Medicine:CT Gastrography

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CT Gastrography
Medical diagnostics
Normal-ct-virtual-gastroscopy.jpg
Normal CT Virtual gastroscopy
Purposeis noninvasive procedure for detection of gastric abnormalities

Computed tomographic (CT) gastrography, also called virtual gastroscopy (VG), is a noninvasive procedure for the detection of gastric abnormalities. Multiple X-rays are used to create a 3-Dimensional image of the organ, allowing abnormalities to be detected.[1]

Advantages

  • rapid and noninvasive
  • identifies local tumor invasion, lymph node and metastasis in cases of gastric cancer

Indications

  • early detection of gastric carcinoma
  • to examine gastric abnormalities, e.g. hiatus hernia, polyps and ulcers
  • post-surgical assessment of the stomach

Technique

  • Patient fasts at least 8 hours before the exam.
  • Bowel distension, optimal gastric distention is a fundamental prerequisite for CT gastrography data evaluation; collapsed gastric wall may mimic disease or obscure underlying pathology.
  • Negative oral contrast medium with effervescent granules is effective for optimal gastric distension.

Data acquisition and analysis

  • CT scanning is ideally performed on a multi-detector computed tomography (MDCT) with a thin collimation.
  • Data interpretation with the use of two-dimensional (2D) and three-dimensional (3D) displays for proper evaluation

See also

  • CT examinations

References