ArticleTherapeutics and clinical risk management2018
Whole-body computed tomography in trauma patients: optimization of the patient scanning position significantly shortens examination time while maintaining diagnostic image quality.
Article in Therapeutics and clinical risk management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The influence of arm positions on abdominal image quality of whole-body computed tomography in trauma: systematic review.Emergency radiology · 2020Pooled it
- Deep learning segmentation-based bone removal from computed tomography of the brain improves subdural hematoma detection.Journal of neuroradiology = Journal de neuroradiologie · 2025Article
- Changing the Patient's Position: Pitfalls and Benefits for Radiation Dose and Image Quality of Computed Tomography in Polytrauma.Diagnostics (Basel, Switzerland) · 2022Article
- Incidence and underreporting of osseous wrist and hand injuries on whole-body computed tomographies at a level 1 trauma center.BMC musculoskeletal disorders · 2021Article
- Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient.Colombia medica (Cali, Colombia) · 2020Review
- European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version).Insights into imaging · 2020Article
- Implementation of a new Single-Pass Whole-Body Computed Tomography Protocol: Is it safe, effective and efficient in patients with severe trauma?Colombia medica (Cali, Colombia) · 2020Observational
- [Update polytrauma and computed tomography in ongoing resuscitation : ABCDE and "diagnose first what kills first"].Der Radiologe · 2020Review
- Detection of fractures of hand and forearm in whole-body CT for suspected polytrauma in intubated patients.BMC musculoskeletal disorders · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study was conducted to compare examination time and artifact vulnerability of whole-body computed tomographies (wbCTs) for trauma patients using conventional or optimized patient positioning. PATIENTS AND
methodsExamination time was measured in 100 patients scanned with conventional protocol (Group A: arms positioned alongside the body for head and neck imaging and over the head for trunk imaging) and 100 patients scanned with optimized protocol (Group B: arms flexed on a chest pillow without repositioning). Additionally, influence of two different scanning protocols on image quality in the most relevant body regions was assessed by two blinded readers.
resultsTotal wbCT duration was about 35% or 3:46 min shorter in B than in A. Artifacts in aorta (27 vs 6%), liver (40 vs 8%) and spleen (27 vs 5%) occurred significantly more often in B than in A. No incident of non-diagnostic image quality was reported, and no significant differences for lungs and spine were found.
conclusionAn optimized wbCT positioning protocol for trauma patients allows a significant reduction of examination time while still maintaining diagnostic image quality.
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