术后对比介质注射在CT导向液排水后的重要性
Holger Goessmann1, Stephan Schleder2, Christian Stroszczynski3
1Department of Radiology, University Hospital Leipzig, 04103 Leipzig, Germany.
概括
在CT引导的皮肤排水 (PAD) 放置后,使用对比剂进行额外的术后扫描提供了显著的价值. 这种对照扫描在26%的病例中揭示了重要的发现,导致9%的治疗变化.
科学领域:
- 放射学 放射学是一门学科.
- 干预性放射学 干预性放射学
- 医疗成像医学成像
背景情况:
- 通过CT指导的皮肤排水 (PAD) 是一种常见的干预措施.
- 通过排水管通过对比介质 (CM) 进行例行术后控制扫描的实用性尚未完全确定.
研究的目的:
- 为了评估CT指导PAD放置后额外的术后控制扫描的附加临床价值.
- 评估CM注射通过新放置的排水管对诊断产量和患者管理的影响.
主要方法:
- 在33个月内对352名患者的499名CT引导的PAD进行了回顾性分析.
- 之前手术和没有手术的患者的子组分析.
- 重新评估严重炎症反应综合征 (SIRS) 的放射性记录.
主要成果:
- 197个排水道接受了手术后的CM注射.
- 51 (26%) 显示了额外的显著发现,导致19个 (9%) 病例的立即治疗变化.
- 在手术和非手术子组之间,发现或治疗变化没有显著差异.
结论:
- 通过下水道注射CM的额外的术后控制扫描在近26%的病例中提供了临床上重要的信息.
- 这些信息经常导致立即治疗调整 (9%的病例).
- 在CM应用后,严重炎症反应综合征 (SIRS) 的风险很低 (1%).
相关概念视频
Imaging Studies III: Computed Tomography
26
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...
26
Radiological Investigation I: X-ray and CT
284
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...
284
Imaging Studies I: CT and MRI
276
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
276
Imaging Studies for Cardiovascular System V: CT
41
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...
41
Radiological Investigation III: Pulmonary Angiogram and PET Scan
114
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
114
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
55
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
55


