Purpose: To test the hypothesis that an automated post-processing workflow reduces trauma panscan exam completion times and variability.
Methods: One-hundred-fifty consecutive trauma panscans performed between June 2018 and December 2019 were included, half before and half after implementation of an automated software-driven post-processing workflow. Acquisition and reconstruction timestamps were used to calculate total examination time (first acquisition to last reformation), setup time (between the non-contrast and contrast-enhanced acquisitions), and reconstruction time (for the contrast-enhanced reconstructions and reformations). The performing technologist was recorded and accounted for in analyses using linear mixed models to assess differences between the pre- and post-intervention groups.
Results: Exam, setup, and recon times were (mean ± standard deviation) 33.5 ± 4.6, 9.2 ± 2.4, and 23.6 ± 4.7 min before and 27.8 ± 1.5, 8.9 ± 1.4, and 18.9 ± 1.7 min after intervention. These reductions of 5.7 and 4.7 min in the mean exam and recon times were statistically significant (p < 0.001) while the setup time was not (p = 0.49). The reductions in standard deviation were statistically significant for exam and recon times (p < 0.0001) but not for setup time (p = 0.13). All automated panscans were completed within 36 min, versus 65% with the traditional workflow.
Conclusion: Automation of image reconstruction workflow significantly decreased mean exam and reconstruction times as well as variability between exams, thus facilitating a consistently rapid imaging assessment, and potentially reducing delays in critical management decisions.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s10140-022-02031-7 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Blunt Thoracic and Abdominal Aortic Injury in Multiple Trauma: A Case Report.
Vasc Endovascular Surg
October 2024
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Article Synopsis
- - A rare case of blunt abdominal aortic injury (BAAI) in a patient over 80 was reported, following a motor vehicle accident, which presented with both thoracic and abdominal aortic injuries.
- - The patient underwent endovascular repair for the abdominal aortic injury on the day of admission and a thoracic repair 11 days later, resulting in a successful recovery.
- - The findings suggest that the timing of intervention for aortic injuries should consider the urgency of treatment and any potential damage to other organs.
The impact of injuries at the time of cardiac arrest on the prognosis of extracorporeal cardiopulmonary resuscitation (ECPR) in out-of-hospital cardiac arrest patients.
Resusc Plus
September 2024
Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Article Synopsis
- The study evaluates the impact of trauma on patients undergoing Extracorporeal Cardiopulmonary Resuscitation (ECPR) for out-of-hospital cardiac arrest, hypothesizing that trauma would negatively affect survival and neurological outcomes.
- A total of 189 patients were analyzed, finding that while 2.1% had head trauma (with all dying during treatment), 16.4% had torso trauma, which did not significantly affect 30-day survival or neurological outcomes compared to those without trauma.
- The findings highlight that while trauma from patient collapse or resuscitation can occur, its effects on survival and neurological health vary, with serious head injuries leading to high mortality rates.
Falls in Older Adults: Approach and Prevention.
Am Fam Physician
May 2024
Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Falls are a major public health problem, occurring in more than 27% of adults 65 years and older and costing the U.S. health care system tens of billions of dollars each year.
View Article and Find Full Text PDFScanning the aged to minimize missed injury: An Eastern Association for the Surgery of Trauma multicenter study.
J Trauma Acute Care Surg
January 2025
From the Department of Surgery (V.P.H., S.K.K., J.O., J.A.C.), MetroHealth Medical Center; Department of Surgery (S.K.K.), University Hospitals Cleveland Medical Center; Departments of Surgery (V.P.H.), and Population and Quantitative Health Sciences (V.P.H.), Case Western Reserve University School of Medicine; Biostatistics and Data Sciences Group (H.H.), Population Health and Equity Research Institute, MetroHealth Medical Center, Cleveland, Ohio; Department of Surgery (A.R., S.S.S., T.H.T.), Crozer-Chester Medical Center, Upland; Department of Surgery (C.A.B., A.M., B.F.D.), Reading Hospital, West Reading, Pennsylvania; Department of Surgery (G.A.B., P.P., T.B.S.P.), NYU Langone Hospital-Long Island, Mineola, New York; Department of Surgery (S.M., T.C., J.B.), Conemaugh Memorial Medical Center, Johnstown, Pennsylvania; Trauma Administration (L.E.J., J.M.W., C.S.N.), Ascension St. Vincent Hospital, Indianapolis, Indiana; Department of Surgery (P.O.U., K.T., C.P.), WakeMed Health and Hospitals, Raleigh, North Carolina; Department of Surgery (J.M.V., T.J.C., E.J.K.), Creighton University Medical Center - Bergan Mercy, Omaha, Nebraska; Department of Surgery (L.M.K., S.M.M., D.A.), Yale School of Medicine, New Haven, Connecticut; Department of Surgery (C.M., N.D., R.B.), Spartanburg Medical Center, Spartanburg, South Carolina; Department of Surgery (A.E., S.D., E.V.), OhioHealth Grant Medical Center, Columbus, Ohio; Department of Surgery (M.C.W., J.K.D., E.W.), Loma Linda University Medical Center, Loma Linda, California; Department of Trauma and Acute Care Surgery (M.L.M., B.P., K.H.), Kettering Health Main Campus, Kettering, Ohio; Department of Surgery (T.E., J.W.), Cooper University Hospital, Camden, New Jersey; Department of Surgery (J.H., K.L.), Ascension Via Christi Saint Francis, Wichita, Kansas; Department of Trauma Surgery (K.P.C., M.L.H.), Essentia Health-St. Mary's Medical Center; Essentia Institute of Rural Health (M.L.H.), Essentia Health, Duluth, Minnesota; Department of Surgery (J.N., E.T.-L.), University of California, Irvine Medical Center, Orange; and Department of Surgery (J.C., C.J.H.), Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.
Background: Despite the high incidence of blunt trauma in older adults, there is a lack of evidence-based guidance for computed tomography (CT) imaging in this population. We aimed to identify an algorithm to guide use of a pan-scan (head/cervical spine [C-spine]/torso) or a selective scan (head/C-spine ± torso). We hypothesized that a patient's initial history and examination could be used to guide imaging.
View Article and Find Full Text PDFBasilar Artery Occlusion Caused by Extracranial Vertebral Artery Dissection on Its Entry into the Transverse Foramen of the C6 Vertebra: Case Report.
J Neuroendovasc Ther
August 2023
Department of Neurosurgery, Yokohama City Minato Red Cross Hospital, Yokohama, Kanagawa, Japan.
Objective: Basilar artery occlusion (BAO) is an infrequent form of acute life-threatening stroke and may occur secondary to vertebral artery dissection (VAD). VAD, which occurs spontaneously and sometimes results from mechanical stress or blunt force trauma to the neck, sometimes occurs in the V1-V2 junction, but there are not many reported cases of those. Herein, we report a pictorially illustrative and clinically informative case of VAD in the V1-V2 junction following BAO.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!