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多创伤患者 CT 协议的优化:更新。

Optimization of CT protocol in polytrauma patients: an update.

机构信息

Department of Radiology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2022 Apr;26(7):2543-2555. doi: 10.26355/eurrev_202204_28491.

DOI:10.26355/eurrev_202204_28491
PMID:35442469
Abstract

Radiologists play a key role in the management of trauma patients. With the improvement of computed tomography (CT), radiologist makes an important contribution to the timely diagnosis of trauma-related findings and the choice of the most suitable treatment, improving patient outcomes. It is important to select the most appropriate imaging technique, which in the trauma patient is CT, and especially the most appropriate CT protocol, to correctly characterize trauma injuries. Currently, there is no agreement on what the optimal protocol is, acquisition times and number of contrast enhanced phases are not standardized. This is a review of the most recent literature on optimizing the CT protocol in polytrauma, with the intent of giving a useful tool for radiologists in the management of trauma patients.

摘要

放射科医生在创伤患者的管理中起着关键作用。随着计算机断层扫描(CT)的改进,放射科医生对及时诊断与创伤相关的发现以及选择最合适的治疗方法做出了重要贡献,从而改善了患者的预后。选择最合适的成像技术非常重要,在创伤患者中是 CT,特别是最合适的 CT 方案,以正确描述创伤损伤。目前,对于什么是最佳方案尚无共识,采集时间和增强相的数量也没有标准化。这是对多发伤中 CT 方案优化的最新文献的综述,旨在为放射科医生在创伤患者的管理中提供有用的工具。

相似文献

1
Optimization of CT protocol in polytrauma patients: an update.多创伤患者 CT 协议的优化:更新。
Eur Rev Med Pharmacol Sci. 2022 Apr;26(7):2543-2555. doi: 10.26355/eurrev_202204_28491.
2
The value of precontrast thoraco-abdominopelvic CT in polytrauma patients.多创伤患者中对比剂增强前胸腹部盆腔CT的价值。
Eur J Radiol. 2015 Jun;84(6):1212-8. doi: 10.1016/j.ejrad.2015.02.015. Epub 2015 Mar 3.
3
The key role of the radiologist in the management of polytrauma patients: indications for MDCT imaging in emergency radiology.放射科医生在多发伤患者管理中的关键作用:急诊放射学中 MDCT 成像的适应证。
Radiol Med. 2015 Jul;120(7):641-54. doi: 10.1007/s11547-015-0500-x. Epub 2015 Jan 30.
4
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A new low-dose multi-phase trauma CT protocol and its impact on diagnostic assessment and radiation dose in multi-trauma patients.一种新的低剂量多期创伤CT方案及其对多发伤患者诊断评估和辐射剂量的影响。
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Polytrauma: optimal imaging and evaluation algorithm.多发伤:最佳影像学检查与评估算法
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Quality and Dose Optimized CT Trauma Protocol - Recommendation from a University Level-I Trauma Center.质量与剂量优化的CT创伤检查方案——来自大学一级创伤中心的建议
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Radiologe. 2020 Mar;60(3):247-257. doi: 10.1007/s00117-019-00633-w.

引用本文的文献

1
Comparison of image quality of split-bolus computed tomography versus dual-phase computed tomography in abdominal trauma.腹部创伤中团注追踪CT与双期CT图像质量的比较。
Pol J Radiol. 2025 Mar 31;90:e151-e160. doi: 10.5114/pjr/200756. eCollection 2025.
2
Development of a user-friendly calculator for a pediatric split-bolus polytrauma computed tomography protocol.开发一个便于用户使用的儿科分段式多发伤 CT 协议计算器。
Pediatr Radiol. 2024 Nov;54(12):2077-2081. doi: 10.1007/s00247-024-06082-5. Epub 2024 Nov 1.
3
Multidetector CT Imaging Biomarkers as Predictors of Prognosis in Shock: Updates and Future Directions.
多排CT成像生物标志物作为休克预后的预测指标:最新进展与未来方向
Diagnostics (Basel). 2023 Jul 7;13(13):2304. doi: 10.3390/diagnostics13132304.
4
Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal.计算机断层扫描在多发伤患者评估中的结构化报告:德尔菲共识建议。
Radiol Med. 2023 Feb;128(2):222-233. doi: 10.1007/s11547-023-01596-8. Epub 2023 Jan 19.
5
Changing the Patient's Position: Pitfalls and Benefits for Radiation Dose and Image Quality of Computed Tomography in Polytrauma.改变患者体位:对多发伤患者计算机断层扫描辐射剂量和图像质量的影响及利弊
Diagnostics (Basel). 2022 Nov 2;12(11):2661. doi: 10.3390/diagnostics12112661.
6
Value of contrast-enhanced arterial phase imaging in addition to portovenous phase in CT evaluation of blunt abdominopelvic trauma.在钝性腹部盆腔创伤的CT评估中,除门静脉期成像外,动脉期增强成像的价值。
Eur Radiol. 2023 Mar;33(3):1641-1652. doi: 10.1007/s00330-022-09208-1. Epub 2022 Nov 2.
7
Imaging Features of Post Main Hepatectomy Complications: The Radiologist Challenging.肝切除术后并发症的影像学特征:放射科医生面临的挑战
Diagnostics (Basel). 2022 May 26;12(6):1323. doi: 10.3390/diagnostics12061323.