Table 14 Section 6: Whole Body CT – Protocol, key issue 5: Injection of Contrast Media
Key question: What do the WBCT protocol parameters manifest itself in case of a polytrauma patient regarding the application of contrast medium? | ||||
|---|---|---|---|---|
No | Statement(s) | Cons | Grade | Cons |
6.5.1 | For a split bolus, the larger component ought to be used for the first injection (portal-venous phase part) | 100% strong | GoR B | 100% strong |
6.5.2 | A saline flush should be used at the end of each contrast medium injection | 100% strong | GoR A | 100% strong |
6.5.3 | Each facility ought to maintain multiple standard injection protocols and consider individual patient characteristics for injection | 86% normal | GPP B | 86% normal |
6.5.4 | Each institution should critically and regularly check the resulting image quality, inspect the protocols regarding this and a possible reduction of the contrast medium quantity | 100% strong | GPP A | 86% normal |
Literature: detected = 3111, excluded = 3059, full-text: rated = 52, excluded = 25, included = 27 (guideline: [19, 79, 109, 110]; level 2: [28, 55, 56, 111]; level 3: [26, 27, 29, 51, 54, 58, 61, 63, 70, 72, 74, 75, 89, 101,102,103, 105, 108, 112]) | ||||
Comments: The contrast medium injection protocols are quite inconsistent. The Sections 6.4 and 6.5 overlap and should be merged in upcoming guideline updates | ||||