Small intestinal tumors: diagnostic accuracy of enhanced multi-detector CT virtual endoscopy.

Objective: To study the diagnostic accuracy of enhanced multi-detector CT virtual endoscopy (MDCT-VE) for small intestinal tumors. Materials and Methods: 125 patients were examined by multi-detector CT (MDCT: 54 on 4-slice; 71 on 64-slice) following standard gastrointestinal tract cleansing, oral do...

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Publicado en:Abdominal Imaging Vol. 37; no. 3; pp. 465 - 475
Autores principales: Su X, Ge Y, Liang B, Wu M, Guo Y, Ma B, Li J, Su, Xuejuan, Ge, Yinghui, Liang, Baosong, Wu, Minghui, Guo, Ying, Ma, Bo, Li, Jianying
Formato: research Journal Article
Publicado: Springer Nature Jun2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Small intestinal tumors: diagnostic accuracy of enhanced multi-detector CT virtual endoscopy.
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        au:
          Su X
          Ge Y
          Liang B
          Wu M
          Guo Y
          Ma B
          Li J
          Su, Xuejuan
          Ge, Yinghui
          Liang, Baosong
          Wu, Minghui
          Guo, Ying
          Ma, Bo
          Li, Jianying
        affil: Department of Radiology, Henan Province People's Hospital, Zhengzhou, China
      sug:
        subj:
          Intestinal Neoplasms Radiography
          Tomography, X-Ray Computed Methods
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Child
          Contrast Media Diagnostic Use
          Female
          Human
          Intestinal Neoplasms Surgery
          Male
          Middle Age
          Patient Positioning
          Predictive Value of Tests
          Prospective Studies
          Radiographic Image Interpretation, Computer-Assisted
          Sensitivity and Specificity
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To study the diagnostic accuracy of enhanced multi-detector CT virtual endoscopy (MDCT-VE) for small intestinal tumors. Materials and Methods: 125 patients were examined by multi-detector CT (MDCT: 54 on 4-slice; 71 on 64-slice) following standard gastrointestinal tract cleansing, oral double contrast aerogenesis agent, and rectal gas administration. Unenhanced CT was performed, followed by enhanced CT in supine (30 and 80s delay after 100 mL standard intravenous contrast medium) and prone positions (180s delay). Supplementary CT in the lateral position was performed if small bowel was not well-filled. Images were reviewed on post-processing workstations with Virtual Endoscopy software. Results: 33/125 patients had proven small intestinal tumors: ten stromal tumors, nine lymphoma, eight adenocarcinomas, three hemangiomas, one each lipoma, Brunner gland adenoma, and hamartoma. 92 were nontumors. MDCT-VE correctly identified 30/33 cases with one false-positive diagnosis: sensitivity 90.9%, specificity 98.9% and accuracy 96.8%. Conclusion: Small intestinal MDCT-VE technique has high diagnostic accuracy for the detection of intestinal tumors. Contrast enhancement and adequate intestinal tract gas-filling can improve the detection rate for small intestinal tumors.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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