Detection and Mapping of Intraabdominal Adhesions by Using Functional Cine MR Imaging: Preliminary Results

Abstract

Detection of visceral slide at functional cine MR imaging is easy to perform and represents a well-tolerated and accurate procedure for use in the identification of intraabdominal adhesions in patients with chronic pain and equivocal clinical findings.

Functional cine MR imaging for the detection and mapping of intraabdominal adhesions: method and surgical correlation

“…In general, the results published by Lienemann et al [10] in 2000 were confirmed and indications for this easy-toperform and well-tolerated examination technique include the clinical confirmation of intraabdominal adhesions in patients with known history of adhesions or with chronic abdominal pain without any signs of obstruction or ischemia. In addition, our study provides MR results of a larger patient cohort compared with the initial study by Lienemann and co-workers.…”

“…In our study, a section-by-section functional cine MRI for the depiction of visceral slide throughout the entire abdomen, which was first introduced by Lienemann et al [10], was used. As criteria for the detection of intraabdominal adhesions, the absence of movement or separation of adjacent structures were employed.…”

“…The MR protocol used had previously been described in the literature [10] After a coronal localizer, a single-slice true fast imaging with steady state precession sequence (trueFISP) (field of view 400 mm, matrix of 256×256, flip angle 50°, slice thickness 5 mm) was used. One cycle consisted of ten consecutive measurements in the same position; one frame was acquired every 1.3 s.…”

“…However, in the year 2000 the detection of visceral slide using functional cine MRI was introduced as an accurate, reliable, and non-invasive tool for the identification of adhesions [10]. Therefore, the aim of this study was to further evaluate the potential of functional cine MRI for the detection and mapping of intraabdominal adhesions and to correlate the MR results with surgical, intraoperative findings.…”

Πειραματική Μελέτη Πρόληψης Μετεγχειρητικών Συμφύσεων Με Την Χρήση Ικοδεξτρίνης 4% Ή Και Διμεθινδένης

“…Οι συγγραφείς βρήκαν μία συνολική ευαισθησία της μεθόδου 88% και ειδικότητα 93% [163] . Ένα χρόνο μετά, οι Katayama και συνεργάτες, αξιολόγησαν μετεγχειρητικές συμφύσεις στην πύελο σε 52 γυναίκες που είχαν υποβληθεί σε γυναικολογικές επεμβάσεις.…”