| Multidetector CT angiography in the evaluation of acute mesenteric ischemia. | |
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MedLine Citation:
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PMID: 18690454 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to determine the accuracy of multidetector row CT angiography in the diagnosis of acute mesenteric ischemia. Ninety-three consecutive studies on 91 patients with clinically suspected acute mesenteric ischemia underwent abdominal CT angiography as the first, and usually the sole, diagnostic procedure. CT was performed with a multidetector 16-row CT system from the level of the diaphragm to the pelvis in two phases: early arterial and late portal phase. CT examinations were reviewed by the duty radiologist. Final diagnosis was established by a senior radiologist. CTA was diagnostic in 92 studies. Mesenteric ischemia was diagnosed in 18 patients, 14 of them were of the thromboembolic type and four from the nonocclusive type. Positive CTA findings were confirmed by surgery in 13 patients and by clinical follow-up in three cases. Other reasons for abdominal pain were diagnosed by CT in 38 patients out of the remaining 74. There were two false positive and two false negative CT results, resulting in an overall accuracy of 95.6%. Multidetector CT angiography is a fast and accurate investigation for the diagnosis of acute mesenteric ischemia and in most cases can be used as the sole diagnostic procedure. |
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Authors:
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Amos Ofer; Sobhi Abadi; Samy Nitecki; Tony Karram; Igor Kogan; Maxim Leiderman; Pavel Shmulevsky; Shlomi Israelit; Ahuva Engel |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2008-08-09 |
Journal Detail:
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Title: European radiology Volume: 19 ISSN: 1432-1084 ISO Abbreviation: Eur Radiol Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-19 Completed Date: 2009-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 24-30 Citation Subset: IM |
Affiliation:
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Radiology, Rambam Medical Center, Haifa, Israel. a_ofer@rambam.health.gov.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Aged Aged, 80 and over Angiography / methods* Female Humans Ischemia / radiography* Male Mesenteric Artery, Superior / radiography* Mesenteric Vascular Occlusion / radiography* Middle Aged Reproducibility of Results Sensitivity and Specificity Tomography, X-Ray Computed / methods* Young Adult |
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