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Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT.

Publication ,  Journal Article
Jaffe, TA; Martin, LC; Thomas, J; Adamson, AR; DeLong, DM; Paulson, EK
Published in: Radiology
January 2006

PURPOSE: To retrospectively assess the added value of coronal reformations of the abdomen and pelvis from isotropic voxels by using 16-section multi-detector row computed tomography (CT) for the diagnosis of small-bowel obstruction (SBO). MATERIALS AND METHODS: This HIPAA-compliant study was approved by the institutional review board of this medical center with a waiver of informed consent. One hundred consecutive patients (40 men and 60 women; mean age, 55 years) suspected of having SBO and abdominal pain underwent 16-section multi-detector row CT with coronal reformations. Twenty-nine patients had a final diagnosis of SBO, and 71 patients did not. Three independent readers blinded to the diagnosis interpreted the CT scout scan, then transverse scans alone, and then transverse plus coronal scans for the presence of SBO and abnormal wall enhancement. Confidence was scored with a 1-5 scale (1 = absent, 5 = present). RESULTS: Mean sensitivity and specificity of CT scout alone, transverse CT alone, and transverse plus coronal CT for the diagnosis of SBO were 88% and 86%, 87% and 87%, and 87% and 90%, respectively (not significant). In patients without SBO, transverse plus coronal CT enhanced confidence in the exclusion of SBO (P = .01). In patients with SBO, transverse plus coronal CT enhanced confidence in the diagnosis of SBO and identification of abnormal wall enhancement (P = .01). CONCLUSION: Transverse 16-section multi-detector row CT data sets are an excellent test for the diagnosis of SBO, while the addition of coronal reformations obtained from these isotropic data sets adds confidence to the diagnosis and exclusion of SBO.

Duke Scholars

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

January 2006

Volume

238

Issue

1

Start / End Page

135 / 142

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Iopamidol
  • Intestine, Small
  • Intestinal Obstruction
  • Image Processing, Computer-Assisted
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jaffe, T. A., Martin, L. C., Thomas, J., Adamson, A. R., DeLong, D. M., & Paulson, E. K. (2006). Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT. Radiology, 238(1), 135–142. https://doi.org/10.1148/radiol.2381050489
Jaffe, Tracy A., Lucie C. Martin, John Thomas, Andrew R. Adamson, David M. DeLong, and Erik K. Paulson. “Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT.Radiology 238, no. 1 (January 2006): 135–42. https://doi.org/10.1148/radiol.2381050489.
Jaffe TA, Martin LC, Thomas J, Adamson AR, DeLong DM, Paulson EK. Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT. Radiology. 2006 Jan;238(1):135–42.
Jaffe, Tracy A., et al. “Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT.Radiology, vol. 238, no. 1, Jan. 2006, pp. 135–42. Pubmed, doi:10.1148/radiol.2381050489.
Jaffe TA, Martin LC, Thomas J, Adamson AR, DeLong DM, Paulson EK. Small-bowel obstruction: coronal reformations from isotropic voxels at 16-section multi-detector row CT. Radiology. 2006 Jan;238(1):135–142.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

January 2006

Volume

238

Issue

1

Start / End Page

135 / 142

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Iopamidol
  • Intestine, Small
  • Intestinal Obstruction
  • Image Processing, Computer-Assisted