Multi-Detector Row CT of Acute Non-traumatic Abdominal Pain: Contrast and Protocol Considerations

被引：8

作者：

Anderson, Stephan W. ^{[1
]}

Soto, Jorge A. ^{[1
]}

机构：

[1] Boston Univ, Sch Med, Dept Radiol, Boston, MA 02118 USA

来源：

RADIOLOGIC CLINICS OF NORTH AMERICA | 2012年 / 50卷 / 01期

关键词：

Acute nontraumatic abdominal pain; Computed tomography; Intravenous contrast; Oral contrast; ACUTE APPENDICITIS; ORAL CONTRAST; HELICAL CT; COMPUTED-TOMOGRAPHY; SUSPECTED APPENDICITIS; CORONAL REFORMATIONS; DIAGNOSTIC-VALUE; DIVERTICULITIS; OBSTRUCTION; EXPERIENCE;

D O I：

10.1016/j.rcl.2011.08.009

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

This article discusses the critical protocol considerations in imaging patients with abdominal pain in the emergency department, specifically, the use of oral contrast, intravenous contrast, image postprocessing, and radiation dose. These considerations related to the use of computed tomography imaging of abdominal pain are reviewed in an evidence-based fashion.

引用

页码：137 / +

页数：12

共 27 条

[1] Influence of body habitus and use of oral contrast on reader confidence in patients with suspected acute appendicitis using 64 MDCT [J].

Anderson S.W. ;

Rhea J.T. ;

Milch H.N. ;

Ozonoff A. ;

Lucey B.C. ;

Soto J.A. .

Emergency Radiology, 2010, 17 (6) :445-453

[2] Abdominal 64-MDCT for Suspected Appendicitis: The Use of Oral and IV Contrast Material Versus IV Contrast Material Only [J].

Anderson, Stephan W. ;

Soto, Jorge A. ;

Lucey, Brian C. ;

Ozonoff, Al ;

Jordan, Jacqueline D. ;

Ratevosian, Jirair ;

Ulrich, Andrew S. ;

Rathlev, Niels K. ;

Mitchell, Patricia M. ;

Rebholz, Casey ;

Feldman, James A. ;

Rhea, James T. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (05) :1282-1288

[3] Length of stay by route of contrast administration for diagnosis of appendicitis by computed-tomography scan [J].

Berg, Evan R. ;

Mehta, Supriya D. ;

Mitchell, Patricia ;

Soto, Jorge ;

Oyama, Leslie ;

Ulrich, Andrew .

ACADEMIC EMERGENCY MEDICINE, 2006, 13 (10) :1040-1045

[4] Gastric Emptying Time of Oral Contrast Material in Children and Adolescents Undergoing Abdominal Computed Tomography [J].

Berger-Achituv, Sivan ;

Zissin, Rivka ;

Shenkman, Ze'ev ;

Gutermacher, Michael ;

Erez, Ilan .

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2010, 51 (01) :31-34

[5] The most useful findings for diagnosing acute appendicitis on contrast-enhanced helical CT [J].

Choi, D ;

Park, H ;

Lee, YR ;

Kook, SH ;

Kim, SK ;

Kwag, HJ ;

Chung, EC .

ACTA RADIOLOGICA, 2003, 44 (06) :574-582

[6] Clinical significance of poor CT enhancement of the thickened small-bowel wall in patients with acute abdominal pain [J].

Chou, CK ;

Wu, RH ;

Mak, CW ;

Lin, MP .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 186 (02) :491-498

[7] Comparison of colonic transit between polyethylene glycol and water as oral contrast vehicles in the CT evaluation of acute appendicitis [J].

Hebert, Jeffrey J. ;

Taylor, Andrew J. ;

Winter, Thomas C. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 187 (05) :1188-1191

[8] Location of the transition zone in CT of small-bowel obstruction: added value of multiplanar reformations [J].

Hodel, Jerome ;

Zins, Marc ;

Desmottes, Loic ;

Boulay-Coletta, Isabelle ;

Julles, Marie Christine ;

Nakache, Jean Pierre ;

Rodallec, Mathieu .

ABDOMINAL IMAGING, 2009, 34 (01) :35-41

[9]

Huynh Ly N, 2004, Emerg Radiol, V10, P310

[10] Acute appendicitis: Comparison of helical CT diagnosis - Focused technique with oral contrast material versus nonfocused technique with oral and intravenous contrast material [J].

Jacobs, JE ;

Birnbaum, BA ;

Macari, M ;

Megibow, AJ ;

Israel, G ;

Maki, DD ;

Aguiar, AM ;

Langlotz, CP .

RADIOLOGY, 2001, 220 (03) :683-690

← 1 2 3 →