Wang Gang,Zhang Ying,Tang Teng,et al.Clinical application value of single pass scanning using multi-slice spiral CT for polytrauma patients[J].Chinese Journal of Radiological Medicine and Protection,2024,44(8):693-698
Clinical application value of single pass scanning using multi-slice spiral CT for polytrauma patients
Received:January 30, 2024  
DOI:10.3760/cma.j.cn112271-20240130-00036
KeyWords:Spiral CT  Polytrauma  Image quality  Effective dose
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Author NameAffiliationE-mail
Wang Gang Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Zhang Ying Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Tang Teng Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Dai Hongyang Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Wang Nan Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Qiu Mimi Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Xu Hongwei Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Xia Fangfang Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Xiang Xinglin Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China  
Li Jian Department of Radiology, Xi'an Fengcheng Hospital, Xi'an 710016, China xjyylj@163.com 
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Abstract::
      Objective To explore the clinical application value of single pass scanning using muti-slice spiral CT for polytrauma patients. Methods Totally 60 polytrauma patients treated from January to November in 2023 were randomly enrolled in this study. They were categorized into an experimental group and a control group using a random number table, with 30 patients in each group. The patients in the experimental group underwent single pass scaning for the head, neck, chest, and abdomen, whereas those in the control group receiving separate scanning for various parts. Then, the noise, signal-to-noise ratio (SNR), and contrast-to-noise (CNR) of the CT images of both groups were recorded. Furthermore, the objective and subjective evaluation, volume CT dose index (CTDIvol), effective dose (E), scanning time, and scan ranges of the images were compared between both groups. Results Compared to the control group, the test group exhibited lower SNR of the head (t = -5.47,P < 0.05) and higher SNR and CNR of the chest scans (t = -5.95, -6.15,P < 0.05). Furthermore, the test group demonstrated decreased ED, CTDIvol, scanning time, and scan range, which dropped from 18.53 mSv to 13.81 mSv (t = 3.29,P < 0.001), from 15.77 mGy to 10.59 mGy (t = 4.48,P < 0.001), from 31.68 s to 10.97 s (t = 6.95,P < 0.001), and from 64.92 cm to 45.21 cm (t = 9.05,P < 0.001), respectively compared to the control group. Conclusions Single pass CT scanning can reduce E, scanning time, and scan range in the treatment of polytrauma patients while ensuring the high quality of CT images, thus warranting wide clinical applications.
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