| Three-dimensional portography using multislice helical CT is clinically useful for management of gastric fundic varices. | |
| | |
MedLine Citation:
|
PMID: 11264074 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: This study seeks to evaluate three-dimensional (3D) helical CT portography as a tool for examining patients with gastric fundic varices. SUBJECTS AND METHODS: We compared 3D helical CT portography and conventional angiographic portography in 30 consecutive patients with gastric fundic varices. We assessed whether 3D helical CT portography is useful in selecting patients and in evaluating the results of balloon-occluded retrograde transvenous obliteration. RESULTS: Three-dimensional helical CT portography simultaneously depicted second or third branches of the intrahepatic portal vein and provided images of entire portosystemic collaterals. On 3D helical CT portography, gastric fundic varices were seen in 30 patients (100%), left gastric veins in 19 (63%), posterior gastric veins or short gastric veins in 28 (93%), gastrorenal shunts in 27 (90%), paraumbilical veins in three (10%), and inferior phrenic veins in two patients (7%). Findings of 3D helical CT portography and conventional angiographic portography were in close agreement. However, in four patients, posterior gastric veins or short gastric veins were not seen on conventional angiographic portography images of the spleen, but they were clearly revealed on 3D helical CT portography. Treatment was successful in all patients except one. Three-dimensional helical CT portography could easily evaluate therapeutic results. CONCLUSION: Three-dimensional helical CT portography proved so effective that it can be considered a less invasive alternative than conventional angiographic portography in assessing portosystemic collaterals. CT portography is useful in selecting candidates from patients with gastric fundic varices for retrograde transvenous obliteration and also in evaluating therapeutic results. |
| | |
Authors:
|
A Matsumoto; M Kitamoto; M Imamura; T Nakanishi; C Ono; K Ito; G Kajiyama |
Related Documents
:
|
8929304 - Evaluation of image quality using 1 : 1 pitch and 1.5 : 1 pitch helical ct in children:... 7862994 - Stenosis of the central airways: evaluation by using helical ct with multiplanar recons... 9676444 - Helical ct with multiplanar display: role in evaluation and clarification of complex re... 21879994 - Structural and functional neuroimaging methods in the diagnosis of dementias: a retrosp... 15795194 - Radionuclide imaging of the painful hip arthroplasty: positron-emission tomography vers... 21693804 - Impact of agglomeration on the relaxometric properties of paramagnetic ultra-small gado... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: AJR. American journal of roentgenology Volume: 176 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2001 Apr |
Date Detail:
|
Created Date: 2001-03-26 Completed Date: 2001-04-19 Revised Date: 2008-02-15 |
Medline Journal Info:
|
Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
|
Languages: eng Pagination: 899-905 Citation Subset: AIM; IM |
Affiliation:
|
First Department of Internal Medicine, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Balloon Occlusion Collateral Circulation / physiology Esophageal and Gastric Varices / etiology, radiography*, therapy Female Gastric Fundus / blood supply, radiography Humans Imaging, Three-Dimensional* Male Middle Aged Portography* Sclerotherapy Sensitivity and Specificity Tomography, X-Ray Computed* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Primary biliary cirrhosis: MR imaging findings and description of MR imaging periportal halo sign.
Next Document: Doppler sonography of hepatic arterial blood flow velocity after percutaneous transhepatic portal ve...