The Role of Computed Tomography (CT) Imaging in Critical Care

Posted on: 7th August 2023

Question

Important information.

First !!! My program is radiological technology, not radiology, after we graduate we are X-ray technologists not the doctor/ physician/radiologist, please don’t mass it up when you write the paper!!!!!!

Second, Please do not start the paper yet,

Step 1: You need to select at topic from the field of radiological technology that interests you.  There are hundreds of topic to choose from.

Here are a few examples:  breast screening, the role of CT in critical care, advanced practice, radiation safety in general imaging, pediatric imaging,  interventional radiology procedures, etc .

You should select a topic within the field that you find interesting then tie the topic into the 1010 objectives. Please see attached document in the course content for the objectives. I only have first week topic 1 slides, if needed I could upload more every week for new topics, you can start with objectives.

Please provide a topic ( just the topic) in one week.

Step 2 : the draft paper. I need it no later than February 10th, so I have enough time read it and fix it.

typed, double-spaced, 8 – 10 pages in length excluding the reference page and must follow APA format 7th edition ,minimum of 5 academic / peer-reviewed references that have been published only in the last 5 years. Please avoid using grey literature.

Step 3 : final paper. After I receive the paper, I will read it and fix it and may will ask you to fix something if there are issues. After I give you the feed back , Please give me the final version no later than March 10th.

Please don’t rush the paper it’s very important paper and worth 25 percent of my final grade.

Please see the following information for the paper.

HSCE 1010 Research Paper Assignment

Assignment:

The theme and focus of the assignment should reflect a topic from the student’s professional stream and a direct relationship between the topics and content of HSCE 1010, and the daily responsibilities of the student’s profession should be reflected throughout this assignment. The articles used for the review should support these correlations.

Assignments are to be typed, double-spaced, 8 – 10 pages in length excluding the reference page and must follow APA format 7th edition. Students must include a minimum of 5 academic / peer-reviewed references that have been published only in the last 5 years. Please avoid using grey literature.

Part 1 - students must submit a draft of their paper for review

Part 2 – students will submit the final version to the course drop box by 0930 hrs.

Students must incorporate feedback provided in their final paper – failure to do so will result in a significant grade reduction

Assignments are to be typed, double-spaced, 8 – 10 pages in length excluding the cover and reference page. The paper must follow APA format 7th edition

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Solution

Abstract

This paper will discuss the importance of computed tomography (CT) imaging as a vital part of critical care. It will go through the benefits of CT imaging, how it may be used to gauge the severity of medical disorders, and the dangers of using it. CT has become an essential tool in managing critically ill patients in the modern healthcare system. Over the last several years, CT Scan utilization in critical care has skyrocketed due to its capacity to yield intricate images of body organs, tissues, and blood vessels later used for treatment. This paper will scrutinize the evidence on CT imaging in critical care and provide proposals for its most advantageous utilization.

The Role of Computed Tomography (CT) Imaging in Critical Care

Computed tomography (CT) imaging is a medical imaging technique that employs x-rays and computer technology to produce in-depth 3D images of the body, according to Leonardi et al. (2020). This medical imaging technology has become popular among healthcare professionals because it provides impeccably precise images of organs, bones, and soft tissue. CT imaging is often used in trauma cases and for diagnosing cancer and other diseases quickly and accurately (Tourel et al., 2020). (CT)  imaging procedure produces high-quality, detailed cross-sectional images of the body. CT imaging is an important tool used in critical care. It is used to quickly and accurately diagnose many medical conditions and provide detailed images of the human body (Gualtieri et al., 2020). Imaging is a relatively safe and non-invasive way to rapidly assess the severity of an illness or injury. Therefore, it is invaluable in diagnosing and managing many life-threatening diseases in the acute care setting. This report will closely examine the impact of Computed Tomography (CT) in emergency care and its significance in expeditiously detecting and adequately treating life-threatening diseases. Additionally, it will go over the potential advantages of CT in the critical care of cancer and cardiovascular diseases, the existing difficulties with employing CT in the acute care situation, and the significance of radiology techs’ education and training in the acute care setting (Ker et al., 2019). The technology is also cost-effective compared to other forms of medical imaging. With its speed, accuracy, and affordability, CT imaging has revolutionized the field of medical imaging.

Objectives

  1. To analyze the role of computed tomography (CT) imaging in diagnosing and managing critical care patients (Pontone et al., 2021).
  2. To evaluate the accuracy and safety of CT imaging in critical care settings  (Tourel et al., 2020).
  3. To explore the current trends in using CT imaging in critical care settings.
  4. To identify potential problems associated with using CT imaging in critical care settings (Ker et al., 2019).
  5. To identify strategies for optimizing the use of CT imaging in critical care settings (Pontone et al., 2021).

