Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-28T05:49:14.562Z Has data issue: false hasContentIssue false

Applications of 256-Slice, Spiral Computed Tomography Perfusion Scanning in Limb Salvage After High-Voltage Electrical Injury

Published online by Cambridge University Press:  13 September 2017

Pengcheng Ma
Affiliation:
Department of Radiology, Yan’an Hospital of Kunming, Kunming, China
Yong Sun*
Affiliation:
Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, China
Xintang Zhang
Affiliation:
Department of Radiology, Yan’an Hospital of Kunming, Kunming, China
Hui Liu
Affiliation:
Department of Radiology, Yan’an Hospital of Kunming, Kunming, China
Canli Liu
Affiliation:
Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, China
Jing Zhao
Affiliation:
Department of Radiology, Shanxi Province Hospital of Traditional Chinese Medicine Hospital, Taiyuan, China
*
Correspondence and reprint requests to Yong Sun, Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Yunnan 650000, China (e-mail: pcmdoc@126.com).

Abstract

Objective

This study aimed to investigate the applications of intelligent 256-slice computed tomography (iCT) perfusion imaging in high-voltage electrical injuries (HVEIs).

Methods

256-slice iCT was used to perform perfusion scanning for 48 patients with HVEI to detect the perfusion parameters.

Results

The blood flow (BF) and peak enhancement intensity (PEI) values of the plane lower than the amputation level of the diseased side (ALD) were smaller than those of the corresponding healthy side (P<0.05); therefore, the differences were statistically significant. The BF value of the plane beyond the ALD was bigger than that of the ALD (t=2.99 and P=0.042); therefore, the difference was statistically significant. The BF, PEI, and blood volume values of the plane below the ALD were smaller than those of the ALD (P<0.05); therefore, the differences were statistically significant.

Conclusions

The technique of 256-slice iCT perfusion imaging could provide richer and more comprehensive imaging data for the clinical treatment of HVEIs, thus exhibiting its benefit in reducing the disability of patients with HVEIs. (Disaster Med Public Health Preparedness. 2018;12:478–485)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Saracoglu, A, Kuzucuoglu, T, Yakupoglu, S, et al. Prognostic factors in electrical burns: a review of 101 patients. Burns. 2014;40:702-707. http://dx.doi.org/10.1016/j.burns.2013.08.023.Google Scholar
2. Prindeze, NJ, Jo, DY, Paul, DW, et al. Regional neurovascular inflammation and apoptosis are detected after electrical contact injury. J Burn Care Res. 2014;35:11-20. http://dx.doi.org/10.1097/BCR.0b013e3182a2accd.Google Scholar
3. Hunt, JL, Heck, EL. Identification of nonviable muscle in electric burns with nitroblue tetrazolium. J Surg Res. 1984;37:369-375.Google Scholar
4. Jia-ke, C, Li-gen, L, Quan-wen, G, et al. Establishment of soft-tissue-injury model of high-voltage electrical burn and observation of its pathological changes. Burns. 2009;35:1158-1164. http://dx.doi.org/10.1016/j.burns.2009.02.010.Google Scholar
5. Hsueh, YY, Chen, CL, Pan, SC. Analysis of factors influencing limb amputation in high-voltage electrically injured patients. Burns. 2011;37:673-677. http://dx.doi.org/10.1016/j.burns.2011.01.014.Google Scholar
6. Chin, AS, Rubin, GD. CT angiography of peripheral arterial disease. Tech Vasc Interv Radiol. 2006;9:143-149.Google Scholar
7. Li, L, Chai, J, Sheng, ZC, et al. A comparative study on the predictive value of digital subtraction angiography and B-mode ultrasonography in evaluation arterial injury in high-voltage electrical bum of the forearm. J Bum Care Res. 2006;27:502-507.Google Scholar
8. Vedung, S, Arturson, G, Wadin, K, et al. Angiographic findings and need for amputation in high tension electrical injuries. Scand J Plast Reconstr Hand Surg. 1990;24:225-231.Google Scholar
9. Dim, E, Amanari, O, Nottidge, T, et al. Bilateral lower limb amputations in a Nigerian child following high-voltage electrical burns injury: a case report. Malays Orthop J. 2013;7:45-47.Google Scholar
10. Chaudhry, TA, Shaikh, F, Ahmad, K. Healing of cornea following an electric burn. J Coll Physicians Surg Pak. 2012;22:533-535.Google Scholar
11. Lee, RC, Canady, DJ, Hammer, SM. Transient and stable ionic permeabilization of isolated skeletal muscle cells after electrical shock. J Burn Care Rehabil. 1993;14:528-540.Google Scholar
12. Baxter, CR. Present concepts in the management of major electrical injury. Surg Clin North Am. 1970;50:1401-1418.Google Scholar
13. Fujii, T. Electrical injury. Nippon Geka Gakkai Zasshi. 1998;99:52-56.Google Scholar
14. Muehlberger, T, Krettek, C, Voqt, PM. Electric accident. New aspects regarding pathophysiology and treatment. Unfallchirurg. 2001;104:1122-1128.Google Scholar
15. Arnoldo, BD, Purdue, GF, Kowalske, K, et al. Electrical injuries: a 20-year review. J Burn Care Rehabil. 2004;25:479-484.Google Scholar
16. Ferreiro, I, Meléndez, J, Regalado, J, et al. Factors influencing the sequelae of high tension electrical injuries. Burns. 1998;24:649-653.Google Scholar
17. Axel, L. Cerebral blood flow determination by rapid-sequence computed tomography. Radiology. 1980;137:679-686.Google Scholar
18. Norman, D, Axel, L, Berninger, WH, et al. Dynamic computed tomography of the brain: techniques, data analysis and application. Am J Roentgenol. 1981;136:759-770.Google Scholar
19. Berninger, WH, Axel, L, Norman, D, et al. Functional imaging of the brain using computed tomography. Radiology. 1981;138:711-716.Google Scholar
20. Eastwood, JD, Lev, MH, Azhari, T, et al. CT perfusion scanning with deconvolution analysis: pilot study in patients with acute middle cerebral artery stroke. Radiology. 2002;222:227-236.Google Scholar
21. Ota, H, Takase, K, Rikimaru, H, et al. Quantitative vascular measurements in arterial occlusive disease. Radiographies. 2005;25:1141-1158.Google Scholar
22. Zhang, QF, Wei, W, Shang, T, et al. Influence of high-voltage electrical burn on the rheological property of platelet and leukocyte in rats and the interventional effect of pentoxifylline. Zhonghua Shao Shang Za Zhi. 2012;28:428-434.Google Scholar