons, Cassandra [VerfasserIn]
Hacking, Craig [VerfasserIn]
Beenen, Ludo F. [VerfasserIn]
Gunn, Martin L. [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Dual bolus computed tomography
Intravenous contrast media administration
Multi-detector computed tomography/methods
Multiple trauma
Pan scan
Split-bolus computed tomography
Torso trauma
Whole body computed tomography

Anmerkungen:

© American Society of Emergency Radiology 2018

doi:

10.1007/s10140-018-1591-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2048545777