Initial experience with a state-of-the-art mobile head CT scanner for use in neurointensive care units.

Autor: Goertz L; Faculty of Medicine and University Hospital, Department of Radiology and Neuroradiology, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany. lukas.goertz@uk-koeln.de., Al-Sewaidi Y; Department of Interventional Radiology and Neuroradiology, Klinikum Hochsauerland, Arnsberg, Germany., Habib M; Department of Interventional Radiology and Neuroradiology, Klinikum Hochsauerland, Arnsberg, Germany., Zopfs D; Faculty of Medicine and University Hospital, Department of Radiology and Neuroradiology, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany., Reichardt B; Department of Interventional Radiology and Neuroradiology, Klinikum Hochsauerland, Arnsberg, Germany., Ranft A; Department of Interventional Radiology and Neuroradiology, Klinikum Hochsauerland, Arnsberg, Germany., Kabbasch C; Faculty of Medicine and University Hospital, Department of Radiology and Neuroradiology, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
Jazyk: angličtina
Zdroj: Radiologie (Heidelberg, Germany) [Radiologie (Heidelb)] 2024 Nov; Vol. 64 (Suppl 1), pp. 93-101. Date of Electronic Publication: 2024 Apr 12.
DOI: 10.1007/s00117-024-01304-1
Abstrakt: Objective: Mobile head computed tomography (CT) scanners can reduce transport-related complications in neurointensive care unit (NICU) patients and decrease the burden on NICU staff; however, the initial investment cost and reduced image quality of early mobile scanners have prevented their widespread clinical use. Here, we report our initial experience with a novel 32-row mobile CT scanner for use in NICUs.
Methods: Over a 2-year period, 107 patients received a mobile head CT scan. The technical characteristics of the scanner and the organizational procedures are described in detail. Patient characteristics were retrospectively collected and image quality was subjectively evaluated on a Likert scale ranging from 0 to 5 and compared with a stationary CT scanner.
Results: Mobile head CT was used for follow-up of intracranial hemorrhage in 51%, routine postoperative imaging in 28%, evaluation of neurological deterioration in 14%, bedside monitoring after external ventricular drain placement in 4%, and follow-up of ischemic stroke in 3% of cases. Diagnostic imaging quality was achieved in all cases, eliminating the need for stationary CT scanning. The overall image quality of mobile CT (median 4 points) was inferior to that of conventional stationary CT (median 5 points, p < 0.01), but was rated with 4 or 5 points in the majority of cases.
Conclusions: State-of-the-art mobile CT was found to be easy to use and maneuver and has the potential to expedite the diagnosis of NICU patients and reduce staff workload. Image quality was adequate for common NICU issues.
Competing Interests: Declarations. Conflict of interest: C. Kabbasch serves as consultant for Acandis GmbH (Pforzheim, Germany) and as proctor for MicroVention Inc./Sequent Medical (Aliso Viejo, CA, USA). D. Zopfs is on the speaker’s bureau of Philips (Amsterdam, the Netherlands) and lecturer for Amboss GmbH (Cologne, Germany). L. Goertz, Y. Al-Sewaidi, M. Habib, B. Reichardt and A. Ranft declare that they have no competing interests. All procedures performed in studies involving human participants or on human tissue were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. The study was conducted in accordance with the STROBE guidelines in compliance with the national legislation and the Code of Ethical Principles for Medical Research Involving Human Subjects of the World Medical Association (Declaration of Helsinki). Informed consent was obtained from all individual participants included in the study. The supplement containing this article is not sponsored by industry.
(© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
Databáze: MEDLINE
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