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01.11.2013 | Original Article

Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT

verfasst von: Yuko Nakamura, Masaki Urashima, Naoyuki Toyota, Chiaki Ono, Makoto Iida, Wataru Fukumoto, Yoko Kaichi, Chihiro Tani, Yukiko Honda, Daisuke Komoto, Fuminari Tatsugami, Hideaki Kakizawa, Shuji Date, Kazuo Awai

Erschienen in: Japanese Journal of Radiology | Ausgabe 11/2013

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Abstract

Objective

To investigate the diagnostic capability of multidetector computed tomography for detecting non-occlusive mesenteric ischemia (NOMI).

Methods

We studied 11 NOMI patients and 44 controls. Radiologists evaluated the CT images for the presence of bowel ischemia and measured the diameters of the superior mesenteric artery and the superior mesenteric vein (D _SMA and D _SMV). We also performed linear discriminant analysis (LDA) using D _SMA and D _SMV.

Results

All NOMI patients presented with more than 2 CT findings of bowel ischemia. D _SMA and D _SMV were significantly smaller in NOMI patients than in the controls (p < 0.01). At the optimal cut-off values for D _SMA (6.5 mm), D _SMV (9.0 mm), and the Z value in LDA (0.93), sensitivity and specificity were 81.8 and 81.8; 81.8 and 88.6; and 81.8 and 97.7 %, respectively.

Conclusions

D _SMA and D _SMV were significantly smaller in NOMI patients than in the controls and D _SMV is a more significant parameter than D _SMA.

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Titel: Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT
verfasst von: Yuko Nakamura
Masaki Urashima
Naoyuki Toyota
Chiaki Ono
Makoto Iida
Wataru Fukumoto
Yoko Kaichi
Chihiro Tani
Yukiko Honda
Daisuke Komoto
Fuminari Tatsugami
Hideaki Kakizawa
Shuji Date
Kazuo Awai
Publikationsdatum: 01.11.2013
Verlag: Springer Japan
Erschienen in: Japanese Journal of Radiology / Ausgabe 11/2013
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI: https://doi.org/10.1007/s11604-013-0245-1

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Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT