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Table 14 Section 6: Whole Body CT – Protocol, key issue 5: Injection of Contrast Media

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

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