多层螺旋CT在大肠梗阻评估中的作用
[Role of multidetector CT in the evaluation of large bowel obstruction].
作者信息
Scardapane Arnaldo, Rubini Giuseppe, Lorusso Filomenamila, Fonio Paolo, Suriano Claudia, Giganti Melchiore, Stabile Ianora Amato Antonio
机构信息
Dipartimento Interdisciplinare di Medicina, Universita Aldo Moro, Bari.
出版信息
Recenti Prog Med. 2012 Nov;103(11):489-92. doi: 10.1701/1166.12894.
The aim of the study was to assess the accuracy of multidetector CT (MDCT) with MPR reformation in the evaluation of large bowel obstruction. Thirty-one patients were evaluated retrospectively in a blinded fashion by two radiologists. All patients underwent MDCT with multiplanar reformation (MPR). The two radiologists interpreted independently the axial images and then the reconstructions. Each patient received a score from 1 (absent occlusion) to 5 (confirmed occlusion). The results were compared with surgical findings. Both axial and MPR images showed a very high accuracy in the diagnosis of bowel obstruction with a significant advantage of MPRs over native images and without any difference between the two radiologists. MDCT is an accurate technique in the evaluation of large bowel obstruction and use of MPRs facilitates the interpretation of imaging findings.
本研究的目的是评估多排螺旋CT（MDCT）联合多平面重建（MPR）在评估大肠梗阻中的准确性。两位放射科医生以盲法对31例患者进行了回顾性评估。所有患者均接受了MDCT及多平面重建（MPR）检查。两位放射科医生先独立解读轴位图像，然后解读重建图像。每位患者获得1分（无梗阻）至5分（确诊梗阻）的评分。将结果与手术 findings 进行比较。轴位图像和MPR图像在诊断肠梗阻方面均显示出非常高的准确性，MPR图像相对于原始图像具有显著优势，且两位放射科医生之间无任何差异。MDCT是评估大肠梗阻的一种准确技术，使用MPR有助于解读影像学 findings。 （注：原文中“surgical findings”和“imaging findings”未明确给出准确中文释义，直接保留英文）
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