Is Oral Contrast Necessary for Multidetector Computed Tomography Imaging of Patients With Acute Abdominal Pain?
Is Oral Contrast Necessary for Multidetector Computed Tomography Imaging of Patients With Acute Abdominal Pain?
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DOI：
10.1016/j.carj.2015.03.003
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发表时间：
2015-11-01
期刊：
影响因子：
3.1
通讯作者：
Katz, Douglas S.
中科院分区：
文献类型：
--
作者：
Alabousi, Abdullah;Patlas, Michael N.;Katz, Douglas S.
目的：本研究的目的是验证一种假设，即在急诊室患者中取消使用多探测器计算机断层扫描（MDCT）的口服造影剂不会影响对急性腹部异常的检测。方法：我们进行了一项回顾性研究，以评估停止口服造影剂用于腹部和骨盆MDCT扫描对急性腹痛和体重指数（BMI）为bbb25的患者的影响。在我们的回顾性研究中，BMI为25的急性腹痛患者没有延误或漏诊。及时影像学诊断的好处超过了不太可能需要重复影像学检查。
Purpose: The purpose of our study was to validate the hypothesis that eliminating the use of oral contrast for multidetector computed tomography (MDCT) would not affect the detection of acute abdominal abnormalities in emergency room patients.Methods: We conducted a retrospective study to assess the effect of discontinuing oral contrast use for MDCT scans of the abdomen and pelvis for patients presenting with acute abdominal pain and body mass index (BMI) >25. Patients with BMI 25 presenting with acute abdominal pain resulted in no delayed or missed diagnoses, in our retrospective study. The benefits of prompt imaging diagnosis outweigh the unlikely need for repeat imaging.