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Multi-detector Computed Tomography in the Gastrointestinal System

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MDCT

Abstract

The advent of multi-detector computed tomography (MDCT) has opened new paradigms in the imaging of the abdomen and pelvis, particularly in the evaluation of the gastrointestinal tract (GIT). The use of MDCT scanners that acquire isotropic volume data and the advances in imaging workstations that allow multi-planar and three-dimensional (3-D) evaluation of these isotropic data sets have allowed accurate depiction and characterization of bowel pathology. Substantial information regarding the GIT can now be obtained due to recent technological advances and accumulated experience in image interpretation [1].

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References

  1. Macari M, Balthazar EJ (2001) CT of bowel wall thickening: significance and pitfalls of interpretation. AJR Am J Roentgenol 176:1105–1116.

    CAS  PubMed  Google Scholar 

  2. Rydberg J, Buckwalter KA, Caldemeyer KS (2000) Multisection CT. Scanning techniques and clinical applications. Radiographics 20:1787–1806

    CAS  PubMed  Google Scholar 

  3. Megibow AJ, Babb JS, Hecht EM et al (2006) Evaluation of bowel distension and bowel wall appearance by using neutral oral contrast agent for multi-detector row CT. Radiology 238:87–95

    Article  PubMed  Google Scholar 

  4. Balfe DM, Koehler RE, Karstaedt M et al (1981) Computed tomography of gastric neoplasm. Radiology 140:431–436

    CAS  PubMed  Google Scholar 

  5. Insko EK, Levine MS, Bimbaum BA, Jacobs JE (2003) Benign and malignant lesions of the stomach: evaluation of CT criteria for differentiation. Radiology 228(1):166–171

    Article  PubMed  Google Scholar 

  6. James S, Balfe DM, Lee JKY, Picus D (1987) Small bowel disease: categorization by CT examination. AJR Am J Roentgenol 148:863–868

    CAS  PubMed  Google Scholar 

  7. Horton KM, Corl FM, Fishman EK (2000) CT evaluation of the colon: inflammatory disease. Radiographics 20:399–418

    CAS  PubMed  Google Scholar 

  8. Fisher JK (1983) Abnormal colonic wall thickening on computed tomography. J Comput Assist Tomogr 7:90–97

    Article  CAS  PubMed  Google Scholar 

  9. Macari M, Megibow AJ, Balthazar EJ (2007) A pattern approach to abnormal small bowel: Observations at MDCT and CT enterography. AJR Am J Roentgenol 188:1344–1345

    Article  PubMed  Google Scholar 

  10. Hara AK, Leighton JA, Virender K et al (2005) Imaging of small bowel disease: comparison of capsule endoscopy, barium examination, and CT. Radiographics 25:697–718

    Article  PubMed  Google Scholar 

  11. Thompson SE, Raptopoulos V, Shieman RL et al (1999) Abdominal helical CT: milk as a low-attenuation oral contrast agent. Radiology 211:870–875

    CAS  PubMed  Google Scholar 

  12. Paulsen SR, Huprich JE, Fletcher JC et al (2006) CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases. Radiographics 26:641–662

    Article  PubMed  Google Scholar 

  13. Kim JH, Kim AY, Oh St et al (2005) Gastric cancer staging at multi-detector row CT gastrography: comparison of transverse and volumetric CT scanning. Radiology 236:879–885

    Article  PubMed  Google Scholar 

  14. Shimizu K, Ito K, Matsunaga N et al (2005) Diagnosis of gastric cancer with MDCT using the water-filling method and multiplanar reconstruction: CT-histologic correlation. AJR Am J Roentgenol 185:1152–1158

