Thermal insulation does not hamper assessment of injuries in trauma CT scans.

Autor: Sanak T; Department of Emergency Medical Services, Jagiellonian University Medical College, Krakow, Poland. tomasz.sanak@uj.edu.pl., Skowronek A; Education and Medical Simulation Centre, Medical University of Silesia, Katowice, Poland., Mendrala K; Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland., Darocha T; Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland., Liszka G; Laboratory of Radiological Measurements GL Center Ltd, Tychy, Poland., Chrzan R; Department of Radiology, Jagiellonian University Medical College, Kraków, Poland., Woźniak KJ; Chair and Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland., Staskiewicz G; Department of Clinical and Radiological Anatomy, Medical University of Lublin, Lublin, Poland., Podsiadło P; Department of Emergency Medicine, Jan Kochanowski University, Kielce, Poland.
Jazyk: angličtina
Zdroj: Emergency radiology [Emerg Radiol] 2024 Dec; Vol. 31 (6), pp. 791-796. Date of Electronic Publication: 2024 Jul 26.
DOI: 10.1007/s10140-024-02272-8
Abstrakt: Purpose: The use of thermal insulations reduces the risk of hypothermia, therefore decreases the risk of death in trauma victims. The aim of the study was to assess whether thermal insulations cause artifacts, which may hinder the diagnosis of injuries, and how the used thermo-systems alter the radiation dose in polytrauma computed tomography.
Methods: Computed tomography scans were made using the road accident victim body wrapped consecutively with 7 different covers. 14 injury areas were listed and evaluated by 22 radiologists. The radiation dose was measured using a dosimeter placed on the victim in the abdominal area.
Results: No significant artifacts in any of the tested covers were observed. The presence of few minor artifacts did not hinder the assessment of injuries. Certain materials increased (up to 19,1%) and some decreased (up to -30,3%) the absorbed radiation dose.
Conclusions: Thermal insulation systems tested in this study do not cause significant artifacts hindering assessment of injuries in CT scans. Concern for artifacts and increased radiation dose should not be a reason to remove patients' thermal insulation during performing trauma CT-scanning.
Competing Interests: Declarations. Competing interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024. The Author(s).)
Databáze: MEDLINE
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