History and Uses of CT Imaging in Critical Care

According to Ker et al. (2019), CT imaging has been used in the medical field for decades, with its first usage being in the early 1970s. Since then, the technology has evolved greatly, introducing faster scanners, improved resolution, and lower radiation doses (Tourel et al., 2020). Imaging is used in critical care to evaluate various conditions, including trauma, stroke, and infections. However, the main benefit of CT imaging is its capacity to produce precise anatomical images that may be utilized to identify and track a variety of disorders (Leonardi et al., 2020).

Physics of CT Imaging

Radiation absorption, scattering, and reconstruction are a few of the physics behind CT imaging. The first principle, absorption, refers to the ability of X-rays to penetrate tissue and be absorbed by the body (Tourel et al., 2020). Different tissues absorb X-rays in different amounts, allowing for the creation of images showing the different body structures. The second principle, scattering, refers to the ability of X-rays to be scattered by tissue, which results in lower-resolution images. Finally, the third principle, reconstruction, refers to using the data from multiple X-ray beams to create a three-dimensional anatomy image (Pontone et al., 2021).

CT Protocols

CT protocols refer to the guidelines to ensure that the images produced are of the highest quality and resolution (Zieleskiewicz et al., 2020). These protocols typically include patient positioning, scanning parameters, and radiation dose optimization. It is crucial to position patients appropriately to ensure their anatomy lines up with the X-ray beams (Pontone et al., 2021). Scanning parameters refer to the settings used to adjust the intensity of the X-ray beams and the number of images taken. More importantly, radiation dose optimization is essential to guarantee that we protect our patients by exposing them to the lowest possible radiation dosage (Ker et al., 2019).

Optimization of Image Quality

The optimization of image quality involves a variety of techniques, including the use of filters, windowing, and post-processing algorithms (Pontone et al., 2021). Filters are used to reduce noise and improve contrast. Windowing is a technique used to adjust the brightness and contrast of an image (Zieleskiewicz et al., 2020). Finally, post-processing algorithms are used to improve the resolution and contrast of an image.

The Role of CT in Critical Care and its Importance in the Early Detection and Management of Life-Threatening Illnesses

Radiographers in Computed Tomography (CT) Imaging in Critical Care is vital in providing accurate imaging examinations for critically ill patients (Ker et al., 2019). They are responsible for positioning patients on the CT scanner, ensuring that imaging protocols are followed, and providing patients with proper care and comfort during the examination (Zieleskiewicz et al., 2020). To ensure the highest level of care for their patients, CT technologists must be well-versed in all aspects of Computed Tomography imaging and its protocols (Tourel et al., 2020). Furthermore, they must ensure that the images they produce provide adequate information to the medical team to make the appropriate diagnosis and treatment decisions. Radiographers must also know the safety and radiation protection measures when performing CT imaging in an acute care setting.

CT is a powerful imaging modality that can provide detailed information about a patient’s anatomy, pathology, and physiology. Computed tomography (CT) scans provide invaluable information to medical professionals, allowing them to assess the extent of illness, identify developing issues and measure the effectiveness of treatment (Ker et al., 2019). It can also provide essential information to aid in diagnosing and managing life-threatening illnesses, such as cancer, cardiovascular diseases, and sepsis. By utilizing CT scans, early detection and accurate diagnosis of extreme illnesses can be achieved - potentially saving lives. Its ability to detect small lesions and changes in the body can be invaluable in the early stages of a disease. Early disease detection can improve patient outcomes, as treatment can be initiated earlier and more aggressively (Leonardi et al., 2020). CT can be used to monitor the development of an illness and assess the efficacy of treatment in addition to its application in the early detection and evaluation of disease. CT can help to detect changes in the body, such as the spread of cancer or the development of cardiac complications, which can be monitored with serial CT scans. This can help monitor the effectiveness of treatment and inform if the treatment needs to be changed  (Tourel et al., 2020).

