水溶性对比剂挑战评估疑似小肠梗阻。
Evaluating suspected small bowel obstruction with the water-soluble contrast challenge.
机构信息
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
出版信息
Br J Radiol. 2022 Feb 1;95(1130):20210791. doi: 10.1259/bjr.20210791. Epub 2021 Dec 14.
Abstract
With optimized technique, the water-soluble contrast challenge is effective at triaging patients for operative non-operative management of suspected small bowel obstruction. Standardized study structure and interpretation guidelines aid in clinical efficacy and ease of use. Many tips and tricks exist regarding technique and interpretation, and their understanding may assist the interpreting radiologist. In the future, a CT-based water-soluble contrast challenge, utilizing oral contrast given as part of the initial CT examination, might allow for a more streamlined algorithm and provide more rapid results.
摘要
经过优化的技术，水溶性对比剂挑战在分诊疑似小肠梗阻的手术和非手术管理患者方面是有效的。标准化的研究结构和解释指南有助于提高临床疗效和易用性。关于技术和解释有许多技巧和窍门，了解这些技巧可能会帮助解读放射科医生。未来，基于 CT 的水溶性对比剂挑战，利用初始 CT 检查中给予的口服对比剂，可能会允许更简化的算法并提供更快的结果。
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