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Utility of Multi-detector Row CT for Detection of Intestinal Ischemia Associated with Strangulation Ileus
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- Ohira Gaku
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Shuto Kiyohiko
- Department of Surgery, Teikyo University Chiba Medical Center
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- Kono Tsuguaki
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Tohma Takayuki
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Gunji Hisashi
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Aoyagi Tomoyoshi
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Narushima Kazuo
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Oota Takumi
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Hanaoka Toshiharu
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Ishii Sayaka
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Isozaki Tetsurou
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Kurata Yoshihiro
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Miyauchi Hideaki
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Hanari Naoyuki
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Matsubara Hisahiro
- Department of Frontier Surgery, Chiba University Graduate School of Medicine
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- Okazumi Shinichi
- Department of Surgery, Toho University Sakura Medical Center
Bibliographic Information
- Other Title
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- 絞扼性イレウスに対するMDCTを用いた腸管虚血評価
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Description
The aim of this study was to clarify the usefulness of reconstructed images made from arterial phase images in contrast computed tomography (CT) scans of strangulation ileus in order to make an early diagnosis of bowel ischemia. We have previously reported on the utility of the arterial phase of CT for detecting intestinal ischemia associated with strangulation ileus. Based on the results of that previous study, we made a reconstructed image (ileus mode) that emphasized the ischemic part of the bowel in patients with strangulation ileus. From the results of the interpretation of the ileus mode by three trained surgeons, the diagnostic performance was thus analyzed. The accuracy was 88%, and the sensitivity and negative predictive value were 100% for two of the three surgeons. These findings suggest that reconstructed images from the arterial phase of multi-detector row CT scans demonstrated excellent visibility of the ischemic site in strangulation ileus patients, and they may therefore be useful for making an accurate diagnosis of intestinal ischemia.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 35 (4), 397-402, 2015
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390282679713271936
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- NII Article ID
- 130005098251
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
- Crossref
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- Abstract License Flag
- Disallowed
