Multidetector CT in small-bowel neoplasms

被引：31
作者：
Minordi L.M. [1 ]
Vecchioli A. [1 ]
Mirk P. [1 ]
Filigrana E. [1 ]
Poloni G. [1 ]
Bonomo L. [1 ]
机构：
[1] Dipartimento di Bioimmagini e Scienze Radiologiche, Istituto di Radiologia, UCSC, Roma I-00168
来源：
La radiologia medica | 2007年 / 112卷 / 7期
关键词：
Enteroclysis; Multidetector-CT; Neoplasms; Small bowel;
D O I：
10.1007/s11547-007-0202-0
中图分类号：
学科分类号：
摘要：
Purpose. The aim of this study was to assess the diagnostic potential of multidetector computed tomography (MDCT) in the evaluation of small-bowel neoplasms. Materials and methods. We studied 120 patients with suspected small-bowel disease by 16-slice MDCT after oral administration of a polyethylene glycol solution (n=56) or methylcellulose via a nasojejunal tube (n=64). Unenhanced and contrast-enhanced CT was performed. Contrast-enhanced CT images were acquired 40 s after IV injection of 130 ml of iodinated contrast agent at a rate of 3 ml/s. Multiplanar reconstructions were performed at the end of the examinations. Results. Fifteen patients were found to be affected by small-bowel neoplasm (six had non-Hodgkin's lymphoma, three had carcinoid tumour, two had Peutz-Jeghers syndrome, two had adenocarcinoma, two had melanoma metastases, one had lipoma). In the remaining patients, 58 cases of Crohn's disease and seven miscellaneous diseases were detected. All findings were confirmed by barium studies, surgery or endoscopy. Conclusions. MDCT performed after bowel-loop distension with low-density contrast material and IV administration of iodinated contrast agent is a reliable method for diagnosing and staging small-bowel neoplasms. © 2007 Springer-Verlag Italia.
引用
收藏
页码：1013 / 1025
页数：12
相关论文
共 35 条
[1]  
Maglinte D.D.T., O'Connor K., Bessette J., Et al., The role of physician in the late diagnosis of primary of the malignant tumors of the small intestine, Am J Gastroenterol, 86, pp. 304-308, (1991)
[2]  
Nolan D.J., Gourtsoyiannis N.C., Barium studies, Radiological Imaging of the Small Intestine, pp. 59-72, (2002)
[3]  
Wilson S.R., Gourtsoyiannis N.C., Evaluation of the small intestine by ultrasonography, Radiological Imaging of the Small Intestine, pp. 73-85, (2002)
[4]  
Maglinte D.D., Gourtsoyiannis N., Rex D., Et al., Classification of small bowel Crohn's subtypes based on multimodality imaging, Radiol Clin North Am, 41, pp. 285-303, (2003)
[5]  
Horton K.M., Fishman E.K., Multidetector-row computed tomography and 3-dimensional computed tomography imaging of small bowel neoplasms: Current concept in diagnosis, J Comput Assist Tomogr, 28, pp. 106-116, (2004)
[6]  
Horton K.M., Fishman E.K., The current status of multidetector row CT and three-dimensional imaging of the small bowel, Radiol Clin North Am, 41, pp. 199-212, (2003)
[7]  
Di Mizio R., Rollandi G.A., Bellomi M., Et al., Multidetector-row helical CT enteroclysis, Radiol Med, 111, pp. 1-10, (2006)
[8]  
La Seta F., Buccellato A., Tese L., Multidetector-row CT enteroclysis: Indications and clinical applications, Radiol Med, 111, pp. 141-158, (2006)
[9]  
Romano S., De Lutio E., Rollandi G.A., Et al., Multidetector computed tomography enteroclysis (MDCT-E) with neutral enteral and IV contrast enhancement in tumor detection, Eur Radiol, 15, pp. 1178-1183, (2005)
[10]  
Boudiaf M., Jaff A., Soyer P., Et al., Small bowel diseases: Prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients, Radiology, 233, pp. 338-344, (2004)
1234