scholarly journals Diagnosis of Small-Bowel Diseases: Prospective Comparison of Multi–Detector Row CT Enterography with MR Enterography

Radiology ◽  
2016 ◽  
Vol 279 (2) ◽  
pp. 420-431 ◽  
Author(s):  
Gabriele Masselli ◽  
Marco Di Tola ◽  
Emanuele Casciani ◽  
Elisabetta Polettini ◽  
Francesca Laghi ◽  
...  
QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
S M Elgaafary ◽  
A F Abdelghany ◽  
W R Ali ◽  
M Salah ◽  
H F Youssief

Abstract The small bowel has always been considered a difficult structure for evaluation, because of its extensive length, its position in the digestive tract, its tortuosity and over lapping loops Purpose of this work is to study elteht of CT Enterography in the assessment of different small bowel diseases. CT Enterography offers superior small bowel visualization compared to standard Abdomino-pelvic CT and provides complementary diagnostic information to capsule endoscopy and MR Enterography more over it can detect the extraluminal pathology Purpose of this work is to study elt eht of CT Enterography in the assessment of different small bowel diseases. Patients & methods the study was performed over 43 patients. Complaining from abdominal pain, chronic diarrhea, loss of weight and recurrent vomiting .all patient had full clinical assessment and laboratory investigations. Results were compared to the upper and lower GIT endoscopies as well as laboratory and histopathology results. Results the most frequent finding were inflammatory bowel disease with95% sensitivity, neoplastic with sensitivity 92%, malabsorption 83.4% sensitivity and vascular diseases Conclusion CT Entrography is a safe well tolerated imaging technique that represents simple and effective method in assessment of different small bowel diseases as it is sensitive to early intestinal wall changes and evaluating the associated mesenteric and extra intestinal alterations as well


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Jingjing Wang ◽  
Qiaozhen Guo ◽  
Jianping Zhao ◽  
Mei Liu ◽  
Guangquan Liao ◽  
...  

Aim. To compare the diagnostic value of multidetector CT enterography (MDCTE) and double-balloon enteroscopy (DBE) for patients with suspected small bowel diseases.Methods. From January 2009 to January 2014, 190 patients with suspected small bowel diseases were examined with MDCTE and DBE. The characteristics of the patients, detection rates, diagnostic yields, sensitivity, specificity, positive predictive value, and negative predictive value were described and analyzed.Results. The overall detection rates of DBE and MDCTE were 92.6% and 55.8%, respectively (P<0.05), while the overall diagnostic yields were 83.2% and 33.7%, respectively (P<0.05). The sensitivity, specificity, positive predictive value, and negative predictive value of DBE were all higher than those of MDCTE. DBE had a higher diagnostic yield for OGIB (87.3% versus 20.9%,P<0.05). The diagnostic yields of DBE were higher than those of MDCTE for inflammatory diseases, angioma/angiodysplasia, and diverticulums, while being not for gastrointestinal tumors/polyps.Conclusions. The diagnostic value of DBE for small bowel diseases is better than that of MDCTE as a whole, but if gastrointestinal tumors are suspected, MDCTE is also needed to gain a comprehensive and accurate diagnosis.


Radiographics ◽  
2012 ◽  
Vol 32 (5) ◽  
pp. 1423-1444 ◽  
Author(s):  
Elisa Amzallag-Bellenger ◽  
Ammar Oudjit ◽  
Ana Ruiz ◽  
Guillaume Cadiot ◽  
Philippe A. Soyer ◽  
...  

2017 ◽  
Vol 2 (2) ◽  
pp. 39-44
Author(s):  
Mustafa Koplay ◽  
Hasan Erdogan ◽  
Emine Uysal ◽  
Hüseyin Korkmaz ◽  
Halil haldun Emiroglu ◽  
...  

2021 ◽  
Vol 10 (20) ◽  
pp. 1451-1456
Author(s):  
Fawaz Yousuf ◽  
Sanjay Sethi ◽  
Ranjana Gupta ◽  
Sandeep Joshi ◽  
Puneet Mittal ◽  
...  

BACKGROUND Small bowel imaging often questions clinicians due to its long, tortuous and undulating morphology. The current study was undertaken to establish the efficacy of multidetector computed tomography (MDCT) enterography in the evaluation of small bowel diseases using iso-osmotic mannitol as oral contrast agent. METHODS A prospective observational study was conducted among thirty patients (mean age 40 years; range 14 - 66 years), 16 males and 14 females presenting with clinical suspicion of small bowel diseases based on clinical, laboratory or other imaging investigations underwent CT enterography on a 128 slice CT scanner using isoosmotic mannitol as neutral enteral contrast. RESULTS Intestinal tuberculosis was the most common diagnosis. Non neoplastic cases predominantly showed segmental symmetrical involvement with target pattern of enhancement. Small bowel tumours (adenocarcinoma) were seen in 2 cases. Neoplasms were associated with focal asymmetrical involvement with heterogeneous enhancement pattern. Computerized tomography enterography (CTE) clearly depicted the site, level and cause of the obstruction in all the patients with a sensitivity and specificity of 96 % and 100 % respectively. Diagnostic accuracy of CTE in detection of small bowel diseases came out to be 98 %. CONCLUSIONS CT enterography is an effectual, non-invasive, well-tolerated, sensitive and specific imaging modality for the evaluation of small bowel diseases which provides superior assessment of the intraluminal, mural and extraintestinal pathologies. KEY WORDS CT enterography, mannitol, Tuberculosis, Small Bowel


2009 ◽  
Vol 193 (1) ◽  
pp. 113-121 ◽  
Author(s):  
Hassan A. Siddiki ◽  
Jeff L. Fidler ◽  
Joel G. Fletcher ◽  
Sharon S. Burton ◽  
James E. Huprich ◽  
...  

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