Does oral radiocontrast affect image quality of abdominal sonography?
| Autor: | Lawrence Haines, Antonios Likourezos, Christopher Dang, Illya Pushkar, Eitan Dickman, Peter Homel, Maxim Dzeba, Mark O. Tessaro, Pranjal Patel |
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| Rok vydání: | 2018 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Time Factors Image quality Contrast Media 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Abdomen Humans Medicine Emergency ultrasound Prospective Studies Prospective cohort study Volunteer Aorta Ultrasonography business.industry Ultrasound 030208 emergency & critical care medicine General Medicine Emergency department Right upper quadrant Abdominal Pain Emergency Medicine Radiology medicine.symptom Emergency Service Hospital Tomography X-Ray Computed business |
| Zdroj: | The American Journal of Emergency Medicine. 36:684-686 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2017.11.025 |
| Popis: | Objective Emergency Department patients with abdominal pain may require both an ultrasound (US) and computed tomography (CT) for an accurate diagnosis. Patients are often asked to drink oral radiocontrast while awaiting ultrasound, in order to better expedite a CT in the case of a non-diagnostic US. The impact of oral radiocontrast on US image quality has not been studied. We compared the quality of US images obtained before and after the ingestion of oral radiocontrast in healthy adult volunteers. Methods This was a prospective study in which adult volunteer subjects underwent sonographic studies of the aorta, the right upper quadrant, the right lower quadrant, and the Focused Assessment with Sonography in Trauma (FAST) examination. Initial studies were performed prior to ingestion of oral radiocontrast, with subsequent imaging occurring at 1 and 2 hour post-ingestion. All of the images from the sonographic exams were randomized and subsequently scored for quality by two emergency ultrasound fellowship trained emergency physicians with extensive experience in performing and interpreting US. Results 638 images from 240 exams were obtained from 20 subjects at three time points. Six exams were not scored due to inadequate images. There were no significant differences in image quality for any of the US exam types after the ingestion of oral radiocontrast at 1 and 2 h. Conclusion Ingestion of oral radiocontrast did not affect image quality of four common abdominal ultrasound examinations. |
| Databáze: | OpenAIRE |
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