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Multislice computed tomography with colon water distension (MSCT-c) in the study of intestinal and ureteral endometriosis

机译:多层计算机断层扫描与结肠水扩张术(MSCT-c)在肠道和输尿管子宫内膜异位研究中的应用

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摘要

This study evaluates retrospectively the accuracy and reproducibility of multislice computed tomgraphy with colon water distension (MSCT-c) in diagnosing bowel (BE) and ureteral (UE) endometriosis. Sixty-four patients underwent MSCT-c and videolaparoscopic surgery. Two radiologists reviewed MSCT-c examinations: sensitivity and specificity were calculated, considering histological exam as reference standard. In the BE cases, the degree of bowel wall infiltration was also assessed. Sensitivity and specificity for both readers were 100% and 97.6% for BE and 72.2% and100% for UE; the interobserver agreement was excellent. The degree of bowel wall involvement was correctly defined in 90.9% of cases. MSCT-c is an accurate and reproducible technique but-considering the age of the patients-delivers a nonnegligible radiation dose.
机译:这项研究回顾性评价多层计算机断层扫描与结肠水肿(MSCT-c)在诊断肠(BE)和输尿管(UE)子宫内膜异位症中的准确性和可重复性。 64例患者接受了MSCT-c和腹腔镜手术。两名放射科医生对MSCT-c检查进行了审查:考虑组织学检查作为参考标准,计算了敏感性和特异性。在BE病例中,还评估了肠壁浸润的程度。两种阅读器的敏感性和特异性分别为BE的100%和97.6%,UE的72.2%和100%。观察员之间的协议非常好。正确定义肠壁受累的程度为90.9%。 MSCT-c是一种准确且可重现的技术,但考虑到患者的年龄,其放射剂量不可忽略。

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