Browse > Article
http://dx.doi.org/10.9718/JBER.2009.30.5.412

Detection of Extravasated Contrast Media Using an Infrared Ray Based Extravasation Detection Accessory System  

Kweon, Dae-Cheol (Department of Radiologic Science, Shin Heung College University)
Jang, Keun-Jo (Department of Radiology, Presbyterian Hospital)
Publication Information
Journal of Biomedical Engineering Research / v.30, no.5, 2009 , pp. 412-417 More about this Journal
Abstract
The purpose of this study was to assess the ability of this device during clinically important episodes of extravasation. The extravasation detection accessory (EDA) system was based of infrared ray with detection sensor, an amplifier, alarm device, receiver, cable and a computer based system. This study was a prospective, observational study in which the EDA system was used to monitor the automated mechanical injection of contrast media. Three hundred patients referred for contrast media enhanced body computed tomography studied in a prospective, observation study in which the EDA system was used to identify and interrupt any injection associated with clinically important extravasation. There were 8 true-positive cases, 276 true-negative cases, 15 false-positive cases and 1 false-negative cases. The EDA system had a sensitivity of 88.8% and a specificity of 94.8% for the detection of clinically important extravasation. The EDA system had good sensitivity for the detection of clinically important extravasation and the EDA system has the clinical potential for the early detection of extravasation of the contrast medium that is administered with power injectors.
Keywords
Infrared Ray; Contrast Media; Extravasation; EDA System; Computed Tomography;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 R. C. Nelson, F. A. Anderson, B. A. Birnbaum, J. L. Chezmar, and S. N. Glick, "Contrast media extravasation during dynamic CT: detection with an extravasation detection accessory," Radiology, vol. 209, pp.837-843, 1998   ScienceOn
2 D. C. Kweon, B. G. Yoo, J. S. Lee, M. S. Cho, and S. H. Yang, "An experimental study for performance evaluation in dogs of preventive contrast media extravasation with a strain gage based prototype extravasation detection accessory system," J. Biomed. Eng. Res., vol. 29, no. 1, pp.66-72, 2008   과학기술학회마을   ScienceOn
3 S. T. Cochran, Karen Bomyea, and J. W. Sayre, "Trends in adverse events after IV administration of contrast media," Am. J. Roentgenol., vol. 176, pp.1385-1388, 2001   ScienceOn
4 C. L. Wang, H. R. H. Cohan, J. H. Ellis, S. Adusumilli, and N. R. Dunnick, "Frequency, management, and outcome of extravasation of nonionic iodinated contrast medium in 69657 intravenous injections," Radiology, vol. 243, pp.80-87, 2007   DOI   ScienceOn
5 J. E. Jacobs, B. A. Birnbaum, and C. P. Langlotz, "Contrast media reactions and extravasation: relationship to intravenous injection rates," Radiology, vol. 209, pp.411-416, 1998   ScienceOn
6 D. C. Kweon, S. H. Jeong, T. H. Kim, J. G. Kim, and P. Park, "The development of extravasation detection accessory system for the preventive contrast media extravasation in the computed tomography: a preliminary report," Korean J. Med. Phys., vol. 17, no. 1, pp.32-39, 2006   과학기술학회마을   ScienceOn
7 M. P. Federle, P. J. Chang, S. Confer, and B. Ozgun, "Frequency and effects of extravasation of ionic and nonionic CT contrast media during rapid bolus injection," Radiology, vol. 206, pp. 637-640, 1998   ScienceOn
8 D. A. Mercer, "A 14-b 2.5 MSPS pipelined ADC with on-chip PROM," IEEE J. Solid State Circuits, vol. 31, no. 1, pp.70-76, 1996   DOI   ScienceOn
9 D. C. Kweon, and J. G. Kim, "3D MDCT reformation findings of the radiographic contrast medium extravasation," J. Contents Assoc., vol. 6, no. 5, pp.145-152, 2006   과학기술학회마을   ScienceOn
10 T. Shimizu, T. Misaki, K. Yamamoto, K. Sueyoshi, and I. Narabayashi, "Helical CT of the liver with computed-assisted bolus tracking technology: scan delay of arterial phase scanning and effect of flow rate," J. Comput. Assist. Tomogr., vol. 24, no. 2, pp.219-223, 2000   DOI   ScienceOn
11 B. A. Birnbaum, R. C. Nelson, F. A. Anderson, J. L. Chezmar, and S. N. Glick, "Extravasation detection accessory: clinical evaluation in 500 patients," Radiology, vol. 212, pp.431-438, 1999   ScienceOn
12 S. L. Sistrom, S. B. Gay, and L. Peffley, "Extravsastion of iopamidol and iohexhol during contrast-enhancement CT: report of 28 cases," Radiology, vol. 180, pp.707-710, 1991   ScienceOn
13 S. G. Miles, J. F. Rasmussen, and T. Litwiller, "Safe use of an intraveous power injector for CT: experience and protocol," Radiology, vol. 190, pp.69-70, 1990   ScienceOn
14 D. C. Kweon, T. H. Kim, S. H. Yang, B. G. Yoo, M. G. Kim, and P. Park, "Subcutaneous injection contrast media extravasation: 3D CT appearance," Korean J. Med. Phys., vol. 16, no. 1, pp.47-51, 2005   과학기술학회마을   ScienceOn
15 J. Shaeffer, S. V. Sigfred, M. A. Sevcik, R. S. Grabowy, L. A. Gemmell, and A. D. Hirschman, "Early detection of extravasation of radiographic contrast medium. Work in progress," Radiology, vol. 184, pp.141-144, 1992   ScienceOn