조영증강 CT상 대장벽 이상비후를 일으킨 질환의 진단: 염증성질환과 종양의 감별
Colonic Wall Abnormalities on Enhanced CT: Differentiation between Inflammatory and Neoplastic Diseases
소속 상세정보
강형근
서정진/김재규/박진균/박병란/정현대
KMID : 0386119930290061253
Abstract
The computed tomographic(CT) findings of fourteen patients with inflammatory disease and 28 with neoplasm who had an abnormal colonic wall thickening, were retrospectively studied to establish CT criteria for each disorder in differentiating
inflammatory from neoplastic lesions.
According to homogeneity, density and contour of mural thickening and pericolic inflammatory change in enhanced CT scans, we classified colonic wall abnormalities into 6 patterns: I) multilayering with inner and outer hyper- and middle
hypodensities,
II) homogeneously hyperdense with pericolic inflammatory change, III) heterogeneously hyperdense with pericolic inflammatory change, IV) homogeneously heperdense with lobulated contour, V) heterogeneously hypodense with lobulated contour and VI)
heterogeneously mixed densities with irregular lobulated contour. Type I, II and III were distinctively identified in inflammatory disease, type IV, V in neoplasm, and type VI in boty diseases.
We conclude that enhanced CT could be helpful in the initial diagnosis and/or suggestion of abnormal colonic wall disease and differentiation of inflammatory from neoplastic diseases.
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