Sigmoid diverticulitis: diagnostic role of CT--comparison with barium enema studies.

Abstract:

:The diagnostic value of computed tomography (CT) and barium enema (BE) studies was evaluated prospectively in hospitalized patients with the presumptive diagnosis of acute sigmoid diverticulitis based on the presence of left-lower-quadrant pain and tenderness, fever, and leukocytosis. Of 56 patients, 11 had sigmoid diverticulitis confirmed at surgery and 16 by clinical response to medical therapy. CT, performed in all diverticulitis patients, had positive results in 93% (25 of 27). These compared favorably with BE study results, of which 80% (20 of 25) were positive. Neither examination had false-positive results. In the 29 patients who did not have diverticulitis, an alternative diagnosis was made by means of CT in 20, but in only three by means of BE studies. Many of the extracolonic abnormalities recognized at CT were clinically unexpected and necessitated emergency surgery. The excellent sensitivity and specificity of CT coupled with its versatility in the detection of extracolonic disease give it an advantage over contrast enema studies for diagnosis of sigmoid diverticulitis. CT should be the initial study in acutely ill patients, especially when the clinical features are atypical for sigmoid diverticulitis.

journal_name

Radiology

journal_title

Radiology

authors

Cho KC,Morehouse HT,Alterman DD,Thornhill BA

doi

10.1148/radiology.176.1.2191360

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

111-5

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

176

pub_type

杂志文章
  • The sonographic appearance of fluid in the prevesical space.

    abstract::A fluid collection within the retropubic space has a characteristic sonographic contour which, when combined with a partially distended bladder, resembles a yoke over a bell. The fluid conforms to the anterior convexity of the bladder. This configuration is distinct from that of ascites or a lymphadenectomy-related ly...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.147.1.6828730

    authors: Spring DB,Deshon GE Jr,Babu S

    更新日期:1983-04-01 00:00:00

  • Crohn disease: perirectal and perianal findings at CT.

    abstract::The computed tomographic scans of 200 consecutive patients with Crohn disease were studied to determine the frequency and patterns of perirectal and perianal involvement. In 163 patients (82%) abnormalities in the perirectal-perianal region were demonstrated; findings included inflammation of fat planes (73%), bowel w...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.2.3357940

    authors: Yousem DM,Fishman EK,Jones B

    更新日期:1988-05-01 00:00:00

  • Potential living liver donors: evaluation with an all-in-one protocol with multi-detector row CT.

    abstract::Multi-detector row computed tomography was performed for the preharvest evaluation of 14 potential living liver donors. Both a biliary contrast agent and a conventional iodinated contrast agent were administered intravenously. This protocol included acquisition of three subsequent scans and allowed accurate assessment...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2242011340

    authors: Schroeder T,Nadalin S,Stattaus J,Debatin JF,Malagó M,Ruehm SG

    更新日期:2002-08-01 00:00:00

  • MR imaging of the cochlear modiolus: area measurement in healthy subjects and in patients with a large endolymphatic duct and sac.

    abstract:PURPOSE:To evaluate the cochlear modiolus with thin-section magnetic resonance (MR) imaging in healthy subjects and patients with a large endolymphatic duct and sac, and to assess whether the cochlea is normal or abnormal in patients with a large endolymphatic duct and sac. MATERIALS AND METHODS:MR images were obtaine...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.213.3.r99dc05819

    authors: Naganawa S,Ito T,Iwayama E,Fukatsu H,Ishigaki T,Nakashima T,Ichinose N

    更新日期:1999-12-01 00:00:00

  • Lunotriquetral interosseous ligament of the wrist: MR appearances in asymptomatic volunteers and arthrographically normal wrists.

    abstract:PURPOSE:To determine whether the carpal lunotriquetral ligament (LTL) can be consistently seen and to establish the normal range of LTL appearances at magnetic resonance (MR) imaging as a basis for comparison with LTL tears. MATERIALS AND METHODS:MR imaging was used to identify and characterize the LTL in 75 wrists wi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.191.1.8134570

    authors: Smith DK,Snearly WN

    更新日期:1994-04-01 00:00:00

  • Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty.

    abstract:PURPOSE:To derive normalized data for the estimation of effective, gonadal, and peak skin doses to patients undergoing vertebroplasty or kyphoplasty and to investigate the potential for cancer induction, genetic effects, and radiation-induced skin injury after such procedures. MATERIALS AND METHODS:Dose values normali...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2323031412

    authors: Perisinakis K,Damilakis J,Theocharopoulos N,Papadokostakis G,Hadjipavlou A,Gourtsoyiannis N

