| Usefulness of multidetector-row CT (MDCT) for the diagnosis of non-occlusive mesenteric ischemia (NOMI): assessment of morphology and diameter of the superior mesenteric artery (SMA) on multi-planar reconstructed (MPR) images. | |
| | |
MedLine Citation:
|
PMID: 19501999 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: The purpose of this study was to assess the efficacy of multidetector-row CT (MDCT) for the diagnosis of non-occlusive mesenteric ischemia (NOMI) by analyzing morphology and diameter of superior mesenteric artery (SMA). We assessed whether MDCT was as useful as angiography for the diagnosis of NOMI. MATERIALS AND METHODS: Four patients who were diagnosed with NOMI were retrospectively analyzed. All patients had 8-row MDCT followed by laparotomy. Two of them underwent angiography after MDCT. The morphology and diameter of SMA of these cases was analyzed on multi-planar reconstructed (MPR) images. The mean diameter of SMA of NOMI cases was compared to that of 13 control cases. RESULTS: MPR images of all NOMI cases showed irregular narrowing of the SMA, spasm of the arcades of SMA, and poor demonstration of intramural vessels. MPR images of two patients who had angiography were concordant with their angiograms. The mean diameter of SMA of NOMI patients was 3.4±1.1mm, which was statistically smaller than that of 13 control patients, 6.0±1.5mm (P<0.05, Wilcoxon rank sum tests). CONCLUSION: Angiography has been recognized essential for the diagnosis of NOMI. This study shows the possibility of MDCT to be an equivalently useful modality compared to angiography for the diagnosis of NOMI by interpreting morphologic appearance and diameter of SMA. Introduction of MDCT in the decision tree of NOMI treatment may bring the benefit of prompt diagnosis and subsequent early and efficient initiation of therapy, which may improve the mortality. |
| | |
Authors:
|
Reiko Woodhams; Hiroshi Nishimaki; Kaoru Fujii; Satoko Kakita; Kazushige Hayakawa |
Related Documents
:
|
20935079 - Intracranial aneurysms in patients with subarachnoid hemorrhage: ct angiography as a pr... 10090609 - Head and neck haemangiomas: contrast-enhanced three-dimensional mr angiography. 19276319 - Carotid artery stenosis: accuracy of noninvasive tests--individual patient data meta-an... 17715119 - Incidental findings on renal mr angiography. 19493459 - Fenestration of the anterior cerebral artery detected by magnetic resonance angiography. 16966479 - Vessel wall calcifications at multi-detector row ct angiography in patients with periph... 16645349 - Application of ventriculoperitoneal shunt as a treatment for hydrocephalus in a dog wit... 12973129 - Hyperpolarized helium-3 gas magnetic resonance imaging of the lung. 11997289 - Endovascular aneurysm repair: magnetic resonance monitoring of histological organizatio... |
Publication Detail:
|
Type: Journal Article Date: 2009-06-06 |
Journal Detail:
|
Title: European journal of radiology Volume: 76 ISSN: 1872-7727 ISO Abbreviation: Eur J Radiol Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-10-04 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8106411 Medline TA: Eur J Radiol Country: Ireland |
Other Details:
|
Languages: eng Pagination: 96-102 Citation Subset: IM |
Copyright Information:
|
Copyright © 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Department of Radiology, Kitasato University School of Medicine, Kitasato, Sagamihara, Kanagawa, Japan. reikow@hotmail.co.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hepatic perfusion changes in an experimental model of acute pancreatitis: evaluation by perfusion CT...
Next Document: Separation of stereoisomers of sertraline and its related enantiomeric impurities on a dimethylated ...