CT enterography: technical and interpretive pitfalls

Verfasser / Beitragende:
[John Barlow, Brian Goss, Stephanie Hansel, Amy Kolbe, Joshua Rackham, David Bruining, Joel Fletcher]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/5(2015-06-01), 1081-1096
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0364-5  |2 doi 
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245 0 0 |a CT enterography: technical and interpretive pitfalls  |h [Elektronische Daten]  |c [John Barlow, Brian Goss, Stephanie Hansel, Amy Kolbe, Joshua Rackham, David Bruining, Joel Fletcher] 
520 3 |a CT enterography is a first-line test at many institutions to investigate potential small bowel disorders. While numerous articles have focused on the ability of CT enterographyto diagnose and stage Crohn's disease, small bowel neoplasia, and malabsorptive or vascular disorders, this article reviews CT enterographylimitations, technical and interpretive pitfalls, image review tactics, and complementary radiologic and endoscopic examinations to improve diagnostic accuracy. CT enterographylimitations include its inability to demonstrate isolated mucosal abnormalities such as aphthous ulcers and its use of ionizing radiation. The most common technical pitfall of CT enterographyis inadequate small boweldistention resulting from inadequate ingestion, gastric retention, or rapid small boweltransit of a large volume of neutral enteric contrast material. Additionally, segments of jejunum are frequently collapsed. Interpretive pitfalls commonly result from peristaltic contractions, transient intussusception and opaque intraluminal debris. Opaque debris is especially problematic during multiphasic CTenterographyperformed to identify potential small bowelsources of obscure gastrointestinal bleeding. False-negative examinations may result from inadequate radiation dose. Examinations complementary to CT enterographyinclude small bowel follow through, enteroclysis, CT enteroclysis, MR enterography, MR enteroclysis, capsule endoscopy, and balloon-assisted endoscopy. Properly performed and accurately interpreted CT enterographycontributes to the diagnosis and management of small boweldisease by itself and as a complement to other radiologic and optical small bowelimaging examinations. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a CT enterography  |2 nationallicence 
690 7 |a Limitations  |2 nationallicence 
690 7 |a Pitfalls  |2 nationallicence 
690 7 |a Crohn's disease  |2 nationallicence 
690 7 |a Obscure gastrointestinal bleeding  |2 nationallicence 
700 1 |a Barlow  |D John  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Goss  |D Brian  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Hansel  |D Stephanie  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA  |4 aut 
700 1 |a Kolbe  |D Amy  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Rackham  |D Joshua  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Bruining  |D David  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA  |4 aut 
700 1 |a Fletcher  |D Joel  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1081-1096  |x 0942-8925  |q 40:5<1081  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0364-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0364-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Barlow  |D John  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Goss  |D Brian  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hansel  |D Stephanie  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kolbe  |D Amy  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rackham  |D Joshua  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bruining  |D David  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fletcher  |D Joel  |u Department of Radiology, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1081-1096  |x 0942-8925  |q 40:5<1081  |1 2015  |2 40  |o 261