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Japanese Journal of Radiology

, Volume 31, Issue 11, pp 737–743 | Cite as

Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT

  • Yuko NakamuraEmail author
  • Masaki Urashima
  • Naoyuki Toyota
  • Chiaki Ono
  • Makoto Iida
  • Wataru Fukumoto
  • Yoko Kaichi
  • Chihiro Tani
  • Yukiko Honda
  • Daisuke Komoto
  • Fuminari Tatsugami
  • Hideaki Kakizawa
  • Shuji Date
  • Kazuo Awai
Original Article

Abstract

Objective

To investigate the diagnostic capability of multidetector computed tomography for detecting non-occlusive mesenteric ischemia (NOMI).

Methods

We studied 11 NOMI patients and 44 controls. Radiologists evaluated the CT images for the presence of bowel ischemia and measured the diameters of the superior mesenteric artery and the superior mesenteric vein (D SMA and D SMV). We also performed linear discriminant analysis (LDA) using D SMA and D SMV.

Results

All NOMI patients presented with more than 2 CT findings of bowel ischemia. D SMA and D SMV were significantly smaller in NOMI patients than in the controls (p < 0.01). At the optimal cut-off values for D SMA (6.5 mm), D SMV (9.0 mm), and the Z value in LDA (0.93), sensitivity and specificity were 81.8 and 81.8; 81.8 and 88.6; and 81.8 and 97.7 %, respectively.

Conclusions

D SMA and D SMV were significantly smaller in NOMI patients than in the controls and D SMV is a more significant parameter than D SMA.

Keywords

Non-occlusive mesenteric ischemia MDCT Diameter of the superior mesenteric artery Diameter of the superior mesenteric vein Linear discriminant analysis 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Japan Radiological Society 2013

Authors and Affiliations

  • Yuko Nakamura
    • 1
    Email author
  • Masaki Urashima
    • 2
  • Naoyuki Toyota
    • 3
  • Chiaki Ono
    • 4
  • Makoto Iida
    • 4
  • Wataru Fukumoto
    • 1
  • Yoko Kaichi
    • 1
  • Chihiro Tani
    • 1
  • Yukiko Honda
    • 1
  • Daisuke Komoto
    • 1
  • Fuminari Tatsugami
    • 1
  • Hideaki Kakizawa
    • 5
  • Shuji Date
    • 1
  • Kazuo Awai
    • 1
  1. 1.Diagnostic Radiology, Graduate School of Biomedical SciencesHiroshima UniversityHiroshimaJapan
  2. 2.RadiologyHiroshima City HospitalHiroshimaJapan
  3. 3.RadiologyNational Hospital Organization Kure Medical Center and Cancer CenterKureJapan
  4. 4.RadiologyHiroshima City Asa HospitalHiroshimaJapan
  5. 5.RadiologyHiroshima Red Cross Hospital and Atomic-Bomb Survivors HospitalHiroshimaJapan

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