    Article  PubMed  Google Scholar 

  15. Chen CY, Wu DC, Kang WY, Hsu JS (2006) Staging of gastric cancer with 16-channel MDCT. Abdominal Imaging 31:514–520

    Article  PubMed  Google Scholar 

  16. Kim HY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472

    Article  CAS  PubMed  Google Scholar 

  17. Raptopoulos V (1989) Technical principles in CT evaluation of the gut. Radiol Clin North Am 27:631–651

    CAS  PubMed  Google Scholar 

  18. Jayaraman MV, Mayo-Smith WW, Moyson JS et al (2001) CT of the duodenum: an overlooked segment gets its due. Radiographics 21:147–160

    Google Scholar 

  19. Thoeni RF, Cello JP (2006) CT imaging of colitis. Radiology 240(3):623–38

    Article  PubMed  Google Scholar 

  20. Rollandi GA, Curone PF, Biscaldi E et al (1999) Spiral CT of the abdomen after distension of small bowel loops with transparent enema in patients with Crohn’s disease. Abdom Imaging 24(6):544–549

    Article  CAS  PubMed  Google Scholar 

  21. Grassi R, Di Mizio R, Romano S et al (2000) Multiple jejunal angiodysplasia detected by enema helical CT. Clinical Imag 24(2):61–63

    Article  CAS  Google Scholar 

  22. Maglinte DDT, Bender GN, Heitcamp DE et al (2003) Multidetector-row helical CT enteroclysis. Radiol Clin N Am 41(2):249–262

    Article  PubMed  Google Scholar 

  23. Romano S, De Lutio E, Rollandi GA et al (2005) Multidetector computed tomography enteroclysis (MDCT-E) with neutral enteral and IV contrast enhancement in tumour detection. Eur Radiol 15:1178–1183

    Article  PubMed  Google Scholar 

  24. Ba-Ssalamah A, Prokop M, Uffmann M et al (2003) Dedicated multidetector CT of the stomach: Spectrum of diseases. Radiographics 23:625–644

    Article  PubMed  Google Scholar 

  25. Lee JH, Jeong YK, Kim DH et al (2000) Two-phase helical CT for detection of early gastric carcinoma: importance of the mucosal phase for analysis of the abnormal mucosal layer. J Comput Assist Tomogr 24:777–782

    Article  CAS  PubMed  Google Scholar 

  26. Chen CY, Wu DC, Kang WY, Hsu JS (2006) Staging of gastric cancer with 16-channel MDCT. Abdominal Imaging 31:514–520

    Article  PubMed  Google Scholar 

  27. Takao M, Fukuda T, Iwanaga S et al (1998) Gastric cancer: evaluation of triphasic spiral CT and radiologic-pathologic correlation. J Comput Assist Tomogra 22:288–294

    Article  CAS  Google Scholar 

  28. Maher MM, Kalra MK, Sahani DV et al (2004) Techniques, clinical applications and limitations of 3D reconstruction in CT of the abdomen. Korean J Radiol 5(1):55–67

    Article  PubMed  Google Scholar 

  29. Horton KM, Fishman EK (2003) Current role of CT in the imaging of stomach. Radiographics 23:75–87

    Article  PubMed  Google Scholar 

  30. Minami M, Kawauchi N, Itai Y et al (1992) Gastric tumors: Radiologic pathologic correlation and accuracy of T staging with dynamic CT. Radiology 185:173–178

    CAS  PubMed  Google Scholar 

  31. Hundt W, Braunschweig R, Reiser M (1999) Assessment of gastric cancer: value of breathhold technique and two phase spiral CT. Eur Radiol 9:68–72

    Article  CAS  PubMed  Google Scholar 

  32. Takao M, Fukuda T, Iwanaga S et al (1998) Gastric cancer: evaluation of triphasic spiral CT and radiologic-pathologic correlation. J Comput Assist Tomogra 22:288–294

    Article  CAS  Google Scholar 

  33. Kim AY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472

    Article  CAS  PubMed  Google Scholar 

  34. Chen CY, Wu DC, Kang WY, Hsu JS (2006) Staging of gastric cancer with 16 channel-MDCT. Abomin Imaging 13 (Epub ahead of print)

