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Diagnosing Acute Onset Insufficient Intestinal Blood Flow (Bowel Ischemia) With a Novel CT Technique Called Dual-energy CT (DECT). This Observational Study Seeks to Evaluate Whether DECT Can Improve the Diagnosis of Bowel Ischemia and How the DECT Findings Correlate With Intraoperative Findings

Conditions
Acute Bowel Ischemia / Infarction
Bowel Ischemia
Registration Number
NCT04561323
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

The aim of this study is to evaluate the performance of dual-energy CT (DECT) in the diagnosis of acute bowel ischemia (ABI). ABI is a condition characterised by inadequate blood supply to portions of the intestine. ABI is a relatively rare condition, but is associated with a high mortality rate.

DECT is an emerging field within radiology. Few reports have reported an increased conspicuity for ABI using DECT compared with conventional CT, which is the current preoperative golden standard.

The investigators hypothesize that DECT increases conspicuity of ABI compared with conventional CT and that DECT image findings correlate with the intraoperative findings.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Referred on the suspicion of acute bowel ischemia
Exclusion Criteria
  • Patient not scanned with DECT
  • Patient does not undergo abdominal surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Adding DECT information increases assessor confidence without lowering the specificity compared with standard CT in the diagnosis and/or exclusion of ABI.10 minutes
Secondary Outcome Measures
NameTimeMethod
Intraoperative ICG fluorescence angiogram perfusion assessment and its correlation to DECT image evaluation.10 minutes

Trial Locations

Locations (1)

Department of Diagnostic Radiology, Rigshospitalet

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Copenhagen, Denmark

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