Focal bowel wall changes detected with colour Doppler ultrasound: diagnostic value in acute non-diverticular diseases of the colon

We performed a study to determine if colour Doppler findings may help to identify the cause of wall thickening in acute non-diverticular diseases of the colon. The study group included 66 patients admitted to the emergency department with a final diagnosis of infectious colitis (n=23), inflammatory...

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Veröffentlicht in:British journal of radiology 2004-11, Vol.77 (923), p.917-921
Hauptverfasser: DANSE, E. M, JAMART, J, HOANG, P, LATERRE, P. F, KARTHEUSER, A, VAN BEERS, B. E
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container_issue 923
container_start_page 917
container_title British journal of radiology
container_volume 77
creator DANSE, E. M
JAMART, J
HOANG, P
LATERRE, P. F
KARTHEUSER, A
VAN BEERS, B. E
description We performed a study to determine if colour Doppler findings may help to identify the cause of wall thickening in acute non-diverticular diseases of the colon. The study group included 66 patients admitted to the emergency department with a final diagnosis of infectious colitis (n=23), inflammatory colitis (n=10), ischaemic colitis (n=23) and malignant tumours (n=10). The following ultrasound features were assessed: maximal wall thickness, wall stratification, arterial flow in the colonic wall and arteriolar resistive index. Higher values of wall thickness were observed in malignant tumour (18.2+/-6.2 mm, p
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M ; JAMART, J ; HOANG, P ; LATERRE, P. F ; KARTHEUSER, A ; VAN BEERS, B. E</creator><creatorcontrib>DANSE, E. M ; JAMART, J ; HOANG, P ; LATERRE, P. F ; KARTHEUSER, A ; VAN BEERS, B. E</creatorcontrib><description>We performed a study to determine if colour Doppler findings may help to identify the cause of wall thickening in acute non-diverticular diseases of the colon. The study group included 66 patients admitted to the emergency department with a final diagnosis of infectious colitis (n=23), inflammatory colitis (n=10), ischaemic colitis (n=23) and malignant tumours (n=10). The following ultrasound features were assessed: maximal wall thickness, wall stratification, arterial flow in the colonic wall and arteriolar resistive index. Higher values of wall thickness were observed in malignant tumour (18.2+/-6.2 mm, p&lt;0.001). Moderately thickened wall (6.6+/-1.3 mm, p&lt; or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p&lt; or =0.05) were significantly related to inflammatory colitis. Absence of arterial flow was more frequently observed in ischaemia (43% versus 12% in the remainder of the study population). In conclusion, despite some overlap, both ultrasound and colour Doppler features are helpful in the differential diagnosis of colonic thickening related to non-diverticular colonic lesions.</description><identifier>ISSN: 0007-1285</identifier><identifier>EISSN: 1748-880X</identifier><identifier>DOI: 10.1259/bjr/18038687</identifier><identifier>PMID: 15507414</identifier><identifier>CODEN: BJRAAP</identifier><language>eng</language><publisher>London: British Institute of Radiology</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiovascular system ; Colon - diagnostic imaging ; Colon - pathology ; Colonic Diseases - diagnostic imaging ; Colonic Diseases - pathology ; False Positive Reactions ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Ultrasonic investigative techniques ; Ultrasonography, Doppler, Color - methods</subject><ispartof>British journal of radiology, 2004-11, Vol.77 (923), p.917-921</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-f170351cd6e9283ccd37f916f1a4666dc5738a5a64aadf4e0fcf51c478b402773</citedby><cites>FETCH-LOGICAL-c319t-f170351cd6e9283ccd37f916f1a4666dc5738a5a64aadf4e0fcf51c478b402773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16320112$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15507414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DANSE, E. M</creatorcontrib><creatorcontrib>JAMART, J</creatorcontrib><creatorcontrib>HOANG, P</creatorcontrib><creatorcontrib>LATERRE, P. F</creatorcontrib><creatorcontrib>KARTHEUSER, A</creatorcontrib><creatorcontrib>VAN