    Google Scholar 

  35. Fishman EK, Wyatt SH, Ney DR et al (1992) Spiral CT of the pancreas with multiplanar display. AJR Am J Roentgenol 159:1209–1215

    CAS  PubMed  Google Scholar 

  36. House MG, Yeo CJ, Cameron JL et al (2004) Predicting respectability of periampullary cancer with three dimensional computed tomography. J Gastrointest Surg 8(3):280–288

    Article  PubMed  Google Scholar 

  37. Aufort S, Charra L, Lesnik A (2005) Multidetector CT of bowel obstruction: value of CT processing. Eur Radiol 15:2323–2329

    Article  CAS  PubMed  Google Scholar 

  38. Fukuya T, Hawes DR, Lu CC (1992) CT diagnosis of small bowel obstruction: efficacy in 60 patients. AJR Am J Roentgenol 158:765–769

    CAS  PubMed  Google Scholar 

  39. Fuchsager MH (2002) The small bowel feces sign. Radiology 225:378–379

    Article  Google Scholar 

  40. Jacobs SL, Rozenblit A, Ricci Z (2007) Small bowel feces sign in patients without small bowel obstruction. Clinical Radiology 62:353–357

    Article  CAS  PubMed  Google Scholar 

  41. Megibow AJ (1994) Bowel obstruction, Evaluation with CT. Radiol Clin N Am 32:861–870

    CAS  PubMed  Google Scholar 

  42. Balthazar EJ, Bimbaum BA, Megibow AJ (1992) Closed loop and strangulating intestinal obstruction: CT signs. Radiology 185:769–775

    CAS  PubMed  Google Scholar 

  43. Zalcman M, Sy M, Donckier V (2000) Helical CT signs in the diagnosis of intestinal ischemia in small bowel obstruction. AJR Am J Roentgenol 175(6):1601–1607

    CAS  PubMed  Google Scholar 

  44. Hong SS, Kim AY, Byun JH et al (2006) MDCT of small-bowel disease: value of 3D imaging. AJR Am J Roentgenol 187(5):1212–21

    Article  PubMed  Google Scholar 

  45. Furukawa A, Saotome T, Yamasaki M et al (2004) Cross-sectional imaging in Crohn Disease. Radiographics 24:689–702

    Article  PubMed  Google Scholar 

  46. Nagamata H, Inadama E, Arihiro S et al (2002) The usefulness of MDCT in Crohn’s disease. Nippon Shokakibyo Gakkai Zasshi 99:1317–1325

    PubMed  Google Scholar 

  47. Reittner P, Goritschnig T, Petritsch W et al (2002) Multiplanar spiral CT enterography in patients with Crohn’s disease using a negative oral contrast material: intial results of a noninvasive imaging approach. Eur Radiol 12:2253–2257

    PubMed  Google Scholar 

  48. Meyers MA, McGuire PV (1995) Spiral CT demonstration of hypervascularity in Crohn disease: “vascular jejunisation of the ileum” or the “comb sign”. Abom Imaging 20:327–332

    Article  CAS  Google Scholar 

  49. Mako EK, Mester AR, Tarjan Z (2000) Enteroclysis and spiral CT examination in the diagnosis and evaluation of small bowel Crohn’s disease. Eur J Radiol 35:168–175

    Article  CAS  PubMed  Google Scholar 

  50. Gore RM, Marn CS, Kirby DF (1984) CT findings in ulcerative, granulomatous, and indeterminate colitis. AJR Am J Roentgenol 143:279–284

    CAS  PubMed  Google Scholar 

  51. Del Campo K, Arribas I, Valbuena M et al (2001) Spiral CT findings in active and remission phases in patients with Crohn disease. J Comput Assist Tomogr 25:792–797

    Article  PubMed  Google Scholar 

  52. Booya F, Fletcher JG, Johnson CD et al (2004) CT enterography: detection of active Crohn’s disease during optimal bowel wall enhancement (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, III: Radiological Society of North America p. 611

