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Low-dose whole-body computed tomography in patients with blunt multiple trauma

JAMA Surgery Mar 22, 2020

Stengel D, Mutze S, Güthoff C, et al. - A quasi-experimental, prospective time-series cohort study was conducted to ascertain if low-dose whole-body computed tomography (WBCT) scanning using an iterative reconstruction algorithm does not increase the rate of missed injury diagnoses at the point of care correlated with standard-dose WBCT with the benefit of less radiation exposure. This research included a sum of 1,074 consecutive individuals admitted for suspected blunt multiple trauma to an academic metropolitan trauma center in Germany between September 3, 2014, and July 26, 2015, for the standard-dose protocol, and from August 7, 2015, through August 20, 2016, for the low-dose protocol. Standard-dose WBCT was prescribed to 565 individuals with suspected blunt multiple trauma, followed by 509 individuals who had undergone low-dose WBCT. The data showed that low-dose WBCT using iterative image reconstruction does not seem to raise the risk of missed injury diagnoses at the point of care in comparison with standard-dose protocols while almost halving the exposure to diagnostic radiation.

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