Skip to main content
Top
Published in: Emergency Radiology 5/2009

01-09-2009 | Pictorial Essay

Acute gastrointestinal bleeding: the potential role of 64 MDCT and 3D imaging in the diagnosis

Authors: Karen M. Horton, R. Brooke Jeffrey Jr., Michael P. Federle, Elliot K. Fishman

Published in: Emergency Radiology | Issue 5/2009

Login to get access

Abstract

Advancements in both CT scanner technology and three-dimensional (3D) imaging software have now made it feasible to image patients with acute GI bleeding in an effort to identify the bleeding source. This pictorial essay will explore the potential role of utilizing 64 MDCT and 3D imaging in patients presenting with acute gastrointestinal bleeding. A discussion of current technology, appropriate CT protocols, and interpretation strategies will be included.
Literature
1.
go back to reference Peura DA, Lanza FL, Gostout CJ, Foutch PG (1997) The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 92:924–928PubMed Peura DA, Lanza FL, Gostout CJ, Foutch PG (1997) The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 92:924–928PubMed
3.
go back to reference Longstreth GF (1995) Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 90:206–210PubMed Longstreth GF (1995) Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 90:206–210PubMed
4.
go back to reference Laing CJ, Tobias T, Rosenblum DI, Banker WL, Tseng L, Tamarkin SW (2007) Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques. Radiographics 27:1055–1070. doi:10.1148/rg.274065095 PubMedCrossRef Laing CJ, Tobias T, Rosenblum DI, Banker WL, Tseng L, Tamarkin SW (2007) Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques. Radiographics 27:1055–1070. doi:10.​1148/​rg.​274065095 PubMedCrossRef
6.
7.
go back to reference Zink SI, Ohki SK, Stein B et al (2008) Noninvasive evaluation of active lower gastrointestinal bleeding: comparison between contrast-enhanced MDCT and 99mTc-labeled RBC scintigraphy. AJR Am J Roentgenol 191:1107–1114. doi:10.2214/AJR.07.3642 PubMedCrossRef Zink SI, Ohki SK, Stein B et al (2008) Noninvasive evaluation of active lower gastrointestinal bleeding: comparison between contrast-enhanced MDCT and 99mTc-labeled RBC scintigraphy. AJR Am J Roentgenol 191:1107–1114. doi:10.​2214/​AJR.​07.​3642 PubMedCrossRef
8.
go back to reference Jaeckle T, Stuber G, Hoffmann MH, Jeltsch M, Schmitz BL, Aschoff AJ (2008) Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT. Eur Radiol 18:1406–1413. doi:10.1007/s00330-008-0907-z PubMedCrossRef Jaeckle T, Stuber G, Hoffmann MH, Jeltsch M, Schmitz BL, Aschoff AJ (2008) Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT. Eur Radiol 18:1406–1413. doi:10.​1007/​s00330-008-0907-z PubMedCrossRef
10.
go back to reference Tew K, Davies RP, Jadun CK, Kew J (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182:427–430PubMed Tew K, Davies RP, Jadun CK, Kew J (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182:427–430PubMed
11.
go back to reference Ernst O, Bulois P, Saint-Drenant S, Leroy C, Paris JC, Sergent G (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13:114–117PubMed Ernst O, Bulois P, Saint-Drenant S, Leroy C, Paris JC, Sergent G (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13:114–117PubMed
14.
go back to reference Willmann JK, Roos JE, Platz A et al (2002) Multidetector CT: detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol 179:437–444PubMed Willmann JK, Roos JE, Platz A et al (2002) Multidetector CT: detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol 179:437–444PubMed
Metadata
Title
Acute gastrointestinal bleeding: the potential role of 64 MDCT and 3D imaging in the diagnosis
Authors
Karen M. Horton
R. Brooke Jeffrey Jr.
Michael P. Federle
Elliot K. Fishman
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Emergency Radiology / Issue 5/2009
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-009-0798-6

Other articles of this Issue 5/2009

Emergency Radiology 5/2009 Go to the issue