"A negative triple rule-out protocol has a high negative predictive value for life-threatening chest pain when the pre-test probability of each diagnosis is low to intermediate."
"e.g. metoprolol 5mg iv followed by monitoring for 5 min repeatedly up to 15-20 mg"
"tube potential: 100 kVp if patient’s weight ≤100kg or BMI"
"tube current: use automated current adjustment mode"
"meta-analysis data show that a CT with a TRO protocol can expose patients to a mean effective dose of roughly 10–20 mSv with retrospective helical gating, versus about 1–4 mSv when prospective techniques are used 7"
"meta-analysis data show that a CT with a TRO protocol can expose patients to a mean effective dose of roughly 10–20 mSv with retrospective helical gating, versus about 1–4 mSv when prospective techniques are used 7"
"Note: There are different approaches to achieve this goal, also with combined non-gated and ECG-gated acquisitions. This article is intended to outline some general principles and one approach. Protocol specifics, especially medications, contrast doses and decisions on acquisition technique will vary with respect to scanner technology, patient factors and institutional protocols."
"The medication and contrast doses apply to cardiac CT examinations in adults."
"Note: There are different approaches to achieve this goal, also with combined non-gated and ECG-gated acquisitions. This article is intended to outline some general principles and one approach. Protocol specifics, especially medications, contrast doses and decisions on acquisition technique will vary with respect to scanner technology, patient factors and institutional protocols."
"A negative triple rule-out protocol has a high negative predictive value for life-threatening chest pain when the pre-test probability of each diagnosis is low to intermediate."
"A negative triple rule-out protocol has a high negative predictive value for life-threatening chest pain when the pre-test probability of each diagnosis is low to intermediate."
"scan extent"
"acute ST-elevation myocardial infarction or elevated troponin"
"tube potential: 100 kVp if patient’s weight ≤100kg or BMI"
"check scan can occur in the agreed-upon portion of the R-R interval within the patient's current heart rate"
Expected headings
"Purpose"
"Technical requirements"
"Patient preparation"
"Premedication"
"inability to co-operate (e.g. breath-hold instructions, arm elevation, etc.)"
"markedly irregular rhythm (e.g. atrial fibrillation)"
"active bronchoconstriction, asthma or bronchospastic disease with regular inhaler use"