Table 3 Section 2: Structural points, key issue 2: CT type
Key question: Which computer tomography technology is needed for a polytrauma service? | ||||
|---|---|---|---|---|
No | Statement(s) | Cons | Grade | Cons |
2.2.1 | Trauma Centres of the highest level of medical care should be equipped with a Multi-detector CT (MDCT) offering at least 64 simultaneous slices | 100% strong | GoR A | 86% normal |
2.2.2 | As isotropic scanning offers the advantages of high quality MPR (multiplanar reformations), a CT scanner ought to be preferred with at least 16 detector rows | 86% normal | GPP B | 86% normal |
2.2.3 | The computer tomographs ought to be equipped with current techniques for the reduction of radiation exposure, but this should not delay image reconstructions | 100% strong | GoR B | 86% normal |
2.2.4 | Dual-Energy/ Spectral imaging/ substraction imaging scanner may be considered | 86% normal | GPP 0 | 71% weak |
2.2.5 | Trauma centres of the highest level of medical care should be technically equipped to a standard that will allow a perfusion CT of the brain | 100% strong | GPP A | 100% strong |
2.2.6 | Trauma centres of the highest level of medical care should be technically equipped to a standard that will allow a cardiac CT, if needed | 14% none | - | - |
Literature: detected = 615, excluded = 579, full-text: rated = 36, excluded = 28, included = 8 (guideline: [15, 24]; level 2: [25]; level 3: [26,27,28,29,30]) | ||||
Comments: As the technological development was fast in the last decade (the interval for literature inclusion), literature included reports on four row CT-scanners for polytrauma service. The consensus conference states them as obsolete | ||||