    更新日期:2004-09-01 00:00:00

  • Aberrant placement of a Kimray-Greenfield filter in the right atrium: percutaneous retrieval.

    abstract::A Kimray-Greenfield filter was inadvertently placed in the right atrium of a patient with multiple pulmonary emboli. A percutaneous technique with the use of a chest tube and basket catheter was performed to retrieve and remove the filter. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.2.3357950

    authors: Tsai FY,Myers TV,Ashraf A,Shah DC

    更新日期:1988-05-01 00:00:00

  • Radionuclide studies of chronic schistosomal uropathy.

    abstract::Fifty patients with chronic urinary tract schistosomiasis were studied with 99mTc-DTPA. All had a flow study, sequential analog imaging, and digital imaging for 25-35 minutes (20-sec. frames). Time-activity curves (DTPA renograms) were extracted; 12 patients had 131I-Hippuran probe renograms as well. Renal changes inc...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.140.2.7019960

    authors: Lamki LM,Lamki N

    更新日期:1981-08-01 00:00:00

  • Mammographic halo sign revisited.

    abstract:PURPOSE:To determine whether increased silver halide deposition accounts for some curvilinear areas of hyperlucency (halo signs) that surround breast masses on screen-film mammograms. MATERIALS AND METHODS:Breast images obtained in 43 women (aged 30-67 years; mean, 48.6 years) that showed a halo sign were selected fro...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.199.1.8633130

    authors: Cupples TE,Eklund GW,Cardenosa G

    更新日期:1996-04-01 00:00:00

  • Colorectal carcinoma metastases: detection with In-111-labeled monoclonal antibody CCR 086.

    abstract::A phase I/II clinical trial with indium-111-labeled antimucin murine monoclonal antibody (MoAb) CCR 086 was conducted. Seventeen patients with histologically proved colorectal carcinoma and known metastatic disease underwent external scintigraphy after administration of 5.5 mCi (203.5 MBq) of In-111 CCR 086 at doses o...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.176.1.2353080

    authors: Abdel-Nabi HH,Levine G,Lamki LM,Murray JL,Tauxe WN,Shah AN,Patt YZ,Doerr RJ,Klein HA,Gona J

    更新日期:1990-07-01 00:00:00

  • Placental implantation on the amniotic sheet: effect on pregnancy outcome.

    abstract:PURPOSE:To assess pregnancy outcome in patients with amniotic sheets and to determine whether outcome is affected by placental implantation on the amniotic sheet. MATERIALS AND METHODS:Sonograms obtained during the 2nd and 3rd trimesters were reviewed in 157 patients with amniotic sheets to confirm the presence of an ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.206.3.9494500

    authors: Korbin CD,Benson CB,Doubilet PM

    更新日期:1998-03-01 00:00:00

  • Autocorrection in MR imaging: adaptive motion correction without navigator echoes.

    abstract::A technique for automatic retrospective correction of motion artifacts on magnetic resonance (MR) images was developed that uses only the raw (complex) data from the MR imager and requires no knowledge of patient motion during the acquisition. The algorithm was tested on coronal images of the rotator cuff in a series ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.215.3.r00jn19904

    authors: Manduca A,McGee KP,Welch EB,Felmlee JP,Grimm RC,Ehman RL

    更新日期:2000-06-01 00:00:00

  • Iliac arterial occlusive disease: cost-effectiveness analysis of stent placement versus percutaneous transluminal angioplasty. Dutch Iliac Stent Trial Study Group.

    abstract:PURPOSE:To evaluate the relative benefits and cost-effectiveness of treating iliac arterial occlusive disease with various interventions. MATERIALS AND METHODS:Cost-effectiveness was analyzed in a hypothetical cohort of patients with intermittent claudication caused by an iliac arterial stenosis. Primary stent placeme...

    journal_title:Radiology

    pub_type: 杂志文章,meta分析

    doi:10.1148/radiology.208.3.9722840

    authors: Bosch JL,Tetteroo E,Mali WP,Hunink MG

    更新日期:1998-09-01 00:00:00

  • Arterial trauma: diagnostic and therapeutic angiography.

    abstract::Between 1978 and 1982, 1,200 patients underwent angiography following acute traumatic injury, and arterial injuries were detected in 182 cases (15.2%). Two-thirds of the cases were associated with penetrating trauma; half the injuries occurred in the pelvis or lower extremities. The most common and reliable sign of ar...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.161.1.3763860

    authors: Sclafani SJ,Cooper R,Shaftan GW,Goldstein AS,Glanz S,Gordon DH

    更新日期:1986-10-01 00:00:00

  • Global small bowel motility: assessment with dynamic MR imaging.

