Cargando…
Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT
PURPOSE: To evaluate the hemodynamic changes in the liver, pancreas, gastric mucosa and abdominal vessels in early-phase dynamic contrast-enhanced (DCE) CT immediately after CT colonography (CTC) with carbon dioxide expansion. MATERIALS AND METHODS: This study included 82 patients with DCE-CT after...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413186/ https://www.ncbi.nlm.nih.gov/pubmed/33963466 http://dx.doi.org/10.1007/s11604-021-01125-5 |
_version_ | 1783747608250941440 |
---|---|
author | Ihara, Kenichiro Onoda, Hideko Tanabe, Masahiro Kanki, Akihiko Ito, Katsuyoshi |
author_facet | Ihara, Kenichiro Onoda, Hideko Tanabe, Masahiro Kanki, Akihiko Ito, Katsuyoshi |
author_sort | Ihara, Kenichiro |
collection | PubMed |
description | PURPOSE: To evaluate the hemodynamic changes in the liver, pancreas, gastric mucosa and abdominal vessels in early-phase dynamic contrast-enhanced (DCE) CT immediately after CT colonography (CTC) with carbon dioxide expansion. MATERIALS AND METHODS: This study included 82 patients with DCE-CT after CTC (CTC group) and 77 patients without CTC (control group). Contrast enhancement values of the gastric mucosa, liver, pancreas, portal vein (PV), splenic vein (SpV), superior mesenteric vein (SMV), and inferior mesenteric vein (IMV) in early-phase CT were measured. The presence of hepatic pseudolesions were also recorded. RESULTS: The mean contrast enhancement values of the gastric mucosa, pancreas and SpV in the CE-CTC group were significantly lower than those in the control group (p < 0.001, p < 0.001, p = 0.014). Conversely, the mean contrast enhancement values of the liver, PV, SMV and IMV in the CE-CTC group were significantly higher than those in the control group (p = 0.003, p = 0.013, p < 0.001, p < 0.001). Hypovascular hepatic pseudolesions were seen in early-phase CT in six patients after CTC, while they were not seen in the control group. CONCLUSIONS: On DCE-CT performed immediately after CTC with carbon dioxide expansion, it is important to be aware of the imaging findings induced by visceral hemodynamic changes. |
format | Online Article Text |
id | pubmed-8413186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-84131862021-09-22 Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT Ihara, Kenichiro Onoda, Hideko Tanabe, Masahiro Kanki, Akihiko Ito, Katsuyoshi Jpn J Radiol Original Article PURPOSE: To evaluate the hemodynamic changes in the liver, pancreas, gastric mucosa and abdominal vessels in early-phase dynamic contrast-enhanced (DCE) CT immediately after CT colonography (CTC) with carbon dioxide expansion. MATERIALS AND METHODS: This study included 82 patients with DCE-CT after CTC (CTC group) and 77 patients without CTC (control group). Contrast enhancement values of the gastric mucosa, liver, pancreas, portal vein (PV), splenic vein (SpV), superior mesenteric vein (SMV), and inferior mesenteric vein (IMV) in early-phase CT were measured. The presence of hepatic pseudolesions were also recorded. RESULTS: The mean contrast enhancement values of the gastric mucosa, pancreas and SpV in the CE-CTC group were significantly lower than those in the control group (p < 0.001, p < 0.001, p = 0.014). Conversely, the mean contrast enhancement values of the liver, PV, SMV and IMV in the CE-CTC group were significantly higher than those in the control group (p = 0.003, p = 0.013, p < 0.001, p < 0.001). Hypovascular hepatic pseudolesions were seen in early-phase CT in six patients after CTC, while they were not seen in the control group. CONCLUSIONS: On DCE-CT performed immediately after CTC with carbon dioxide expansion, it is important to be aware of the imaging findings induced by visceral hemodynamic changes. Springer Singapore 2021-05-08 2021 /pmc/articles/PMC8413186/ /pubmed/33963466 http://dx.doi.org/10.1007/s11604-021-01125-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Ihara, Kenichiro Onoda, Hideko Tanabe, Masahiro Kanki, Akihiko Ito, Katsuyoshi Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title | Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title_full | Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title_fullStr | Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title_full_unstemmed | Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title_short | Hemodynamic changes of abdominal organs after CT colonography with transrectal administration of CO2: evaluation with early-phase contrast-enhanced dynamic CT |
title_sort | hemodynamic changes of abdominal organs after ct colonography with transrectal administration of co2: evaluation with early-phase contrast-enhanced dynamic ct |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413186/ https://www.ncbi.nlm.nih.gov/pubmed/33963466 http://dx.doi.org/10.1007/s11604-021-01125-5 |
work_keys_str_mv | AT iharakenichiro hemodynamicchangesofabdominalorgansafterctcolonographywithtransrectaladministrationofco2evaluationwithearlyphasecontrastenhanceddynamicct AT onodahideko hemodynamicchangesofabdominalorgansafterctcolonographywithtransrectaladministrationofco2evaluationwithearlyphasecontrastenhanceddynamicct AT tanabemasahiro hemodynamicchangesofabdominalorgansafterctcolonographywithtransrectaladministrationofco2evaluationwithearlyphasecontrastenhanceddynamicct AT kankiakihiko hemodynamicchangesofabdominalorgansafterctcolonographywithtransrectaladministrationofco2evaluationwithearlyphasecontrastenhanceddynamicct AT itokatsuyoshi hemodynamicchangesofabdominalorgansafterctcolonographywithtransrectaladministrationofco2evaluationwithearlyphasecontrastenhanceddynamicct |