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Table 12 Section 6: Whole Body CT – Protocol, key issue 3: Cervical Neck/Spine

From: European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

How should the head/neck region in the standard whole-body tomography protocol be performed in a polytrauma patient with regard to contrast agent administration and image calculation?
No Statement(s) Cons Grade Cons
6.3.1 With a protocol that is not dose-optimised, the neck region should be included in the whole body tomography scan with intravenous contrast medium in such a way that the neck arteries and brain base arteries are well opacified 100%
strong
GoR
A
100%
strong
6.3.2 If only a bony injury is suspected in the cervical spine, the scan may be considered without the administration of contrast medium within the framework of a dose-optimised protocol 71%
weak
GoR
0
71%
weak
6.3.3 For dose reasons, the cranial scan ought not to be extended to the cervical spine 86%
normal
GPP
B
86%
normal
6.3.4 Axial image reconstruction should be performed in thin slices with both a soft tissue and a bone kernel 100%
strong
GoR
A
100%
strong
6.3.5 Image reformation should take place at all three orthogonal standard planes 100%
strong
GoR
A
86%
normal
6.3.6 The neck may be considered as part of the body scan as long as a second image reconstruction with a Field-of-View adapted to the neck is performed 100%
strong
GoR
0
100%
strong
Literature: detected = 3557, excluded = 3507, full-text: rated = 50, excluded = 16, included = 34 (guideline: [15, 19, 47, 76,77,78,79,80,81,82,83,84]; level 1: [85] level 2: [25, 28, 55, 56, 65, 75, 86]; level 3: [16, 27, 29, 51, 61, 66, 68, 70, 72,73,74, 87,88,89])
Comments: None