    abstract:PURPOSE:To assess the repeatability in human volunteers of software-quantified small bowel motility captured with magnetic resonance (MR) imaging and to test the ability to detect changes in motility induced by pharmacologic agents. MATERIALS AND METHODS:The study was approved by the Royal Free Research Ethics Committ...

    journal_title:Radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1148/radiol.13130151

    authors: Menys A,Taylor SA,Emmanuel A,Ahmed A,Plumb AA,Odille F,Alam A,Halligan S,Atkinson D

    更新日期:2013-11-01 00:00:00

  • Perfusion CT assessment of tissue hemodynamics following hepatic arterial infusion of increasing doses of angiotensin II in a rabbit liver tumor model.

    abstract:PURPOSE:To investigate the effects of increasing doses of angiotensin II on hepatic hemodynamics in the normal rabbit liver and in hepatic VX2 tumors by using dynamic contrast material-enhanced perfusion computed tomography (CT). MATERIALS AND METHODS:This study was approved by the institutional animal care and use co...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11101868

    authors: Wright KC,Ravoori MK,Dixon KA,Han L,Singh SP,Liu P,Gupta S,Johnson VE,Kan Z,Kundra V

    更新日期:2011-09-01 00:00:00

  • Hepatocellular carcinoma: MR imaging findings in cirrhotic livers and noncirrhotic livers.

    abstract:PURPOSE:To compare the magnetic resonance (MR) imaging findings of primary hepatocellular carcinoma (HCC) in cirrhotic versus noncirrhotic livers. MATERIALS AND METHODS:MR images in 36 patients with HCC (30 men and she women aged 42-84 years [mean age, 65 years]) were retrospectively reviewed. The number and size of h...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.210.1.r99ja1975

    authors: Winston CB,Schwartz LH,Fong Y,Blumgart LH,Panicek DM

    更新日期:1999-01-01 00:00:00

  • Superficial esophageal cancer: multicenter analysis of results of definitive radiation therapy in Japan.

    abstract:PURPOSE:To assess the effectiveness of definitive radiation therapy in patients with superficial esophageal cancer. MATERIALS AND METHODS:Method of irradiation, local control rate, survival rate, and complications were assessed in 105 patients (89 men, 16 women; age range, 50-88 years) with superficial esophageal canc...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.196.1.7784580

    authors: Okawa T,Tanaka M,Kita-Okawa M,Nishio M,Kikuchi Y,Shirato H,Yamada S,Asakawa H,Niibe H,Dokiya T

    更新日期:1995-07-01 00:00:00

  • Case 116: lymphangioleiomyomatosis.

    abstract::A 49-year-old premenopausal woman presented with acute onset of lower abdominal pain. Physical examination revealed her abdomen was distended and nontender. Her white blood cell count and serum markers for ovarian cancer were normal (alpha-fetoprotein level, 1.6 microg/L; Ca-125 level, 15 U/mL; beta-human chorionic go...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2441040790

    authors: Attili AK,Kazerooni EA

    更新日期:2007-07-01 00:00:00

  • Application of duplex US for characterization of endoleaks in abdominal aortic stent-grafts: report of five cases.

    abstract::Endoleaks were detected with helical computed tomographic (CT) angiography in five patients after placement of an aortobiliac stent-graft. The leaks were subsequently evaluated with duplex ultrasonography (US) and, in four patients, with conventional aortography as well. CT angiography revealed a total of seven endole...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2253011806

    authors: Greenfield AL,Halpern EJ,Bonn J,Wechsler RJ,Kahn MB

    更新日期:2002-12-01 00:00:00

  • Pancreatic cystosis in cystic fibrosis.

    abstract::Two patients with cystic fibrosis and pancreatic cystosis are described who had complete replacement of the pancreas by multiple macroscopic cysts. The possible causes and clinical significance of this condition are discussed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.3.3511500

    authors: Hernanz-Schulman M,Teele RL,Perez-Atayde A,Zollars L,Levine J,Black P,Kuligowska E

    更新日期:1986-03-01 00:00:00

  • US of the snapping iliopsoas tendon.

