Utility of CT oral contrast administration in the emergency department of a quaternary oncology hospital: diagnostic implications, turnaround times, and assessment of ED physician ordering

Abdominal Radiology
Corey T JensenNicolaus A Wagner-Bartak

Abstract

To compare studies with and without oral contrast on performance of multidetector computed tomography (CT) and the order to CT examination turnaround time in cancer patients presenting to the emergency department (ED). To the best of our knowledge, oral contrast utility has not previously been specifically assessed in cancer patients presenting to the emergency department. Retrospective review of CT abdomen examinations performed in oncology patients presenting to the emergency department during one month. CT examinations performed with and without oral contrast were rated by two consensus readers for degree of confidence and diagnostic ability. Correlations were assessed for primary cancer type, age, sex, chief complaint/examination indication, body mass index, intravenous contrast status, repeat CT examination within 4 weeks, and disposition. Turnaround times from order to the start of the CT examination were calculated. The studied group consisted of 267 patients (127 men and 140 women) with a mean age of 56 years and a mean body mass index of 27.8 kg/m2. One hundred sixty CT examinations were performed without oral contrast, and 107 CT examinations were performed with oral contrast. There was no significant difference betwe...Continue Reading

References

Jun 1, 1981·The Journal of Computed Tomography·D J Hamlin, F A Burgener
Jul 22, 1998·The American Journal of Emergency Medicine·J R Richards, R W Derlet
Jan 3, 2001·AJR. American Journal of Roentgenology·S T ButelaL F Huang
Nov 2, 2004·Radiology·Joshua W StuhlfautErwin F Hirsch
May 17, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Scott R PaulsenFranklin Earnest
Apr 8, 2011·The Journal of Surgical Research·Carrie A LaituriShawn D St Peter
Jan 2, 2014·The Western Journal of Emergency Medicine·Matthew L HarrisonHemendra R Shah
May 1, 2015·European Radiology·Paul KauvMarc Zins
Nov 21, 2015·AJR. American Journal of Roentgenology·David Chenhan WangPhyllis Glanc

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Citations

Aug 8, 2018·La Radiologia medica·Douglas H SheaforAndrew D Hardie
Nov 24, 2019·Abdominal Radiology·Ajaykumar C MoraniKhaled M Elsayes
Nov 21, 2019·Abdominal Radiology·Abdelrahman K HanafyAjaykumar C Morani
Jul 10, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Lauren F AlexanderPeter A Harri
Oct 13, 2019·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Robert J SealockKoushik Das

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