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[螺旋计算机断层扫描中的造影剂给药:共识会议结果。雷根斯堡放射诊断研究所]

[Contrast medium administration in spiral computed tomography: the results of a consensus conference. Institute for Radiodiagnosis, Regensburg].

作者信息

Feuerbach S, Lorenz W, Klose K J, Gmeinwieser J, Lackner K J, Landwehr P, Grabbe E, Klöppel R

机构信息

Institut für Röntgendiagnostik, Regensburg.

出版信息

Rofo. 1996 Feb;164(2):158-65. doi: 10.1055/s-2007-1015630.

DOI:10.1055/s-2007-1015630
PMID:8679980
Abstract

The rapidity of spiral (helical-) computed tomography requires new protocols for i.v. contrast media administration. Flow rate, volume and delay are discussed controversially in the literature. Hence, a consensus meeting was initiated. In this meeting, problem related questions were designed, discussed and answered using a digital vote system. Spiral-CT-technology was found to be the ideal examination technique for thorax, liver, pancreas, kidney and the retroperitoneal space with an overall agreement between 89 and 97%. The exclusive use of nonionic contrast media and power injectors was recommended by 100% of the participants. More than 90% of the contributors did not accept native scans only for examinations of the neck, thorax, liver, pancreas, kidney and the retroperitoneal space. Regarding volume, flow rate, delay and physical CT-parameters the agreement laid between 50 and 100%. The meeting concluded that randomised controlled studies should be performed to evaluate detailed contrast media protocols for helical CT.

摘要

螺旋(螺旋式)计算机断层扫描的快速性要求制定静脉注射造影剂给药的新方案。文献中对流速、剂量和延迟时间存在争议性讨论。因此,发起了一次共识会议。在这次会议上,设计了与问题相关的问题,并使用数字投票系统进行讨论和解答。螺旋CT技术被认为是胸部、肝脏、胰腺、肾脏和腹膜后间隙的理想检查技术,总体认可度在89%至97%之间。100%的参与者建议仅使用非离子型造影剂和动力注射器。超过90%的参与者不接受仅对颈部、胸部、肝脏、胰腺、肾脏和腹膜后间隙进行平扫检查。在剂量、流速、延迟时间和物理CT参数方面,认可度在50%至100%之间。会议得出结论,应进行随机对照研究以评估螺旋CT的详细造影剂方案。

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[Contrast medium administration in spiral computed tomography: the results of a consensus conference. Institute for Radiodiagnosis, Regensburg].[螺旋计算机断层扫描中的造影剂给药:共识会议结果。雷根斯堡放射诊断研究所]
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With helical CT, is nonionic contrast a better choice than ionic contrast for rapid and large IV bolus injections?对于螺旋CT,在进行快速大剂量静脉团注注射时,非离子型对比剂比离子型对比剂是更好的选择吗?
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