Objective: To determine if the addition of an arterial phase abdominal computed tomography (CT) improves clinical outcomes in patients with blunt splenic injuries. Methods: Retrospective review of patients who underwent CT of the abdomen revealing splenic injuries. Clinical management in these patients was determined. Results: Fifty-one of three thousand five hundred twenty-five patients had splenic injuries. Twenty-five patients underwent nonsurgical management, and 3 failed. The theoretical additional arterial phase resulted in a 62% increase in mean effective dose compared to the portal venous phase alone. Conclusions: Routine use of arterial phase CT in blunt trauma patients may not be warranted as there is minimal improvement in outcomes.
- Arterial phase
- Blunt trauma
- Dual phase
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging