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创伤中全身低剂量数字 X 射线扫描(LODOX-Statscan)的个人经验。

Personal experience with whole-body, low-dosage, digital X-ray scanning (LODOX-Statscan) in trauma.

机构信息

Department of Emergency Medicine, University Hospital Bern, Switzerland.

出版信息

Scand J Trauma Resusc Emerg Med. 2009 Sep 12;17:41. doi: 10.1186/1757-7241-17-41.

DOI:10.1186/1757-7241-17-41
PMID:19747397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2753336/
Abstract

BACKGROUND

Lodox-Statscan is a whole-body, skeletal and soft-tissue, low-dose X-ray scanner Anterior-posterior and lateral thoraco-abdominal studies are obtained in 3-5 minutes with only about one-third of the radiation required for conventional radiography. Since its approval by the Food and Drug Administration (FDA) in the USA, several trauma centers have incorporated this technology into their Advanced Trauma Life Support protocols. This review provides a brief overview of the system, and describes the authors' own experience with the system.

METHODS

We performed a PubMed search to retrieve all references with 'Lodox' and 'Stat-scan' used as search terms. We furthermore used the google search engine to identify existing alternatives. To the best of our knowledge, this is the only FDA-approved device of its kind currently used in trauma.

RESULTS AND CONCLUSION

The intention of our review has been to sensitize the readership that such alternative devices exist. The key message is that low dosage full body radiography may be an alternative to conventional resuscitation room radiography which is usually a prelude to CT scanning (ATLS algorithm). The combination of both is radiation intensive and therefore we consider any reduction of radiation a success. But only the future will show whether LS will survive in the face of low-dose radiation CT scanners and magnetic resonance imaging devices that may eventually completely replace conventional radiography.

摘要

背景

Lodox-Statscan 是一种全身、骨骼和软组织的低剂量 X 射线扫描仪。前-后位和侧胸-腹部研究可在 3-5 分钟内完成,仅需常规放射摄影所需辐射量的三分之一左右。自美国食品和药物管理局(FDA)批准以来,几家创伤中心已将这项技术纳入其高级创伤生命支持方案。本文简要概述了该系统,并描述了作者对该系统的经验。

方法

我们进行了 PubMed 检索,以检索所有使用“Lodox”和“Stat-scan”作为检索词的参考文献。我们还使用谷歌搜索引擎来识别现有的替代方案。据我们所知,这是目前唯一获得 FDA 批准的同类设备,用于创伤。

结果和结论

我们的综述目的是让读者意识到存在这样的替代设备。关键信息是,低剂量全身射线照相术可能是替代通常是 CT 扫描(ATLS 算法)前奏的常规复苏室射线照相术的一种选择。两者的结合辐射强度很高,因此我们认为任何减少辐射的方法都是成功的。但只有未来才能表明 LS 是否会在面对可能最终完全取代常规放射摄影的低剂量辐射 CT 扫描仪和磁共振成像设备的情况下生存下来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/451be1138cc0/1757-7241-17-41-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/0ef64ad8f04a/1757-7241-17-41-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/645f1bb45e93/1757-7241-17-41-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/451be1138cc0/1757-7241-17-41-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/0ef64ad8f04a/1757-7241-17-41-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/645f1bb45e93/1757-7241-17-41-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca5c/2753336/451be1138cc0/1757-7241-17-41-3.jpg

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本文引用的文献

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J Trauma. 2009 Feb;66(2):418-22. doi: 10.1097/TA.0b013e31818a5d1a.
2
Three decades (1978-2008) of Advanced Trauma Life Support (ATLS) practice revised and evidence revisited.三十年(1978 - 2008年)高级创伤生命支持(ATLS)实践的修订与证据回顾。
Scand J Trauma Resusc Emerg Med. 2008 Dec 18;16:19. doi: 10.1186/1757-7241-16-19.
3
The use of the Statscan digital X-ray unit in paediatric polytrauma.
降低辐射剂量条件下输尿管结石的定位:常规与数字化低剂量线阵扫描(Lodox)放射摄影对比的初步研究。
World J Urol. 2020 Apr;38(4):1065-1071. doi: 10.1007/s00345-019-02803-w. Epub 2019 Jun 5.
4
Full-body x-ray imaging to facilitate triage: a potential aid in high-volume emergency departments.全身X光成像以辅助分流:在繁忙的急诊科中的一项潜在助力。
Emerg Med Int. 2013;2013:437078. doi: 10.1155/2013/437078. Epub 2013 Sep 24.
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A review of full-body radiography in nontraumatic emergency medicine.非创伤性急诊医学中全身X线摄影的综述。
Emerg Med Int. 2012;2012:108129. doi: 10.1155/2012/108129. Epub 2012 Dec 2.
Statscan数字X射线设备在儿童多发伤中的应用。
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