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Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis

  • Authors:
    • Jing Xiao
    • Qing‑Dong Li
  • View Affiliations / Copyright

    Affiliations: Key Laboratory for Biorheological Science and Technology of the Ministry of Education (Chongqing University), Chongqing University Cancer Hospital, Chongqing 400044, P.R. China
    Copyright: © Xiao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3033-3040
    |
    Published online on: July 29, 2020
       https://doi.org/10.3892/etm.2020.9069
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Abstract

The aim of the present study was to retrospectively analyse the multi‑slice spiral CT (MSCT) findings of radiation colitis and rectitis (RC&R). A total of 23 cases of RC&R detected by helical CT were included. The CT findings and clinical and endoscopy data of the patients were reviewed. The primary tumours included cancers of the cervix (n=17), rectum (n=4), ovaries (n=1) and bladder (n=1). The total dose of radiation per patient was 46‑60 Gy (mean, 49.7 Gy) delivered over 5 weeks. The CT manifestations included different degrees of increased thickness of the intestinal wall (n=20, 87.0%), with a maximum thickness of 16.6 mm. On enhanced CT, the target sign was observed (n=16, 69.9%), with an obviously enhanced mucosa and/or serosa and the following changes observed: Oedema and increased density of the mesentery (n=15, 65.2%); increased density of the subcutaneous fat, and blurred and oedematous pelvic wall muscles (n=4, 17.4%), with the obturator internus and levator ani muscles being most commonly affected; narrowed intestinal lumen (n=3, 13.0%); and a small amount of ascitic fluid (n=2, 8.7%) located in the paracolic sulci and bladder or Douglas pouch. The 23 patients underwent colonoscopy and were diagnosed with RC&R. The major manifestations included telangiectasia and mucosal hyperaemia (n=21, 91.3%). MSCT of chronic RC&R (CRC&R) was associated with certain characteristic findings, which, combined with a medical history of radiotherapy and the clinical manifestations, may prove to be of value in the diagnosis of CRC&R.
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Copy and paste a formatted citation
Spandidos Publications style
Xiao J and Li QD: Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis. Exp Ther Med 20: 3033-3040, 2020.
APA
Xiao, J., & Li, Q. (2020). Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis. Experimental and Therapeutic Medicine, 20, 3033-3040. https://doi.org/10.3892/etm.2020.9069
MLA
Xiao, J., Li, Q."Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis". Experimental and Therapeutic Medicine 20.4 (2020): 3033-3040.
Chicago
Xiao, J., Li, Q."Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis". Experimental and Therapeutic Medicine 20, no. 4 (2020): 3033-3040. https://doi.org/10.3892/etm.2020.9069
Copy and paste a formatted citation
x
Spandidos Publications style
Xiao J and Li QD: Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis. Exp Ther Med 20: 3033-3040, 2020.
APA
Xiao, J., & Li, Q. (2020). Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis. Experimental and Therapeutic Medicine, 20, 3033-3040. https://doi.org/10.3892/etm.2020.9069
MLA
Xiao, J., Li, Q."Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis". Experimental and Therapeutic Medicine 20.4 (2020): 3033-3040.
Chicago
Xiao, J., Li, Q."Multi‑slice spiral CT evaluation of chronic radiation colitis and rectitis". Experimental and Therapeutic Medicine 20, no. 4 (2020): 3033-3040. https://doi.org/10.3892/etm.2020.9069
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