Whole-Body Multidetector Computed Tomography as a Stage of Early Diagnosis of Polytrauma (Review of Literature and Own Experience)
Abstract
In the article the analysis of the use of whole-body MDCT in patients with polytrauma was present, which based on the review of literature and own experience. Indications for the use of this method of examination were shown. Also, from the point of view of minimizing the radiation dose and obtaining maximum information, the optimal scanning protocol and the method of contrast enhancement are chosen. In conditions of first level traumatological centers, early use of whole-body MDCT can be the single method of examination for polytrauma patients. The introduction of this method significantly reduces the time of diagnosis and reduce mortality in polytrauma patients.
About the Authors
Sergey S. SedelnikovRussian Federation
Radiologist of Department Radiology
Galina N. Dorovskikh
Russian Federation
M. D. Med., Head of Department Radiology, Omsk City Clinical Emergency Hospital № 1; Associate Professor of Chair Anesthesiology-Resuscitation and First Help of Omsk State Medical Univercity, Ministry of Healthcare of Russia
References
1. Dorovskikh G. N., Kozhedub S. A., Gorlina A. Ju., Sedelnikov S. S. Radiological diagnosis of cervical spine injury. Vestnik rentgenologii i radiologii. 2012. No. 3. P. 12–19 (in Russian).
2. Dorovskikh G. N., Degovcov E. N., Sedelnikov S. S., Kozhedub S. A. Complex diagnostics of damages of abdominal cavity organs at the polytrauma. Radiologiya — praktika. 2013. No. 3. P. 4–14 (in Russian).
3. Dorovskikh G. N. Comparative analysis of sensitivity and specificity of various methods of radiation diagnosis for polytrauma. Newsletter VSNC RAMN. 2014. No. 4 (98). P. 24–28 (in Russian).
4. Healthcare in Russia. Statistical compendium. Rosstat. Moscow, 2015. P. 24 (in Russia).
5. Marinchek B., Dondelindzher R. F. Emergency radiology. Moscow: VIDAR, 2014. V. 1. P. 342 (in Russian).
6. Sedelnikov S. S., Dorovskih G. N. Use of the split bolus technique in total body multislice computed tomography in patients with polytrauma. V Mezhreg. nauch.-obraz. konf. «Bajkal'skie vstrechi. Aktual'nye voprosy luchevoy diagnostiki». Moscow, 2017. P. 93, 94 (in Russian).
7. Beenen L. F. M., Sierink J. C., Kolkman S. et al. Split bolus technique in polytrauma: a prospective study on scan protocols for trauma analysis // Acta Radiol. 2015. V. 56. P. 873–880.
8. Esposito A. A., Zilocchi M., Fasani P. et al. The value of precontrast thoracoabdominopelvic CT in polytrauma // Eur. J. of Radiol. 2015. № 84 (6). Р. 1212–1218.
9. Fakler J. K. M., Ozkurul O., Josten C. Retrospective analysis of incidental nontrauma associated findings in severely injured patients identified by whole-body spiral CT scans // Patient Safety in Surgery. 2014. V. 8. P. 36. Published online. DOI: 10.1186/s13037-014-0036-3.
10. Huber-Wagner S., Mand C., Ruchholtz S. et al. Effect of the localisation of the CT scanner during trauma resuscitation on survival-A retrospective, multicenter study // Injury. 2014. V. 45. Suppl. 3. P. 76–82.
11. Rhee P., Joseph B., Pandit V. et al. Increasing trauma deaths in the United States // Annals of Surgery. 2014. V. 1 (260). P. 13–21.
12. Sierink J. C., de Jong E. W. M., Schep N. W. L. et al. Routinely recorded versus dedicated time registrations during trauma work-up // J. of Trauma Management & Outcomes. 2014. V. 8. P. 11. Publushed online. DOI: 10.1186/1752-2897-8-11.
13. Treskes K., Saltzherr T. P., Luitse J. S. K. et al. Indications for total-body computed tomography in blunt trauma patients: a systematic review // Eur. J. of Trauma and Emergency Surgery. 2017. № 43 (1). P. 35–42.
14. Wada D., Nakamori Ya., Yamakawa K. et al. Impact on survival of whole-body computed tomography before emergency bleeding control in patients with severe blunt trauma // Crit Care. 2013. V. 17 (4). P. 178. Published online. DOI: 10.1186/cc12861.
Review
For citations:
Sedelnikov S., Dorovskikh G. Whole-Body Multidetector Computed Tomography as a Stage of Early Diagnosis of Polytrauma (Review of Literature and Own Experience). Radiology - Practice. 2017;(5):22-30. (In Russ.)