Comparison of three different iodine-based bowel regimens for CT colonography.
Objective: The aim of this study was to compare the computed tomographic colonography (CTC) image quality and patient acceptance of three iodine-based faecal tagging bowel preparations in 60 patients undergoing the following regimens: a 2-day regimen of meal-time administration of iodine and phospho...
| Publicado en: | European Radiology Vol. 20; no. 2; pp. 348 - 359 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105313747&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105313747 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2010 vid: 20 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105313747 47799955 NLM19711082 2010560099 10.1007/s00330-009-1553-9 NLM19711082 105313747 ppf: 348 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison of three different iodine-based bowel regimens for CT colonography. aug: au: Campanella D Morra L Delsanto S Tartaglia V Asnaghi R Bert A Neri E Regge D Campanella, Delia Morra, Lia Delsanto, Silvia Tartaglia, Vincenzo Asnaghi, Roberto Bert, Alberto Neri, Emanuele Regge, Daniele affil: Radiology Unit, Institute for Cancer Research and Treatment, Strada Provinciale 142, Km 3,95, 10060 Candiolo, Italy sug: subj: Attitude to Health Colonography, Computed Tomographic Methods Colorectal Neoplasms Radiography Intestines Radiography Iodine Administration and Dosage Iodine Diagnostic Use Patient Attitudes Adult Aged Aged, 80 and Over Contrast Media Drug Administration Schedule Female Human Male Middle Age Reproducibility of Results Sensitivity and Specificity Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: The aim of this study was to compare the computed tomographic colonography (CTC) image quality and patient acceptance of three iodine-based faecal tagging bowel preparations in 60 patients undergoing the following regimens: a 2-day regimen of meal-time administration of iodine and phospho-soda (GFPH); a 2-day regimen of meal-time mild laxative, followed by iodine administered 2 h before CTC (SD); and a 2-day regimen of meal-time administration of iodine (GF).Methods: Two independent radiologists assessed tagging quality; quantitative measures included the tagged stool density, and computer-aided detection (CAD) false-positive rate.Results: The GFPH and SD regimens provided better subjective quality than GF (p < 0.001). The latter regimen resulted in a higher proportion of insufficiently tagged segments: the measured average stool density was less than 200 HU in 10.7% in all segments vs 3.6% for SD and <0.5% for GFPH, respectively. Insufficient tagging occurred mostly in the ascending colon and the caecum. The CAD false-positive rate increased following the trend: GFPH < SD < GF (p = 0.00012). GFPH was worse tolerated than SD (p < 0.05).Conclusions: Considering preparation quality alone, GFPH was the best regimen, but SD provided the best balance between bowel preparation quality and patient acceptability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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