The role of CT in critical care is to provide detailed images of the body’s internal organs, tissues, and blood vessels for diagnosis and treatment. CT scans can detect abnormalities in the organs that are not visible on standard X-rays or other imaging methods  (Tourel et al., 2020).  CT scans empower critical care professionals to identify and diagnose both acute medical issues and chronic conditions promptly, greatly enhancing their ability to provide effective treatment. In critical care, a speedy and precise diagnosis is of utmost importance - making CT scans an invaluable tool for health professionals. The benefits of CT in urgent care include its ability to provide detailed images of the body’s internal organs, tissues, and blood vessels (Zieleskiewicz et al., 2020). This enables healthcare professionals to make accurate and timely diagnoses and appropriately target treatments. Furthermore, CT scans can be utilized to track treatments’ development, so doctors can make necessary alterations when needed. CT in critical care also helps reduce the risk of complications and death due to delayed diagnosis and treatment. Using CT in critical care has implications for patient care and safety (Abdurakhmonovich et al., 2022). CT scans can help healthcare professionals make accurate and timely diagnoses, leading to improved outcomes and fewer complications. It is crucial to consider CT scans’ advantages and disadvantages and ensure patients are not needlessly exposed to radiation or other dangers. Furthermore, healthcare professionals must exercise caution when administering CT scans for critical care, as there is a risk of misdiagnosis or incorrect treatments (Ker et al., 2019).

The Potential Benefits of CT in Critical Care for Cancer and Cardiovascular Diseases

Computed Tomography is a powerful tool that can be utilized to identify, diagnose and manage cancer and cardiovascular illnesses in emergency care facilities (Abdurakhmonovich et al., 2022). CT can detect cancer and assess the tumor’s size, location, and extent. This approach allows healthcare providers to assess the most beneficial treatment protocol and track its effectiveness. CT can also evaluate the cardiovascular system (Tourel et al., 2020). The technology can identify changes in the heart’s size and structure and the presence of coronary artery blockages. This can assess treatment efficacy and detect and monitor cardiac disorders, including coronary artery disease (Ker et al., 2019).

Overall, medical practitioners may find CT scans a very useful diagnostic tool. This speeds up diagnosing and treating medical disorders compared to conventional imaging procedures (Tourel et al., 2020). Doctors’ identification and treatment of medical diseases have been transformed by advances in medical imaging technology like CT and MRI scans. These imaging modalities provide detailed information about the anatomy in a 3-dimensional way (Zieleskiewicz et al., 2020). This has allowed medical professionals to detect, monitor, and analyze various diseases. The use of such technology has significantly reduced treatment times. Additionally, these advanced imaging techniques provide more accurate images than traditional X-ray technology. The increased accuracy means that treatment is more effective and can be tailored for individual patients. Computed tomography imaging effectively diagnoses medical issues, and its minimal radiation exposure makes it a safe choice for patients requiring immediate care (Leonardi et al., 2020). Finally, computed tomography imaging is a highly secure and effective imaging modality. Not only does it increase the accuracy of diagnoses, but it also minimizes radiation exposure compared to other forms of imaging. This is especially beneficial in critical care scenarios where the patient’s health is the top priority. Ultimately, computed tomography imaging helps clinicians make the best decisions regarding patient care (Abdurakhmonovich et al., 2022).

The Current Challenges Associated with the Use of CT in the Critical Care Setting

Although CT can be a useful tool for identifying and treating life-threatening disorders, it has several difficulties in the critical care setting. These include radiation exposure, cost, and time constraints (Abdurakhmonovich et al., 2022). Computed tomography imaging is expensive, and often limited resources are available. As such, careful consideration must be taken when considering if it is the best option. MRI or ultrasound technology might be more cost-effective (Leonardi et al., 2020). However, computed tomography imaging is the preferred method in cases where extremely detailed imaging is needed, such as detecting small tumors or other abnormalities. For patients requiring this imaging type, healthcare providers must have access to the necessary resources (Zieleskiewicz et al., 2020).

It also requires a highly trained staff to interpret the scan results accurately. Having staff members with the correct qualifications and expertise to handle the complexities of a scan is essential (Abdurakhmonovich et al., 2022). A skilled technician can interpret the images captured by a scan and diagnose potential medical issues. Additionally, proper training allows for comprehensive reporting so medical professionals can make well-informed decisions. With properly qualified staff, the results of a scan could easily be understood. As a result, it is crucial to guarantee that the staff at any facility using cutting-edge scanning technology is appropriately qualified (Zantonelli et al., 2022).

Additionally, some patients may find it hazardous or impractical to take CT scans due to the radiation dose they expose them to. Further, due to the radiation exposure associated with CT scans, it may be impractical or even dangerous to use in certain patient populations (Wu et al., 2019). As such, healthcare professionals must make decisions regarding the usefulness of a CT scan depending on the needs of their patients. It is important to consider CT scans’ potential risks and benefits as part of any patient evaluation (Tourel et al., 2020). This can help ensure that radiation exposure from unnecessary CT scans is avoided. Due to the urgent nature of the care provided, CT scans must be performed quickly and accurately. Navigating the intricate process of CT scans is no simple task. It takes great skill and knowledge to perform correctly and effectively (Leonardi et al., 2020).

