MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY
Relevance. The variety of options for combining injuries and disorders occurring in the body with a combined injury, the need for rapid decision-making on treatment require rapid diagnosis of the entire volume of injuries and determining the severity of the injury, but there is still no single proto...
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| Format: | Article |
| Language: | Russian |
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Private institution educational organization of higher education "Medical University "ReaViz"
2021-07-01
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| Series: | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
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| Online Access: | https://vestnik.reaviz.ru/jour/article/view/240 |
| _version_ | 1826571474298732544 |
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| author | I. E. Popova L. T. Khamidova R. S. Muslimov T. G. Barmina S. A. Badigov |
| author_facet | I. E. Popova L. T. Khamidova R. S. Muslimov T. G. Barmina S. A. Badigov |
| author_sort | I. E. Popova |
| collection | DOAJ |
| description | Relevance. The variety of options for combining injuries and disorders occurring in the body with a combined injury, the need for rapid decision-making on treatment require rapid diagnosis of the entire volume of injuries and determining the severity of the injury, but there is still no single protocol for examining such victims.The aim of the work was to present a modern CT study protocol for patients with concomitant trauma. Materials and methods. The results of computed tomography of 30 patients with severe concomitant trauma were analyzed. All the victims were admitted in the first hours after the injury. Men were 30 (67 %), women – 10 (33 %), the average age was 41.3 ± 7.6 (22–79) years. Traditional multiphase full-body MSCT was performed in 20 patients, in 10 patients a special protocol was used for the study of the "whole body" by the method of divided bolus. The results of the study. Craniocerebral injuries were detected in 15 (50 %), spinal injuries – in 7 (23.3 %). Simultaneous injuries to the chest and abdomen were detected in 19 (63.3 %) of the victims. When subjectively evaluated, the quality of the images obtained using the full-body MSCT protocol with bolus separation and the standard multiphase protocol for the diagnosis of traumatic injuries was equivalent. The average radiation load per patient with traditional multiphase full-body MSCT is 66 % higher than with the split-bolus protocol. Conclusions. Full-body MSCT using a split bolus is a modern technique that fully meets the diagnostic conditions for severe combined trauma and, with a decrease in the radiation dose, allows you to determine all possible injuries in the victim in a single study. |
| first_indexed | 2024-03-12T04:20:05Z |
| format | Article |
| id | doaj.art-92e13f7dfc6b41fba788ff7894f3ac7f |
| institution | Directory Open Access Journal |
| issn | 2226-762X 2782-1579 |
| language | Russian |
| last_indexed | 2025-03-14T12:11:42Z |
| publishDate | 2021-07-01 |
| publisher | Private institution educational organization of higher education "Medical University "ReaViz" |
| record_format | Article |
| series | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
| spelling | doaj.art-92e13f7dfc6b41fba788ff7894f3ac7f2025-03-02T09:38:09ZrusPrivate institution educational organization of higher education "Medical University "ReaViz"Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье2226-762X2782-15792021-07-0103283710.20340/vmi-rvz.2021.3.CLIN.3195MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHYI. E. Popova0L. T. Khamidova1R. S. Muslimov2T. G. Barmina3S. A. Badigov4N.V. Sklifosovsky Research Institute of AmbulanceN.V. Sklifosovsky Research Institute of AmbulanceN.V. Sklifosovsky Research Institute of AmbulanceN.V. Sklifosovsky Research Institute of AmbulanceN.V. Sklifosovsky Research Institute of AmbulanceRelevance. The variety of options for combining injuries and disorders occurring in the body with a combined injury, the need for rapid decision-making on treatment require rapid diagnosis of the entire volume of injuries and determining the severity of the injury, but there is still no single protocol for examining such victims.The aim of the work was to present a modern CT study protocol for patients with concomitant trauma. Materials and methods. The results of computed tomography of 30 patients with severe concomitant trauma were analyzed. All the victims were admitted in the first hours after the injury. Men were 30 (67 %), women – 10 (33 %), the average age was 41.3 ± 7.6 (22–79) years. Traditional multiphase full-body MSCT was performed in 20 patients, in 10 patients a special protocol was used for the study of the "whole body" by the method of divided bolus. The results of the study. Craniocerebral injuries were detected in 15 (50 %), spinal injuries – in 7 (23.3 %). Simultaneous injuries to the chest and abdomen were detected in 19 (63.3 %) of the victims. When subjectively evaluated, the quality of the images obtained using the full-body MSCT protocol with bolus separation and the standard multiphase protocol for the diagnosis of traumatic injuries was equivalent. The average radiation load per patient with traditional multiphase full-body MSCT is 66 % higher than with the split-bolus protocol. Conclusions. Full-body MSCT using a split bolus is a modern technique that fully meets the diagnostic conditions for severe combined trauma and, with a decrease in the radiation dose, allows you to determine all possible injuries in the victim in a single study.https://vestnik.reaviz.ru/jour/article/view/240combined traumafull-body ctsplit bolus |
| spellingShingle | I. E. Popova L. T. Khamidova R. S. Muslimov T. G. Barmina S. A. Badigov MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье combined trauma full-body ct split bolus |
| title | MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY |
| title_full | MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY |
| title_fullStr | MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY |
| title_full_unstemmed | MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY |
| title_short | MODERN ASPECTS OF THE DIAGNOSIS OF SEVERE COMBINED TRAUMA USING COMPUTED TOMOGRAPHY |
| title_sort | modern aspects of the diagnosis of severe combined trauma using computed tomography |
| topic | combined trauma full-body ct split bolus |
| url | https://vestnik.reaviz.ru/jour/article/view/240 |
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