Limited utility of MRA for acute bowel ischemia after portal venous phase CT

详细信息    查看全文

• 作者：Anup S. Shetty ; Vincent M. Mellnick ; Constantine Raptis ; Ronald Loch&#8230
• 关键词：Mesenteric ischemia ; Ischemic colitis ; Magnetic resonance angiography ; Computed tomography ; Portal venous CT
• 刊名：Abdominal Imaging
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：40
• 期：8
• 页码：3020-3028
• 全文大小：1,360 KB
• 参考文献：1.Acosta S (2010) Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg 23:4鈥?. doi:10.鈥?053/鈥媕.鈥媠emvascsurg.鈥?009.鈥?2.鈥?01 CrossRef PubMed
  2.Menke J (2010) Diagnostic accuracy of multidetector CT in acute mesenteric Ischemia: systematic review and meta-analysis. Radiology 256:93鈥?01. doi:10.鈥?148/鈥媟adiol.鈥?0091938 CrossRef PubMed
  3.Wyers MC (2010) Acute mesenteric ischemia: diagnostic approach and surgical treatment. Semin Vasc Surg 23:9鈥?0. doi:10.鈥?053/鈥媕.鈥媠emvascsurg.鈥?009.鈥?2.鈥?02 CrossRef PubMed
  4.Gore RM, Thakrar KH, Mehta UK, et al. (2008) Imaging in intestinal ischemic disorders. Clin Gastroenterol Hepatol 6:849鈥?58. doi:10.鈥?016/鈥媕.鈥媍gh.鈥?008.鈥?5.鈥?07 CrossRef PubMed
  5.Reginelli A, Iacobellis F, Berritto D, et al. (2013) Mesenteric ischemia: the importance of differential diagnosis for the surgeon. BMC Surg 13:S51. doi:10.鈥?186/鈥?471-2482-13-S2-S51 PubMedCentral CrossRef PubMed
  6.Turkbey B, Akpinar E, Cil B, et al. (2008) Utility of MDCT in emergency setting of acute mesenteric ischemia. Diagn Interv Radiol . doi:10.鈥?261/鈥?305-3825.鈥婦IR.鈥?597-07.鈥? PubMed
  7.Acosta S, Bj枚rck M (2014) Modern treatment of acute mesenteric ischaemia. Br J Surg 101:e100鈥揺108. doi:10.鈥?002/鈥媌js.鈥?330 CrossRef PubMed
  8.Taourel P, Aufort S, Merigeaud S, et al. (2008) Imaging of ischemic colitis. Radiol Clin N Am 46:909鈥?24. doi:10.鈥?016/鈥媕.鈥媟cl.鈥?008.鈥?6.鈥?03 CrossRef PubMed
  9.Iacobellis F, Berritto D, Fleischmann D, et al. (2014) CT findings in acute, subacute, and chronic ischemic colitis: suggestions for diagnosis. Biomed Res Int 2014:895248. doi:10.鈥?155/鈥?014/鈥?95248 PubMedCentral CrossRef PubMed
  10.Washington C, Carmichael J (2012) Management of ischemic colitis. Clin Colon Rectal Surg 25:228鈥?35. doi:10.鈥?055/鈥媠-0032-1329534 PubMedCentral CrossRef PubMed
  11.Mazzei M, Guerrini S, Squitieri N, et al. (2013) Magnetic resonance imaging: Is there a role in clinical management for acute ischemic colitis? World J Gastroenterol 19:1256鈥?263. doi:10.鈥?748/鈥媤jg.鈥媣19.鈥媔8.鈥?256 PubMedCentral CrossRef PubMed
  12.Barmase M, Kang M, Wig J, et al. (2011) Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol 80:e582鈥揺587. doi:10.鈥?016/鈥媕.鈥媏jrad.鈥?011.鈥?9.鈥?15 CrossRef PubMed
  13.Ofer A, Abadi S, Nitecki S, et al. (2009) Multidetector CT angiography in the evaluation of acute mesenteric ischemia. Eur Radiol 19:24鈥?0. doi:10.鈥?007/鈥媠00330-008-1124-5 CrossRef PubMed
  14.Schaefer PJ, Boudghene FP, Brambs HJ, et al. (2006) Abdominal and iliac arterial stenoses: comparative double-blinded randomized study of diagnostic accuracy of 3D MR angiography with gadodiamide or gadopentetate dimeglumine. Radiology 238:827鈥?40. doi:10.鈥?148/鈥媟adiol.鈥?383041769 CrossRef PubMed
  15.Schaefer P, Pfarr J, Trentmann J, et al. (2013) Comparison of noninvasive imaging modalities for stenosis grading in mesenteric arteries. R枚Fo鈥擣ortschritte auf dem Gebiet der R枚ntgenstrahlen und der bildgebenden Verfahren 185:628鈥?34. doi:10.鈥?055/鈥媠-0033-1335212 CrossRef
  16.Oliva IB, Davarpanah AH, Rybicki FJ, et al. (2013) ACR appropriateness criteria庐 imaging of mesenteric ischemia. Abdom Imaging 38:714鈥?19. doi:10.鈥?007/鈥媠00261-012-9975-2 CrossRef PubMed
  17.Levine MB, Moore AB, Franck C, et al. (2013) Variation in use of all types of computed tomography by emergency physicians. Am J Emerg Med 31:1437鈥?442. doi:10.鈥?016/鈥媕.鈥媋jem.鈥?013.鈥?7.鈥?03 CrossRef PubMed
  
• 作者单位：Anup S. Shetty (1)
  Vincent M. Mellnick (1)
  Constantine Raptis (1)
  Ronald Loch (1)
  Joseph Owen (1)
  Sanjeev Bhalla (1)
  
  1. Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Boulevard, Campus Box 8131, Saint Louis, MO, 63110, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Gastroenterology
  Hepatology
  
• 出版者：Springer New York
• ISSN：1432-0509

文摘

Purpose Mesenteric ischemia and ischemic colitis are uncommon but potentially life-threatening causes of acute abdominal pain. Portal venous phase computed tomography (CT) is routinely ordered in the emergency room setting for abdominal pain, but subsequent MR angiography may be requested for additional evaluation of the mesenteric vasculature. We compare the concordance of CT and magnetic resonance angiography (MRA) for acute bowel ischemia.