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 |
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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<0.001). Moderately thickened wall (6.6+/-1.3 mm, p< or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p< 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&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<0.001). Moderately thickened wall (6.6+/-1.3 mm, p< or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p< 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. M</creator><creator>JAMART, J</creator><creator>HOANG, P</creator><creator>LATERRE, P. F</creator><creator>KARTHEUSER, A</creator><creator>VAN BEERS, B. E</creator><general>British Institute of Radiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041101</creationdate><title>Focal bowel wall changes detected with colour Doppler ultrasound: diagnostic value in acute non-diverticular diseases of the colon</title><author>DANSE, E. M ; JAMART, J ; HOANG, P ; LATERRE, P. F ; KARTHEUSER, A ; VAN BEERS, B. E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-f170351cd6e9283ccd37f916f1a4666dc5738a5a64aadf4e0fcf51c478b402773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Colon - diagnostic imaging</topic><topic>Colon - pathology</topic><topic>Colonic Diseases - diagnostic imaging</topic><topic>Colonic Diseases - pathology</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography, Doppler, Color - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DANSE, E. M</au><au>JAMART, J</au><au>HOANG, P</au><au>LATERRE, P. F</au><au>KARTHEUSER, A</au><au>VAN BEERS, B. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Focal bowel wall changes detected with colour Doppler ultrasound: diagnostic value in acute non-diverticular diseases of the colon</atitle><jtitle>British journal of radiology</jtitle><addtitle>Br J Radiol</addtitle><date>2004-11-01</date><risdate>2004</risdate><volume>77</volume><issue>923</issue><spage>917</spage><epage>921</epage><pages>917-921</pages><issn>0007-1285</issn><eissn>1748-880X</eissn><coden>BJRAAP</coden><abstract>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<0.001). Moderately thickened wall (6.6+/-1.3 mm, p< or =0.06), preserved stratification (90% versus 46% in the remainder of the study population) and lower resistive index (0.51+/-0.10, p< 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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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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