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Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Radiological Investigation I: X-ray and CT01:30

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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緊急外来における造影剤漏出の予測因子:症例対照多施設後ろ向き研究

Gillian Cooper1, Jessica V Downing2, Yiting Lin3

  • 1Johns Hopkins School of Medicine, Baltimore, Maryland.

The Journal of emergency medicine
|February 25, 2026
PubMed
まとめ

超音波ガイド下の末梢IV留置は、救急外来患者における静脈内造影剤漏出(IVCE)のリスクを高める。薬物乱用もIVCEの重要なリスク因子として浮上した。

キーワード:
造影剤漏出救急画像診断静脈内造影剤患者安全質改善

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科学分野:

  • 救急医学;放射線医学;患者安全

背景:

  • 静脈内造影剤漏出(IVCE)は、造影剤増強画像検査のまれな合併症である。 IVCEは、組織壊死や救急外来(ED)滞在の長期化を含む重篤な転帰につながる可能性がある。 ED環境におけるIVCEのリスク因子に関する研究は限られている。

研究 の 目的:

  • ED患者におけるIVCEに関連する臨床的リスク因子を特定する。 造影剤増強CTスキャンからのデータを分析する。

主な方法:

  • 多施設共同後ろ向き症例対照研究を実施した。 2016年1月から2023年10月までに141例のIVCE症例と266例の対照群をマッチさせた。 多変量ロジスティック回帰により、IVCEに関連する因子を分析した。

主要な成果:

  • 超音波ガイド下末梢IV(USGIV)留置は、IVCEのオッズを3.67倍増加させることと関連していた(p < 0.001)。 薬物乱用は、IVCEのリスクを1.86倍増加させることと関連していた(p = 0.036)。 IVCE患者は、有意に長いED滞在時間(653分対525分)を経験した。

結論:

  • USGIV留置は、EDにおけるIVCEの重要なリスク因子である。 薬物乱用も、IVCEのリスク増加と関連している。 さらなる前向き研究により、結果を確認し、追加のリスク因子を検討することが推奨される。