ArticleEuropean radiology2021
Diagnostic performance of CT for the detection of transmural bowel necrosis in non-occlusive mesenteric ischemia.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Radiological diagnosis of acute mesenteric ischemia in adult patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Vasoactive agents in acute mesenteric ischaemia in critical care. A systematic review.F1000Research · 2021Pooled it
- Bowel ischemia detection on portal venous CT: multireader evaluation of dual-energy and photon-counting spectral imaging.European radiology · 2026Article
- Relative colon wall attenuation - distinguishing ischemia from other colon wall changes.BMC medical imaging · 2026Article
- DECT-based stratification of nonocclusive mesenteric ischemia using bowel-wall iodine concentration: a prospective single-center cohort.European radiology experimental · 2026Article
- Non-enhancing bowel dilatation and secondary ileus on CT as a surgical red flag in geriatric patients with atypical presentations.BMC geriatrics · 2025Article
- Toward standardized bowel wall iodine concentration measurement in spectral CT.La Radiologia medica · 2025Article
- Bowel wall iodine concentration measurement at dual-energy CT in non-occlusive mesenteric ischemia: a call for standardization.La Radiologia medica · 2025Article
- A Deep Learning Model for Identifying the Risk of Mesenteric Malperfusion in Acute Aortic Dissection Using Initial Diagnostic Data: Algorithm Development and Validation.Journal of medical Internet research · 2025Article
- Application of Machine Learning in the Prediction of the Acute Aortic Dissection Risk Complicated by Mesenteric Malperfusion Based on Initial Laboratory Results.Reviews in cardiovascular medicine · 2025Article
- Nonocclusive Mesenteric Ischemia: A Review for Interventional Radiologists.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- When Is Laparotomy for Mesenteric Ischemia After Aortic Dissection Futile?The Annals of thoracic surgery · 2024Article
- Computed Tomography Parameters for Prognosis Prediction in Non-Occlusive Mesenteric Ischemia.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Potential Indicators of Intestinal Necrosis in Portal Venous Gas: A Case Report of an 82-Year-Old Woman on Long-Term Hemodialysis with Ascites and Pneumatosis Coli.The American journal of case reports · 2024Article
- Quantifying iodine concentration in the normal bowel wall using dual-energy CT: influence of patient and contrast characteristics.Scientific reports · 2023Article
- Insights into acute mesenteric ischaemia: an up-to-date, evidence-based review from a mesenteric stroke centre unit.The British journal of radiology · 2023Review
- Article
- Review
- Abdominal atherosclerosis is not a risk factor of nonocclusive mesenteric ischemia among critically ill patients: a propensity matching study.Annals of intensive care · 2022Article
- Letter to the editor: Pneumatosis in bowel ischemia: time to change the optics to improve patient care.Insights into imaging · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the diagnostic performance of CT for transmural necrosis (TN) in non-occlusive mesenteric ischemia (NOMI) according to the bowel segment involved.
methodsFrom January 2009 to December 2019, all patients admitted to the intensive care unit (ICU) and requiring laparotomy for NOMI were retrospectively studied. CT had to have been performed within 24 h prior to laparotomy and were reviewed by two abdominal radiologists, with a consensus reading in case of disagreement. A set of CT features of mesenteric ischemia were assessed, separating the stomach, jejunum, ileum, and right (RC) and left colon (LC). Univariate and multivariate analyses were performed to identify features associated with TN. Its influence on overall survival (OS) was assessed.
resultsAmong 145 patients, 95 (66%) had ≥ 1 bowel segment with TN, including 7 (5%), 31 (21%), 43 (29%), 45 (31%), and 52 (35%) in the stomach, jejunum, ileum, RC, and LC, respectively. Overall inter-reader agreement of CT features was significantly lower in the colon than in the small bowel (0.59 [0.52-0.65] vs 0.74 [0.70-0.77] respectively). The absence of bowel wall enhancement was the only CT feature associated with TN by multivariate analysis, whatever the bowel segment involved. Proximal TN was associated with poorer OS (p < 0.001).
conclusionsThe absence of bowel wall enhancement remains the most consistent CT feature of transmural necrosis, whatever the bowel segment involved in NOMI. Inter-reader agreement of CT features is lower in the colon than in the small bowel. Proximal TN seems to be associated with poorer OS. KEY POINTS: • The absence of bowel wall enhancement is the most consistent CT feature associated with transmural necrosis in NOMI, whatever is the bowel segment involved. • Inter-reader agreement is lower in the colon than in the small bowel in NOMI. • In NOMI, the more proximal the bowel necrosis, the worse the prognosis.
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