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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Abdominal Injuries, Female, Humans, Male, Middle Aged, ROC Curve, Radiation Dosage, Retrospective Studies, Spleen, Splenic Artery, Tomography, X-Ray Computed, Wounds, Nonpenetrating.
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Arterial phase CT for the detection of splenic injuries in blunt trauma: would it improve clinical outcomes? Context: To determine if the addition of an arterial phase abdominal computed tomography (CT) improves clinical outcomes in patients with blunt splenic injuries. Retrospective review of patients who underwent CT of the abdomen revealing splenic injuries. Clinical management in these patients was determined. Fifty-one of three thousand five hundred twenty-five patients had splenic injuries. Twenty-five patients underwent nonsurgical management, and 3 failed. The theoretical additional arterial phase resulted in a 62% increase in mean effective dose compared to the portal venous phase alone.
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Routine use of arterial phase CT in blunt trauma patients may not be warranted as there is minimal improvement in outcomes.