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Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases.

Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Research Abstract Details 

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  • Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Abstract Text:

    michael m maherMichael M Maher,peter f hahnPeter F Hahn,debra a gervaisDebra A Gervais,brid seoigheBrid Seoighe,james b ravenscroftJames B Ravenscroft,peter r muellerPeter R Mueller,

    OBJECTIVE: Our aim was to determine portable abdominal CT image quality and clinical content in a consecutive series of scans obtained in ICUs at a single center. MATERIALS AND METHODS: All helical portable abdominal CT scans obtained between June 1999 and December 2000 were reviewed by two observers. Image quality was assessed for feature detection and overall quality compared with the patients' contemporaneous stationary CT scans. Hospital records were used to determine patient demographics, scanning indications, and clinical impact and to verify portable CT findings when possible. RESULTS: One hundred twenty-two helical portable CT scans (47 contrast-enhanced) and 41 contemporaneous stationary CT scans in 107 patients were included. IV contrast material improved portable CT scan quality, but quality scores for portable CT scans were consistently lower than those for stationary CT scans, both with and without contrast material. Thirty-three conditions suspected before scanning were supported by findings on portable CT scans, which detected evidence of infection in 18 and hemorrhage in 16 cases and motivated seven laparotomies and six percutaneous drainage procedures. Thirty-three portable CT scans (27%) contributed to a change in patient treatment. Results of surgery or autopsy confirmed portable CT findings in 12 of 17 cases. CONCLUSION: Although image quality is inferior to conventional stationary CT, portable abdominal CT provides important diagnostic information without requiring patient transport outside the ICU. Radiologists should avoid overconfident interpretation of portable CT scans.

    Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Publishing Authors By Initials

    mm maherMM Maher,pf hahnPF Hahn,da gervaisDA Gervais,b seoigheB Seoighe,jb ravenscroftJB Ravenscroft,pr muellerPR Mueller,

    For similar tomography, x-ray computed research abstracts see: tomography, x-ray computed research

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    Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: AJR. American journal of roentgenology

    VOLUME: 183

    Page Numbers: 663-70

    Journal Abbreviation:

    ISSN: 0361-803X

    DAY: 15

    MONTH: Sep

    YEAR: 2004

    Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Information

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    LANGUAGE: eng

    NlmUniqueID: 7708173

    Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases. Keywords Mesh Terms:

    KEYWORDS: Tomography, X-Ray Computed

    MESH TERMS: instrumentation

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    Grant and Affiliation Information for Portable abdominal CT: analysis of quality and clinical impact in more than 100 consecutive cases.

    AFFILIATION: Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, 55 Fruit St., White 270, Boston, MA 02114, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: AJR Am J Roentgenol

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