    Google Scholar 

  53. Booya F, Fletcher JG, Johnson CD et al (2004) Conspicuity of small bowel inflammation at CT enterography: “enteric” vs “hepatic” phase imaging (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, III: Radiological Society of North America 611

    Google Scholar 

  54. Lee SS, Ha HK, Yang SK et al (2002) CT of prominent pericolic or perienteric vasculature in patients with Crohn’s disease: correlation with clinical disease activity and findings on barium studies. AJR Am J Roentgenol 179:1029–1036

    PubMed  Google Scholar 

  55. James S, Balfe DM, Lee JKT et al (1987) Small-bowel disease, categorization by CT examination. AJR Am J Roentgenol 148:863–868

    CAS  PubMed  Google Scholar 

  56. Bartnicke BJ, Balfe DM (1994) CT appearance of intestinal ischemia and intramural hemorrhage. Radiol Clin North Am 32:845–860

    CAS  PubMed  Google Scholar 

  57. Kim AY, Ha HK (2003) Evaluation of suspected mesenteric ischemia: efficacy of radiologic studies. Radiol Clin North Am 41:327–342

    Article  PubMed  Google Scholar 

  58. Rha SE, Ha HK, Lee SH et al (2000) CT and MRI findings of bowel ischemia from various primary causes. Radiographics 20:29–42

    CAS  PubMed  Google Scholar 

  59. Horton KM, Fishman EK (2002) Volume rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants and pathologic conditions. Radiographics 22:161–172

    PubMed  Google Scholar 

  60. Mitsuyoshi A, Obama K, Shinkura N (2007) Survival in nonocclusive mesenteric ischemia: early diagnosis by multidetector row computed tomography and early treatment with continuous intravenous high dose prostaglandin E1. Ann Surg 246:229–235

    Article  PubMed  Google Scholar 

  61. Horton KM, Abrams RA, Fishman EK (2000) Spiral CT of colon cancer: imaging features and role in management. Radiographics 20(2):419–430

    CAS  PubMed  Google Scholar 

  62. Sinha R, Verma R, Rajesh A, Richards CJ (2006) Diagnostic value of multidetector row CT in rectal cancer staging: comparison of multiplanar and axial images with histopathology. Clin Radiol 61:924–931

    Article  CAS  PubMed  Google Scholar 

  63. Moore HW, Bonvento M (2006) Comparison of MDCT radiation dose: A phantom study: AJR Am J Roentgenol 187:498–502

    Article  Google Scholar 

  64. Sahani DV, Kalva SP, Hahn PF, Saini S (2007) 16 MDCT angiography in living kidney donors at various tube potentials: impact on image quality and radiation dose. AJR Am J Roentgenol 188(1):115–20

    Article  PubMed  Google Scholar 

  65. Sahani DV, Kalva SP, Hamberg LM (2005) Assessing tumour perfusion and treatment response in rectal cancer with multisection CT: initial observations. Radiology 234(3):785–792

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Abdominal Imaging and Intervention Department of Radiology, Massachussets General Hospital, Boston, MA, USA

    Avinash R. Kambadakone

  2. Department of Radiology, Massachusetts General Hospital, Boston, MA, USA

    Dushyant V. Sahani

Authors
  1. Avinash R. Kambadakone
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  2. Dushyant V. Sahani
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Editor information

Editors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Boston, MA, USA

    Mannudeep K. Kalra

  2. Department of Radiology Emory University School of Medicine, Emory University Hospital, Atlanta, GA, USA

    Sanjay Saini

  3. Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA

    Geoffrey D. Rubin

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© 2008 Springer-Verlag Italia

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Kambadakone, A.R., Sahani, D.V. (2008). Multi-detector Computed Tomography in the Gastrointestinal System. In: Kalra, M.K., Saini, S., Rubin, G.D. (eds) MDCT. Springer, Milano. https://doi.org/10.1007/978-88-470-0832-8_13

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  • DOI: https://doi.org/10.1007/978-88-470-0832-8_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0831-1

  • Online ISBN: 978-88-470-0832-8

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