    abstract:PURPOSE:To determine the value of ultrasound (US) in the diagnosis of snapping iliopsoas tendon. MATERIALS AND METHODS:In three patients, dynamic US of the hip was performed as the flexed, abducted, and externally rotated hip was extended. The contralateral hip was also evaluated. Hip arthrography was performed in all...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.2.8596860

    authors: Cardinal E,Buckwalter KA,Capello WN,Duval N

    更新日期:1996-02-01 00:00:00

  • Chronic portosystemic encephalopathy: embolization of portosystemic shunts.

    abstract::Operative ligation of portosystemic shunts is effective in controlling chronic portosystemic encephalopathy (CPSE) but is associated with significant mortality. Review of the records of five patients with CPSE treated with radiologic occlusion procedures showed that these are suitable alternatives to surgery. Three pa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.165.3.3685350

    authors: Uflacker R,Silva Ade O,d'Albuquerque LA,Piske RL,Mourão GS

    更新日期:1987-12-01 00:00:00

  • Cardiac function: MR evaluation in one breath hold with real-time true fast imaging with steady-state precession.

    abstract::In 12 healthy volunteers and eight patients with cardiac disease, cine magnetic resonance (MR) imaging in the heart was performed with real-time true fast imaging with steady-state precession (FISP), which permitted evaluation of the entire left ventricle in one breath hold (91 msec per frame, 13 frames per section po...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2223011156

    authors: Lee VS,Resnick D,Bundy JM,Simonetti OP,Lee P,Weinreb JC

    更新日期:2002-03-01 00:00:00

  • CT perfusion scanning with deconvolution analysis: pilot study in patients with acute middle cerebral artery stroke.

    abstract:PURPOSE:To measure mean cerebral blood flow (CBF) in ischemic and nonischemic territories and in low-attenuation regions in patients with acute stroke by using deconvolution-derived hemodynamic imaging. MATERIALS AND METHODS:Twelve patients with acute middle cerebral artery stroke and 12 control patients were examined...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2221010471

    authors: Eastwood JD,Lev MH,Azhari T,Lee TY,Barboriak DP,Delong DM,Fitzek C,Herzau M,Wintermark M,Meuli R,Brazier D,Provenzale JM

    更新日期:2002-01-01 00:00:00

  • Nasopharyngeal angiofibromas: hazards of embolization.

    abstract::A systematic approach to the diagnosis and treatment of angiofibromas is presented. The distinction between true and false internal carotid supply to these tumors as well as identification of vascular anatomical variants that may represent potential hazards of embolization are emphasized. Areterial supply to the crani...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.136.1.6247740

    authors: Lasjaunias P

    更新日期:1980-07-01 00:00:00

  • Intravenous self-administration of metallic mercury.

    abstract::Embolization of metallic mercury is extremely rare. The literature has consisted primarily of scattered case reports. Two cases of patients with mercury embolization are presented. The differential diagnosis of the chest radiograph is discussed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.137.2.7433660

    authors: Vas W,Tuttle RJ,Zylak CJ

    更新日期:1980-11-01 00:00:00

  • Ultrasonic appearance of mammary carcinoma with a dedicated whole-breast scanner.

    abstract::Forty-four pathologically proved mammary carcinomas were studied by clinical examination, xeroradiography, and ultrasonography with a dedicated whole-breast scanner. Abnormalities reflecting carcinoma were shown by echography in 90% of cases and xeromammography in 97%. Ultrasonic manifestations of malignancy were sepa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.142.3.7063690

    authors: Maturo VG,Zusmer NR,Gilson AJ,Bear B

    更新日期:1982-03-01 00:00:00

  • CT predictors for differentiating benign and clinically worrisome pneumatosis intestinalis in children beyond the neonatal period.

    abstract:PURPOSE:To determine whether computed tomographic (CT) findings can help differentiate between benign and clinically worrisome causes of pneumatosis intestinalis (PI) in children. MATERIALS AND METHODS:This retrospective study was approved by the institutional review board, and requirement for informed consent was wai...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2532090168

    authors: Olson DE,Kim YW,Ying J,Donnelly LF

    更新日期:2009-11-01 00:00:00

  • Posterior cul-de-sac obliteration associated with endometriosis: MR imaging evaluation.

    abstract:PURPOSE:To retrospectively evaluate the accuracy of magnetic resonance (MR) imaging in depicting posterior cul-de-sac obliteration in patients with endometriosis. MATERIALS AND METHODS:Institutional review board approval was not required for this retrospective study, but informed consent was obtained from all patients...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2343031366

    authors: Kataoka ML,Togashi K,Yamaoka T,Koyama T,Ueda H,Kobayashi H,Rahman M,Higuchi T,Fujii S

    更新日期:2005-03-01 00:00:00