Colonic distention at screening CT colonography: role of spasmolytic agents and body habitus
| Autor: | Katsuhiko Matsuda, Daisuke Utsunomiya, Megumi Kawakami, Sadahiro Yamamura, Akihiko Arakawa, Joji Urata, Yasuyuki Yamashita, Takashi Sakamoto, Katsuhiko Mitsuzaki |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Supine position Colon Gastroenterology Patient Positioning Body Mass Index Sex Factors Japan Predictive Value of Tests Internal medicine Cancer screening Multidetector Computed Tomography medicine Odds Ratio Prone Position Supine Position Humans Prospective Studies Prospective cohort study Aged Aged 80 and over business.industry Age Factors Parasympatholytics General Medicine Odds ratio Middle Aged digestive system diseases Antispasmodic Agent Prone position Logistic Models Predictive value of tests Multivariate Analysis Female business Colorectal Neoplasms Body mass index Colonography Computed Tomographic |
| Zdroj: | The Kurume medical journal. 61(1-2) |
| ISSN: | 1881-2090 |
| Popis: | Sufficient colonic dilation is important when using CT colonography (CTC) for colorectal cancer screening. We investigated the effect of antispasmodic agents and the patient body habitus on the degree of colonic dilation in screening CTC.We assessed the effect of clinical characteristics [age, gender, body mass index (BMI), and the presence of diverticula] and the use of antispasmodics on colonic distention in 140 patients who underwent CTC for colorectal cancer screening. The CTC was performed in both the supine- and prone positions. Seventy patients received antispasmodics prior to CT examination and the other 70 did not. Colonic distention was scored using a 5-point scale: 1=collapsed, 2=poorly visualized, 3=visualized but underdistended, 4=acceptable, and 5=excellent. Images scored as 4 or 5 were considered to be of diagnostic quality. The mean visual evaluation score was significantly higher in the supine- than the prone position (4.2±0.5 vs. 4.0±0.5, p |
| Databáze: | OpenAIRE |
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