Arterial phase CT for the detection of splenic injuries in blunt trauma: Would it improve clinical outcomes?

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)212-216
Number of pages5
JournalClinical Imaging
Volume40
Issue number2
DOIs
StatePublished - Mar 1 2016

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Nonpenetrating Wounds
Tomography
Wounds and Injuries
Abdomen

Keywords

  • Arterial phase
  • Blunt trauma
  • Dual phase
  • Spleen

ASJC Scopus subject areas

  • Medicine(all)
  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Arterial phase CT for the detection of splenic injuries in blunt trauma: Would it improve clinical outcomes?",
abstract = "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.",
keywords = "Arterial phase, Blunt trauma, Dual phase, Spleen",
author = "Corwin, {Michael T} and Ghaneh Fananapazir and Ramit Lamba and Edgardo Salcedo and {Holmes Jr}, {James F}",
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T1 - Arterial phase CT for the detection of splenic injuries in blunt trauma

T2 - Would it improve clinical outcomes?

AU - Corwin, Michael T

AU - Fananapazir, Ghaneh

AU - Lamba, Ramit

AU - Salcedo, Edgardo

AU - Holmes Jr, James F

PY - 2016/3/1

Y1 - 2016/3/1

N2 - 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.

AB - 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.

KW - Arterial phase

KW - Blunt trauma

KW - Dual phase

KW - Spleen

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