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Updated: Jun 25, 2026

Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Computed tomography during cardiopulmonary resuscitation using automated chest compression devices--an initial study
Stefan Wirth1, Markus Körner, Marcus Treitl
1Department of Clinical Radiology, University Hospital of Munich, Nussbaumstrasse 20, 80336, Munich, Germany. Stefan.Wirth@med.uni-muenchen.de
Automated chest compression devices impact CT image quality during cardiopulmonary resuscitation (CPR). While LUCAS and AutoPulse slightly degrade image quality, MDCT remains feasible for critical diagnostic decisions.
Area of Science:
- Medical Imaging
- Cardiopulmonary Resuscitation
- Radiology
Background:
- Assessing CT image quality and feasibility with automated chest compression (A-CC) devices during cardiopulmonary resuscitation (CPR).
- Evaluating two A-CC devices (AutoPulse, LUCAS) and a LUCAS baseplate-only configuration against a phantom alone.
Observation:
- Multidetector CT (MDCT) phantom studies showed increased image noise with A-CC devices.
- Quantitative and subjective image quality assessments revealed degradation with AutoPulse and LUCAS.
- Initial patient cases demonstrated MDCT's ability to identify key lesions during CPR with A-CC devices.
Findings:
- LUCAS significantly increased image noise and reduced image quality compared to the phantom alone.
- AutoPulse also increased noise and slightly reduced image quality.
- The LUCAS baseplate-only configuration showed minimal impact on image noise and quality.
Implications:
- MDCT imaging is feasible during CPR with A-CC devices, supporting clinical decisions.
- Image quality is slightly compromised but remains diagnostically useful.
- Further research may optimize protocols for A-CC device use in MDCT during CPR.
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