ArticleEuropean radiology2017
Imaging algorithms and CT protocols in trauma patients: survey of Swiss emergency centers.
Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Refining the criteria for immediate total-body CT after severe trauma.European radiology · 2020Trial
- CT in adult patients with Polytrauma: current practices, protocol optimization, structured reporting and future directions.Emergency radiology · 2026Review
- Thoracic Inlet in Cervical Spine CT of Blunt Trauma Patients: Prevalence of Pathologies and Importance of CT Interpretation.Tomography (Ann Arbor, Mich.) · 2022Article
- Automated CT reformations reduce time and variability in trauma panscan exam completion.Emergency radiology · 2022Article
- Unidentified bright objects of spleen on arterial phase CT: mimicker of splenic vascular injury in blunt abdominal trauma.Diagnostic and interventional radiology (Ankara, Turkey) · 2021Article
- Evaluation and management of haemorrhagic shock in polytrauma: Clinical practice guidelines.Journal of clinical orthopaedics and trauma · 2021Article
- Revised AAST scale for splenic injury (2018): does addition of arterial phase on CT have an impact on the grade?Emergency radiology · 2021Article
- The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition.Critical care (London, England) · 2019Article
- A review of split-bolus single-pass CT in the assessment of trauma patients.Emergency radiology · 2018Review
- Association of Whole-Body Computed Tomography With Mortality Risk in Children With Blunt Trauma.JAMA pediatrics · 2018Article
- Acute aortic syndromes and aortic emergencies.Cardiovascular diagnosis and therapy · 2018Review
- Evaluation of Kidney Stones with Reduced-Radiation Dose CT: Progress from 2011-2012 to 2015-2016-Not There Yet.Radiology · 2018Article
- Whole-body computed tomography in trauma patients: optimization of the patient scanning position significantly shortens examination time while maintaining diagnostic image quality.Therapeutics and clinical risk management · 2018Article
Corrections and comments
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Authors and funding
13 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify imaging algorithms and indications, CT protocols, and radiation doses in polytrauma patients in Swiss trauma centres.
methodsAn online survey with multiple choice questions and free-text responses was sent to authorized level-I trauma centres in Switzerland.
resultsAll centres responded and indicated that they have internal standardized imaging algorithms for polytrauma patients. Nine of 12 centres (75 %) perform whole-body CT (WBCT) after focused assessment with sonography for trauma (FAST) and conventional radiography; 3/12 (25 %) use WBCT for initial imaging. Indications for WBCT were similar across centres being based on trauma mechanisms, vital signs, and presence of multiple injuries. Seven of 12 centres (58 %) perform an arterial and venous phase of the abdomen in split-bolus technique. Six of 12 centres (50 %) use multiphase protocols of the head (n = 3) and abdomen (n = 4), whereas 6/12 (50 %) use single-phase protocols for WBCT. Arm position was on the patient`s body during scanning (3/12, 25 %), alongside the body (2/12, 17 %), above the head (2/12, 17 %), or was changed during scanning (5/12, 42 %). Radiation doses showed large variations across centres ranging from 1268-3988 mGy*cm (DLP) per WBCT.
conclusionsImaging algorithms in polytrauma patients are standardized within, but vary across Swiss trauma centres, similar to the individual WBCT protocols, resulting in large variations in associated radiation doses. KEY POINTS: • Swiss trauma centres have internal standardized imaging algorithms for trauma patients • Whole-body CT is most commonly used for imaging of trauma patients • CT protocols and radiation doses vary greatly across Swiss trauma centres.
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