The Importance of Training and Education of Radiology Technologists in the Critical Care Setting

Radiology technologists are essential in emergencies as they operate CT scans, MRI machines, and other imaging devices used by the technologists are helpful to assist medical and other professionals like doctors and physicians in making accurate diagnoses (Price & Earthman, 2019). The radiologist technologist must be knowledgeable about the indications for CT scans, the risks and benefits of the procedure, and the techniques used for performing the scan (Wu et al., 2019). They must also be knowledgeable about the types of equipment used and the safety protocols that must be followed. Radiologists must get the required training and education to ensure they are prepared for critical care (Price & Earthman, 2019). This should cover certification, and continuous education, including classroom and clinical instruction. It will aid in ensuring radiologists are suitably trained to carry out CT scans in the context of critical care and other imaging procedures (Zantonelli et al., 2022). It is necessary to note that radiological technologists are not physicians or doctors. They only take images, with no diagnosis or follow-up with the patient.

Evidence-Based Strategies for Improving Outcomes with Computed Tomography Imaging

Numerous investigations have analyzed the proficiency of CT scanning in emergency care scenarios. A thorough examination of the literature revealed that CT imaging was useful for accurately diagnosing several illnesses, including stroke and pulmonary embolism (Lee, 2020). Not only was it beneficial in evaluating the intensity of medical issues, but it also assisted in tracking alterations to a patient’s well-being. The review also found that CT imaging was effective in diagnosing fractures and tumors. However, the study also found a risk of radiation-induced cancer associated with repeated CT scans and increased with the number of scans performed (Wu et al., 2019). The role of computed tomography (CT) imaging in critical care has been the subject of recent research. Studies have found that CT imaging can help provide a more accurate diagnosis of life-threatening medical conditions, such as pulmonary embolism, stroke, and aortic dissection. It can also detect other serious medical conditions, such as tumors, abscesses, vascular aneurysms, and infections  (Price & Earthman, 2019). In addition, CT imaging can provide healthcare providers with detailed information about anatomical structures and organs, aiding in diagnosing conditions and helping guide treatment.

Computed tomography (CT) scans can provide more detailed imaging and accurate diagnoses than traditional X-rays. By combining multiple X-ray images of the body at different angles, CT scans can create a 3D image (Lee, 2020). This allows for more accurate visualizations of the tissue and organs that would be difficult to determine through traditional X-rays. Additionally, with the help of computer software and special filters, the radiologist can identify subtle differences between healthy and unhealthy tissue (Ker et al., 2019). CT scans provide a more comprehensive look at a patient’s health.

Evidence-based strategies, such as reducing radiation exposure and optimizing contrast levels, can help ensure better outcomes for patients undergoing CT scans. Making sure that patients do not receive unnecessary radiation exposure is crucial. Using the lowest dose possible and appropriate contrast levels increases the probability of positive outcomes (Price & Earthman, 2019). Additionally, having the latest technology can help minimize exposure. Therefore, investing in CT scanners with advanced features can prevent overextending patient radiation exposure. Evidence-based strategies are key to providing better care (Zantonelli et al., 2022).

It is also important to educate radiologists on the latest evidence-based practices to ensure they provide the best possible care for their patients (Lee, 2020). Moreover, radiologists should be updated on the latest evidence-based practices. This will ensure they are providing the best possible patient care. Through numerous continuing education courses, radiologists can stay abreast of the latest treatments, techniques, and technological advancements (Ker et al., 2019). Maintaining current standards helps ensure that radiologists provide their patients with the best care. Therefore, radiologists must receive consistent education on evidence-based practices (Price & Earthman, 2019).

Recommendations

The evidence suggests that CT imaging should only be utilized in critical care when its advantages outweigh its hazards. It should be used to quickly and accurately diagnose medical conditions and assess the severity of a medical condition by other professionals like doctors (Ker et al., 2019). CT imaging can be a powerful tool for tracking and monitoring changes in the health of patients over time. It is also recommended that clinicians limit CT imaging to reduce the risk of radiation-induced cancer. Patients should be informed of the risks associated with CT imaging and be allowed to decide on its use (Lee, 2020).

