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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

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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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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Diagnostic Radiology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Japan

    Yuko Nakamura, Wataru Fukumoto, Yoko Kaichi, Chihiro Tani, Yukiko Honda, Daisuke Komoto, Fuminari Tatsugami, Shuji Date & Kazuo Awai

  2. Radiology, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima, Japan

    Masaki Urashima

  3. Radiology, National Hospital Organization Kure Medical Center and Cancer Center, 3-1 Aoyama-cho, Kure, Hiroshima, Japan

    Naoyuki Toyota

  4. Radiology, Hiroshima City Asa Hospital, 2-1-1 Kabe-minami, Asakita-ku, Hiroshima, Japan

    Chiaki Ono & Makoto Iida

  5. Radiology, Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, 1-9-6 Senda-machi, Naka-ku, Hiroshima, Japan

    Hideaki Kakizawa

Authors
  1. Yuko Nakamura
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  2. Masaki Urashima
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  3. Naoyuki Toyota
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  4. Chiaki Ono
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  7. Yoko Kaichi
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  9. Yukiko Honda
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  13. Shuji Date
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  14. Kazuo Awai
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Correspondence to Yuko Nakamura.

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Nakamura, Y., Urashima, M., Toyota, N. et al. Non-occlusive mesenteric ischemia (NOMI): utility of measuring the diameters of the superior mesenteric artery and superior mesenteric vein at multidetector CT. Jpn J Radiol 31, 737–743 (2013). https://doi.org/10.1007/s11604-013-0245-1

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  • DOI: https://doi.org/10.1007/s11604-013-0245-1

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