Skip to main content

Advertisement

Log in

Multidetector CT of bowel obstruction: value of post-processing

  • Gastrointestinal
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

The value of imaging in patients with suspicion of bowel obstruction is dependent on the ability to answer questions relevant to the clinical management of patients. Is there mechanical obstruction? Is it a small bowel obstruction (SBO) or a large bowel obstruction (LBO)? What is the transition point? What is the cause of the obstruction? What is the severity of the obstruction? The results of studies published more than 10 years ago using axial and single-slice helical CT gave rise to findings based on axial slices that enables CT to answer these different questions. With the recent advent of multislice CT, large numbers of thin sections can be generated with short image intervals, which is well suited to postprocessing. Postprocessing techniques include standard reformatting methods such as sagittal, coronal and oblique reformatting, curved reformatting, maximum and minimum-intensity projection, variable thickness viewing, and volume and surface rendering. This pictorial review illustrates the added value of postprocessing for answering different questions concerning patients with suspicion of bowel obstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. Rubesin SE, Herlinger H (1991) CT evaluation of bowel obstruction: a landmark article—implications for the future. Radiology 180:307–308

    Google Scholar 

  2. Cody DD (2002) AAPM/RSNA physics tutorial for residents: topics in CT. Image processing in CT. Radiographics 22:1255–1268

    Google Scholar 

  3. Shin HO, Falck CV, Galanski M (2004) Low-contrast detectability in volume rendering: a phantom study on multidetector-row spiral CT data. Eur Radiol 14:341–349

    Google Scholar 

  4. Fuchsjager MH (2002) The small-bowel feces sign. Radiology 225:378–379

    Google Scholar 

  5. Kim JH, Ha HK, Sohn MJ et al. (2003) CT findings of phytobezoar associated with small bowel obstruction. Eur Radiol 13:299–304

    Google Scholar 

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

    Google Scholar 

  7. Frager D, Rovno HD, Baer JW, Bashist B, Friedman M (1998) Prospective evaluation of colonic obstruction with computed tomography. Abdom Imaging 23:141–146

    Google Scholar 

  8. Chintapalli KN, Chopra S, Ghiatas AA, Esola CC, Fields SF, Dodd GD (1999) Diverticulitis versus colon cancer: differentiation with helical CT findings. Radiology 210:429–435

    Google Scholar 

  9. Huang BY, Warshauer DM (2003) Adult intussusception: diagnosis and clinical relevance. Radiol Clin N Am 41:1137–1151

    Google Scholar 

  10. Balthazar EJ, George W (1994) Holmes Lecture. CT of small-bowel obstruction. Am J Roentgenol 162:255–261

    Google Scholar 

  11. Balthazar EJ, Birnbaum BA, Megibow AJ, Gordon RB, Whelan CA, Hulnick DH (1992) Closed-loop and strangulating intestinal obstruction: CT signs. Radiology 185:769–775

    Google Scholar 

  12. Khurana B (2003) The whirl sign. Radiology 226(1):69–70

    Google Scholar 

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

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Taourel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aufort, S., Charra, L., Lesnik, A. et al. Multidetector CT of bowel obstruction: value of post-processing. Eur Radiol 15, 2323–2329 (2005). https://doi.org/10.1007/s00330-005-2733-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-005-2733-x

Keywords

Navigation