Using CT scout view to scan illicit drug carriers may reduce radiation exposure

Objective The aim of this study was to present our experience on the evaluation of suspected illicit drug carriers via computerized tomography scout view (CTSV) with analysis of detectability and features such as content, form and density. Methods A total of 120 individuals suspected of body packing were screened via CT in a university emergency department between January 2014 and December 2017. Results 88.3% of 120 body packing cases examined in the study were male. The median (1st quartile–3rd quartile) age of the cases was 35.5 (30–41) years. We found that solid packs have a 4.573-fold higher likelihood of detection in CTSV screening than liquid ones (95%CI: 1.879–11.134). Additionally, the number of CT scans needed were significantly associated with capsule localization (stomach) (OR:7.178, 95%CI: 2.420–21.293) and solid form packs (OR: 8.705, 95%CI: 2.318–32.692) are associated with number of CT scans. Conclusion CTSVs have a successful detection rate, especially in solid form packs. Our results suggest that conclusive CTSV imaging for body packing may be recommended to delay the application of the next CT scan until the passage of the first capsule; thereby preventing unnecessary radiation exposure.