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01-11-2008

Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases

Authors: Reinhold A. Lang, Sonja Buhmann, Alexander Hopman, Heinrich-Otto Steitz, Andreas Lienemann, Maximilian F. Reiser, Karl-Walter Jauch, Thomas P. Hüttl

Published in: Surgical Endoscopy | Issue 11/2008

Abstract

Background

This study aimed to evaluate the accuracy of functional cine-MRI in detecting abdominal adhesions.

Methods

For this study, 89 consecutive patients with adhesion-related complaints after previous abdominal surgery underwent preoperative workup including cine-MRI in transverse and sagittal orientations for a dynamic examination of an induced visceral slide. An abdominal map consisting of nine segments was created to document the location and extent of the adhesion. Cine-MRI and intraoperative findings were correlated.

Results

A total of 59 laparotomies and 30 laparoscopies were performed. Four cases required open surgery due to severe adhesions. The use of cine-MRI scan for the detection of adhesions showed an overall accuracy of 90%, a sensitivity of 93%, and a positive predictive value of 96%. The stronger the adhesions, the more accurate the scan findings. Of 44 patients with second-degree MRI scan findings, 50% had second-degree intraoperative findings. Of 35 patients with third- and fourth-degree adhesions on MRI scans, 74% had exactly the same intraabdominal findings at surgery. The MRI scan showed adhesions located in the small intestines (75%), large intestines (35%), abdominal cavity (42%), and reproductive organs (32%). Intraoperatively, adhesions were found in the small intestines (70%), large intestines (40%), abdominal cavity (42%), and reproductive organs (28%).

Conclusions

Cine-MRI provides valid preoperative information with respect to extent, location, and strength of intraabdominal adhesions. Cine-MRI is a good alternative for diagnosing abdominal adhesions because objective findings of the scan and intraoperative findings correlate very well with each other.

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Title: Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases
Authors: Reinhold A. Lang
Sonja Buhmann
Alexander Hopman
Heinrich-Otto Steitz
Andreas Lienemann
Maximilian F. Reiser
Karl-Walter Jauch
Thomas P. Hüttl
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 11/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-9763-9

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Springer Medicine

Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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