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ECR 2019 / C-1963
The role of multiple detector computed tomography in differentiating the primary small bowel neoplasms
Congress: ECR 2019
Poster No.: C-1963
Type: Scientific Exhibit
Keywords: Abdomen, Oncology, Gastrointestinal tract, CT, MR, Ultrasound, Biopsy, Ablation procedures, Barium enema, Lymphoma, Cancer, Eating disorders
Authors: H. Le, D. T. Vo, C. Phan, T. T. Nguyen, T. T. L. Nguyen; Ho Chi Minh/VN
DOI:10.26044/ecr2019/C-1963

Conclusion

MDCT findings could potentially be useful to differentiate the primary small bowel neoplasms based on analyzing specific imaging characteristics of each kind of tumor.  

Our study had some limitations. First of all, this was retrospective study, so we could not control the protocol. The protocols were variable due to nonspecific clinical scene. But, it was actual daily practice, radiologist usually have to face with nonoptimal imaging like inadequate luminal distention. Secondly, we only gathered patients had symptoms and were diagnosed small bowel tumors. Therefore, small tumors or tumors not causing any symptom were not included. Finally, polypoid lesions presented in a relatively small number and were still a challenge to imaging.

In conclusion, we believe that the prominent growth pattern is the most valuable characteristic to approach a small bowel neoplasm. That can be used to narrow the differential diagnosis. Then, some specific imaging features can help to suggest the pathology of this small bowel neoplasm (Figure 6).

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