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

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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

Keywords

  • Arterial phase
  • Blunt trauma
  • Dual phase
  • Spleen

ASJC Scopus subject areas

  • Medicine(all)
  • Radiology Nuclear Medicine and imaging

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