Conclusion

An overview of the function of CT imaging in critical care has been given in this study. It has evaluated the most recent research on its efficacy, covered its benefits and hazards, and offered suggestions for utilizing it best. CT imaging is a useful tool in critical care and can provide timely information to help clinicians make informed decisions about a patient’s care (Zantonelli et al., 2022).  It is important, however, to limit its use to reduce the risk of radiation-induced cancer. CT is an invaluable imaging modality in critical care (Lee, 2020). Imaging technology can be immensely beneficial in assessing the severity of diseases, recognizing disease progression, and measuring how successful treatment is. It can also provide essential information to aid in diagnosing and managing life-threatening illnesses, such as cancer, cardiovascular diseases, and sepsis. CT imaging is a quick and non-invasive way to assess the severity of a medical condition and can provide detailed images of the human body. It can also help to identify bleeding, tumors, and fractures (Ker et al., 2019). CT imaging is also useful in monitoring a patient’s condition over time. It can assess treatments’ effectiveness and detect changes in a patient’s condition. This timely information can help clinicians make informed decisions about the best course of treatment. However, several challenges are associated with using CT in the acute care setting, including radiation exposure, cost, and time constraints (Lee, 2020). Radiologists must possess adequate training and education to conduct CT scans to ensure safety, accuracy, and efficiency in critical care.

References

Abdurakhmonovich, K. O., Danabayevich, Z. K., Mukhsinovich, K. M., Alisherovna, A. K., & Ugli, S. D. D. (2022). The role of computed tomography in diagnosing choble (literature review). The American Journal of Medical Sciences and Pharmaceutical Research, 4(04), 1–7.https://inlibrary.uz/index.php/tajmspr/article/view/7064

Gualtieri, P., Falcone, C., Romano, L., Macheda, S., Correale, P., Arciello, P., & De Lorenzo, A. (2020). Body composition findings by computed tomography in SARS-CoV-2 patients: increased risk of muscle wasting in obesity. International journal of molecular sciences, 21(13), 4670. https://www.mdpi.com/757082

Ker, J., Singh, S. P., Bai, Y., Rao, J., Lim, T., & Wang, L. (2019). Image thresholding improves 3-dimensional convolutional neural network diagnosis of different acute brain hemorrhages on computed tomography scans. Sensors, 19(9), 2167. https://www.mdpi.com/459658

Lee, K. S. (2020). Pneumonia associated with 2019 novel coronavirus: can computed tomographic findings help predict the prognosis of the disease? Korean Journal of Radiology, 21(3), 257–258. https://synapse.koreamed.org/articles/1142710

Leonardi, A., Scipione, R., Alfieri, G., Petrillo, R., Dolciami, M., Ciccarelli, F., & Ricci, P. (2020). The role of computed tomography in predicting critical disease in patients with covid-19 pneumonia is a retrospective study using a semiautomatic quantitative method. European journal of radiology, 130, 109202. https://www.sciencedirect.com/science/article/pii/S0720048X20303910

Pontone, G., Scafuri, S., Mancini, M. E., Agalbato, C., Guglielmo, M., Baggiano, A., ... & Rossi, A. (2021). Role of computed tomography in COVID-19. Journal of cardiovascular computed tomography, 15(1), 27-36. https://www.sciencedirect.com/science/article/pii/S1934592520304366

Price, K. L., & Earthman, C. P. (2019). Update on body composition tools in clinical settings: computed tomography, ultrasound, and bioimpedance applications for assessment and monitoring. European journal of clinical nutrition, 73(2), 187-193. https://www.nature.com/articles/s41430-018-0360-2

Tourel, C., Burnol, L., Lanoisele, J., Molliex, S., Viallon, M., Croisille, P., & Morel, J. (2020). Reliability of standardized ultrasound measurements of quadriceps muscle thickness in neurological critically ill patients: a comparison to computed tomography measures. Journal of Rehabilitation Medicine, 52(3), 1-5. https://medicaljournalssweden.se/jrm/article/view/3784

Wu, X., Kim, G. H., Salisbury, M. L., Barber, D., Bartholmai, B. J., Brown, K. K., & Walsh, S. L. (2019). Computed tomographic biomarkers in idiopathic pulmonary fibrosis. The future of quantitative analysis. American journal of respiratory and critical care medicine, 199(1), 12–21. https://www.atsjournals.org/doi/abs/10.1164/rccm.201803-0444PP

Zantonelli, G., Cozzi, D., Bindi, A., Cavigli, E., Moroni, C., Luvarà, S., ... & Miele, V. (2022). Acute pulmonary embolism: Prognostic role of computed tomography pulmonary angiography (CTPA). Tomography, 8(1), 529-539.https://www.mdpi.com/2379-139X/8/1/42

Zieleskiewicz, L., Markarian, T., Lopez, A., Taguet, C., Mohammedi, N., Boucekine, M., & Leone, M. (2020). Comparative study of lung ultrasound and chest computed tomography scan in the assessment of severity of confirmed COVID-19 pneumonia. Intensive care medicine, 46(9), 1707-1713. https://link.springer.com/article/10.1007/s00134-020-06186-0

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