Split-bolus technique for multispiral computer tomography in the "whole body" mode in patients with severe combined trauma

Split-bolus technique for multispiral computer tomography in the "whole body" mode in patients with severe combined trauma

Dushin D.Yu., Burenchev D.V., Ternovoy S.K.

Purpose. Show the capabilities of the scanning algorithm using the split-bolus technique in the “whole-body” (WBCT) mode in patients with severe combined trauma.

Materials and methods. The results of multislice computed tomography (MSCT) were analyzed using a split-bolus technique in 104 patients with severe combined trauma who were treated in the GKB. A.K. Yeramishantsevа from 06/01/2018 through 12/31/2018. The study was performed on a CT scanner Aquilion Prime (Toshiba). Most of the injured patients were men 72% (n = 11), average age 40.3 (18-79) years. In 89 cases, trauma was caused by a car accident, in 14 cases it was a fall from a height of more than three meters, in one case there was a train injury.

Results. The study made it possible to choose the optimal scanning algorithm in patients with severe combined trauma for simultaneous detection of injury to the head and neck, chest and abdomen. The image quality of the parenchyma and blood vessels, as well as the subjective assessment of image quality, were equal compared with CT protocols of multi-phase trauma. The use of the separate bolus technique allowed in all cases to reduce the dose of ionizing radiation on patient.

Conclusions. To optimize diagnostic algorithm in patients with severe concomitant injury, as well as to reduce patient radiation exposure, it is advisable to carry out a computer-tomographic study in the "whole body" mode using the split-bolus technique.

1 - A.K. Eramishantseva City Clinical Hospital.

2 - I.M. Sechenov First Moscow State Medical University.

3 - National medical research center of cardiology.

Moscow, Russia.

 

Keywords: severe combined trauma, “whole-body” computed tomography, split-bolus.


Corresponding author:  Dushin D.Yu., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Dushin D.Yu., Burenchev D.V., Ternovoy S.K.. Split-bolus technique for multispiral computer tomography in the "whole body" mode in patients with severe combined trauma. REJR 2019; 9(2):295-300. DOI:10.21569/2222-7415-2019-9-2-295-300.

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Received:        01.05.19 Accepted:       14.06.19