BEERS, B. E</creatorcontrib><title>Focal bowel wall changes detected with colour Doppler ultrasound: diagnostic value in acute non-diverticular diseases of the colon</title><title>British journal of radiology</title><addtitle>Br J Radiol</addtitle><description>We performed a study to determine if colour Doppler findings may help to identify the cause of wall thickening in acute non-diverticular diseases of the colon. The study group included 66 patients admitted to the emergency department with a final diagnosis of infectious colitis (n=23), inflammatory colitis (n=10), ischaemic colitis (n=23) and malignant tumours (n=10). The following ultrasound features were assessed: maximal wall thickness, wall stratification, arterial flow in the colonic wall and arteriolar resistive index. Higher values of wall thickness were observed in malignant tumour (18.2+/-6.2 mm, p&lt;0.001). Moderately thickened wall (6.6+/-1.3 mm, p&lt; or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p&lt; or =0.05) were significantly related to inflammatory colitis. Absence of arterial flow was more frequently observed in ischaemia (43% versus 12% in the remainder of the study population). In conclusion, despite some overlap, both ultrasound and colour Doppler features are helpful in the differential diagnosis of colonic thickening related to non-diverticular colonic lesions.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Colon - diagnostic imaging</subject><subject>Colon - pathology</subject><subject>Colonic Diseases - diagnostic imaging</subject><subject>Colonic Diseases - pathology</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Doppler, Color - methods</subject><issn>0007-1285</issn><issn>1748-880X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0M9rFDEYxvEgFrut3jxLLnrqtMlkJsl4k2pVKHhR8Da8m7zpTskma3506bV_uald6SmEfHgCX0LecnbO-3G6WN-mC66Z0FKrF2TF1aA7rdnvl2TFGFMd7_V4TE5yvn28jhN7RY75ODI18GFFHq6iAU_XcY-e7sF7ajYQbjBTiwVNQUv3S9lQE32siX6Ou53HRKsvCXKswX6kdoGbEHNZDL0DX5EugYKpBWmIobPLHab2Vj2kRjNCbuPR0bLBf6vhNTly4DO-OZyn5NfVl5-X37rrH1-_X3667ozgU-kcV0yM3FiJU6-FMVYoN3HpOAxSSmtGJTSMIAcA6wZkzrjGB6XXA-uVEqfkw9PuLsU_FXOZt0s26D0EjDXPUjHOZS8bPHuCJsWcE7p5l5YtpPuZs_mx-dyaz_-bN_7usFvXW7TP-BC5gfcHALnFdgmCWfKzk6JvP_fiL9lZjDA</recordid><startdate>20041101</startdate><enddate>20041101</enddate><creator>DANSE, E. 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The following ultrasound features were assessed: maximal wall thickness, wall stratification, arterial flow in the colonic wall and arteriolar resistive index. Higher values of wall thickness were observed in malignant tumour (18.2+/-6.2 mm, p&lt;0.001). Moderately thickened wall (6.6+/-1.3 mm, p&lt; or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p&lt; or =0.05) were significantly related to inflammatory colitis. Absence of arterial flow was more frequently observed in ischaemia (43% versus 12% in the remainder of the study population). In conclusion, despite some overlap, both ultrasound and colour Doppler features are helpful in the differential diagnosis of colonic thickening related to non-diverticular colonic lesions.</abstract><cop>London</cop><pub>British Institute of Radiology</pub><pmid>15507414</pmid><doi>10.1259/bjr/18038687</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiovascular system
Colon - diagnostic imaging
Colon - pathology
Colonic Diseases - diagnostic imaging
Colonic Diseases - pathology
False Positive Reactions
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Ultrasonic investigative techniques
Ultrasonography, Doppler, Color - methods
title Focal bowel wall changes detected with colour Doppler ultrasound: diagnostic value in acute non-diverticular diseases of the colon
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