Standardized whole-body computed tomography as a screening tool in blunt multitrauma patients |
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Authors: | B Leidner M O Beckman |
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Institution: | (1) Department of Radiology, Huddinge University Hospital, Karolinska Institutet, Stockholm, Sweden, SE;(2) Department of Radiology, Karolinska Hospital, Karolinska Institutet, Stockholm, Sweden, SE;(3) Department of Radiology, Huddinge University Hospital, SE-141 86 Stockholm, Sweden e-mail: bertil@biogate.com Tel.: + 46-8-6 55 44 31 Fax: + 46-8-6 55 44 31, SE |
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Abstract: | The authors present the potential of using a preset CT protocol covering the whole body of the patient who has suffered blunt
trauma to screen for injuries, based on a review of the literature and on 4 years' direct experience. Standardized whole-body
CT is the fastest method of examining the whole body, capable of detecting a wide variety of traumatic lesions with a high
sensitivity and specificity. Multidetector CT allows a full-body examination to be completed within 5 min, thus minimizing
time to diagnosis and the institution of definitive clinical care. Current imaging algorithms that include abdominal ultrasonography
and plain radiographic studies need to be reassessed in view of the technical advances in CT diagnosis, but should ultimately
depend on the particular imaging capabilities and experience of a given trauma center. |
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Keywords: | Standardized whole body computed tomography – Multiple trauma – Blunt trauma – Trauma routine – Emergency radiology – Screening |
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