ArticleEmergency radiology2017
A new low-dose multi-phase trauma CT protocol and its impact on diagnostic assessment and radiation dose in multi-trauma patients.
Article in Emergency radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Dose-reduction strategies in whole-body CT for injured patients in the emergency department: a scoping review.International journal of emergency medicine · 2026Review
- Can leukocyte count predict the presence of post-traumatic lesions on the WBCT in clinically stable severe trauma patients? A retrospective study.BMC emergency medicine · 2025Observational
- Does delayed phase imaging in CT angiography provide additional information in patients with suspected active bleeding?Emergency radiology · 2024Article
- Value of contrast-enhanced arterial phase imaging in addition to portovenous phase in CT evaluation of blunt abdominopelvic trauma.European radiology · 2023Article
- Quality Assessment of Computed Tomography Images using a Channelized Hoteling Observer: Optimization of Protocols in Clinical Practice.Advanced biomedical research · 2023Article
- Current Standards for and Clinical Impact of Emergency Radiology in Major Trauma.International journal of environmental research and public health · 2022Review
- Epidemiology, Risk Factors and Etiology of Altered Level of Consciousness Among Patients Attending the Emergency Department at a Tertiary Hospital in Mogadishu, Somalia.International journal of general medicine · 2022Article
- Iterative reconstruction improves image quality and reduces radiation dose in trauma protocols; A human cadaver study.Acta radiologica open · 2021Article
- Incidence and clinical impact of lower extremity vascular injuries in the setting of whole body computed tomography for trauma.Emergency radiology · 2021Observational
- European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version).Insights into imaging · 2020Article
- [Update polytrauma and computed tomography in ongoing resuscitation : ABCDE and "diagnose first what kills first"].Der Radiologe · 2020Review
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Authors and funding
5 authors.
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Abstract
purposeComputed tomography (CT) examinations, often using high-radiation dosages, are increasingly used in the acute management of polytrauma patients. This study compares a low-dose polytrauma multi-phase whole-body CT (WBCT) protocol on a latest generation of 16-cm detector 258-slice multi-detector CT (MDCT) scanner with advanced dose reduction techniques to a single-phase polytrauma WBCT protocol on a 64-slice MDCT scanner.
methodsBetween March and September 2015, 109 polytrauma patients (group A) underwent acute WBCT with a low-dose multi-phase WBCT protocol on a 258-slice MDCT whereas 110 polytrauma patients (group B) underwent single-phase trauma CT on a 64-slice MDCT. The diagnostic accuracy to trauma-related injuries, radiation dose, quantitative and semiquantitative image quality parameters, subjective image quality scorings, and workflow time parameters were compared.
resultsIn group A, statistically significantly more arterial injuries (p = 0.04) and arterial dissections (p = 0.002) were detected. In group A, the mean (±SD) dose length product value was 1681 ± 183 mGy*cm and markedly lower when compared to group B (p < 0.001). The SDs of the mean Houndsfield unit values of the brain, liver, and abdominal aorta were lower in group A (p < 0.001). Mean signal-to-noise ratios (SNRs) for the brain, liver, and abdominal aorta were significantly higher in group A (p < 0.001). Group A had significantly higher image quality scores for all analyzed anatomical locations (p < 0.02). However, the mean time from patient registration until completion of examination was significantly longer for group A (p < 0.001).
conclusionsThe low-dose multi-phase CT protocol improves diagnostic accuracy and image quality at markedly reduced radiation. However, due to technical complexities and surplus electronic data provided by the newer low-dose technique, examination time increases, which reduces workflow in acute emergency situations.
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