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| 1 | 为与窒息肠塞痛联系的肠的局部缺血的察觉的动态 CT 的动脉的阶段的用途显示文摘 AIM:To clarify the usefulness of arterial phase scans in contrast computed tomography (CT) imaging of stran-gulation ileus in order to make an early diagnosis. METHODS:A comparative examination was carried out with respect to the CT value of the intestinal tract wall in each scanning phase, the CT value of the content in the intestinal tract, and the CT value of ascites fluid in the portal vein phase for a group in which ischemia was observed (Group Ⅰ) and a group in which ischemia was not observed (Group N) based on the pathological findings or intra-surgical findings. Moreover, a comparative examination was carried out in Group Ⅰ subjects for each scanning phase with respect to average differences in the CT values of the intestinal tract wall where ischemia was suspected and in the intestinal tract wall in non-ischemic areas. RESULTS:There were 15 subjects in Group Ⅰ and 30 subjects in Group N. The CT value of the intestinal tract wall was 41.8 ± 11.2 Hounsfield Unit (HU) in Group Ⅰ and 69.6 ± 18.4 HU in Group N in the arterial phase, with the CT value of the ischemic bowel wall being significantly lower in Group Ⅰ. In the portal vein phase, the CT value of the ischemic bowel wall was 60.6 ± 14.6 HU in Group Ⅰ and 80.7 ± 17.7 HU in Group N, with the CT value of the ischemic bowel wall being significantly lower in Group Ⅰ; however, no significant differences were observed in the equilibrium phase. The CT value of the solution in the intestine was 18.6 ± 9.5 HU in Group Ⅰ and 10.4 ± 5.1 HU in Group N, being signifi-cantly higher in Group Ⅰ. No significant differences were observed in the CT value of the accumulation of ascites fluid. The average difference in the CT values between the ischemic bowel wall and the non-ischemic bowel wall for each subject in Group Ⅰ was 33.7 ± 20.1 HU in the arterial phase, being significantly larger compared to the other two phases. CONCLUSION:This is a retrospective study using a small number of subjects; however, it suggests that there is a possibility that CT scanning in the arterial phase is useful for the early diagnosis of strangulation ileus. | Gaku Ohira Kiyohiko Shuto Tsuguaki Kono Takayuki Tohma Hisashi Gunji Kazuo Narushima Shunsuke Imanishi Takeshi Fujishiro Tohru Tochigi Toshiharu Hanaoka Hideaki Miyauchi Naoyuki Hanari Hisahiro Matsubara Noriyuki Yanagawa | 2012 | World Journal of Radiology2012，4，11： | 2 |
| 2 | Highly enhanced permeability of blood-brain barrier induced by repeated administration of endothelin-1 in dogs and rats显示文摘 | Narushima I Kita T Kubo K | 2003 | Pharmacol Toxicol2003，92，1： | 1 |
| 3 | Lambda-shaped anastomosis with intravascular stenting method for safe and effective lymphaticovenular anastomosis 显示文摘 | Yamamoto T Narushima M Kikuehi K | 2011 | Plast Reconstr Surg2011，127，5： | 1 |
| 4 | Lymph-node staining with activated carbon CH40 : a new method for axillary lymph node dissection in breast cancer显示文摘 | Yokota T Saito T Narushima Y | 2000 | Can J Surg2000，43，3： | 1 |
| 5 | Surface Modification of PET Films by Pulsed Argon Plasma显示文摘 | N INAGAKI S TASAKA NARUSHIMA | 2002 | Journal of Applied Polymer Science2002，85，： | 1 |
| 6 | Lymph-node staining with activated carbon CH40 : a new method for axillary lymph-node dis- section in breast cancer 显示文摘 | Yokota T Saito T Narushima Y | 2000 | Can J Surg2000，43，3： | 1 |
| 7 | R-spondinl, a novel intestinotrophic mitogen, ameliorates experimental colitis in mice 显示文摘 | Zhao J de Vera J Narushima S | 2007 | Gastroenterology2007，132，4： | 1 |
| 8 | Intraoperative lymphography using indocyanine green dye for near-infrared fluorescence labeling in lymphedema显示文摘 | Ogata F Narushima M Mihara M | 2007 | Ann Plast Surg2007，59，2： | 1 |
| 9 | A human beta-cell line for transplantation therapy to control type 1 diabetes显示文摘 | Narushima M Kobayashi N Okitsu T | | 0，，10： | 1 |
| 10 | Stroke-related depression显示文摘 | Robinson RG | 2002 | Curr Atheroscler Rep2002，4，4： | 1 |
| 11 | Does cognitive recovery after treatment of poststroke depression last? A 2-year follow-up of cognitive function associated with poststroke depression显示文摘 | Narushima K Chan KL Kosier JT | 2003 | Am J Psychiatry2003，160，6： | 1 |
| 12 | High-temperature oxidation of silicon carbide and silicon nitride显示文摘 | Narushima T Goto T Hirai T | 1997 | Mater Trans JIM1997，38，： | 1 |
| 13 | A reappraisal of post-stroke depression,intra and inter-hemispheric lesion location using metaanalysis显示文摘 | Narushima K Kosier J T Robinson R G | 2003 | J Neuropsychiatry Clin Neumsci2003，56，15： | 1 |
| 14 | Lymph - node staining with activated carbon CH40:a new method for axillary lymph - node dissectionin breast cancer 显示文摘 | Yokota T Saito T Narushima Y | 2000 | Can J Surg2000，43，3： | 1 |
| 15 | Stroke-relml depression显示文摘 | Narushima K Robinson RG | | 0，，： | 1 |
| 16 | Intestinal flora of animal models of human disea-ses as an environmental factor 显示文摘 | Itoh K Narushima S | 2005 | Curr Issues Intest Microbiol2005，6，1： | 1 |
| 17 | Maintenance of mouse, rat, and pig pancreatic islet functions by cocuhure with human islet-derived fibroblasts显示文摘 | MIKI A NARUSHIMA M OKITSU T | 2006 | Cell Transplantation2006，15，4： | 1 |
| 18 | High-temperatureoxidation of silicon carbide and silicon nitride显示文摘 | Narushima T Goto T Hirai T | 1991 | MaterialsTransactions1991，10，： | 1 |
| 19 | Stroke-related Depression显示文摘 | Robinson RG | 2002 | Curr Atheroscler Rep2002，4，4： | 1 |
| 20 | Stroke-related depression显示文摘 | Narushima K Robinson RG | 2002 | Curr Atheroscler Rep2002，4，4： | 1 |
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