Dataset Information

Do we really need the arterial phase on CT in pelvic trauma patients?

ABSTRACT:

Purpose

To evaluate whether an arterial phase scan improves the diagnostic performance of computed tomography to identify pelvic trauma patients who received angiographic intervention on demand of the trauma surgeon.

Methods

This retrospective single-center study was performed at an academic Scandinavian trauma center with approximately 2000 trauma admissions annually. Pelvic trauma patients with arterial and portal venous phase CT from 2009 to 2015 were included. The patients were identified from the institutional trauma registry. Images were interpreted by two radiologists with more than 10 years of trauma radiology experience. Positive findings for extravasation on portal venous phase alone or on both arterial and portal venous phase were compared, with angiographic intervention as clinical outcome.

Results

One hundred fifty-seven patients (54 females, 103 males) with a median age of 45 years were enrolled. Sixteen patients received angiographic intervention. Positive CT findings on portal venous phase only had a sensitivity and specificity of 62% and 86%, vs. 56% and 93% for simultaneous findings on arterial and portal venous phase. Specificity was significantly higher for positive findings in both phases compared with portal venous phase only. Applying a threshold >?0.9 cm of extravasation diameter to portal venous phase only resulted in sensitivity and specificity identical to those of both phases.

Conclusion

Arterial phase scan in addition to portal venous phase scan did not improve patient selection for angiography. Portal venous phase extravasation size alone may be used as an imaging-based biomarker of the need for angiographic intervention.

SUBMITTER: Godt JC

PROVIDER: S-EPMC7835176 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Do we really need the arterial phase on CT in pelvic trauma patients?

Godt Johannes Clemens JC Eken Torsten T Schulz Anselm A Øye Kjetil K Hagen Thijs T Dormagen Johann Baptist JB

Emergency radiology 20200719 1

<h4>Purpose</h4>To evaluate whether an arterial phase scan improves the diagnostic performance of computed tomography to identify pelvic trauma patients who received angiographic intervention on demand of the trauma surgeon.<h4>Methods</h4>This retrospective single-center study was performed at an academic Scandinavian trauma center with approximately 2000 trauma admissions annually. Pelvic trauma patients with arterial and portal venous phase CT from 2009 to 2015 were included. The patients wer ...[more]

PMID: 32686046

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Dataset Information

Do we really need the arterial phase on CT in pelvic trauma patients?

Purpose

Methods

Results

Conclusion

Publications

Do we really need the arterial phase on CT in pelvic trauma patients?

Similar Datasets

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