Zamboni Giulia A, Raptopoulos Vassilios
Istituto di Radiologia, Policlinico GB Rossi, P.le L.A. Scuro 10, 37134 Verona, Italy.
Gastrointest Endosc Clin N Am. 2010 Apr;20(2):347-66. doi: 10.1016/j.giec.2010.02.017.
Conventional radiologic and endoscopic evaluations of the small bowel are often limited by the length, caliber, and motility of the small bowel loops. The development of new multidetector-row CT scanners, with faster scan times and isotropic spatial resolution, allows high-resolution multiphasic and multiplanar assessment of the bowel, bowel wall, and lumen. CT Enterography (CTE) is a variant of routine abdominal scanning, geared toward more sustained bowel filling with oral contrast material, and the use of multiplanar images, that can enhance gastrointestinal (GI) tract imaging. This article examines the techniques and clinical applications of CTE in comparison with CT enteroclysis, focusing on Crohn disease, obscure GI bleeding, GI tumors, acute abdominal pain, and bowel obstruction.
传统的小肠放射学和内镜评估常常受到小肠肠袢的长度、管径和蠕动的限制。新型多排探测器CT扫描仪的发展,扫描时间更快且具有各向同性空间分辨率,使得能够对肠管、肠壁和肠腔进行高分辨率多期相和多平面评估。CT小肠造影(CTE)是常规腹部扫描的一种变体,旨在通过口服对比剂实现更持久的肠管充盈,并利用多平面图像,从而增强胃肠道(GI)成像。本文将CTE与CT小肠灌肠造影相比较,探讨其技术及临床应用,重点关注克罗恩病、不明原因的GI出血、GI肿瘤、急性腹痛和肠梗阻。