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Improvement of visualization in computed tomographic colonography after mechanic air insufflation
Nikolay V Sirakov1, Kichka G Velkova, Russin R Nikolov
1Department of Imaging Diagnostics, Nuclear Medicine and Radiation Therapy, Medical University, Plovdiv, Bulgaria. mail@nsirakov.com
Objective:
Our aim was to develop an insufflation system for CT colonography enabling even and quick air inflation as well as pressure control and optional emergency decompression.
Patients And Methods:
A modified air insufflation system for CT colonography, consisting of an electric air pump, manometer, safety valve, and a balloon tip is presented. Thirty one patients underwent CT colonography from August to December, 2004.
Results:
Optimal distension was achieved in 30 patients; the distension was incomplete (partial) only in one case. The insufflation was performed within 60 seconds in 28 of the cases, in 2 patients--within 180 seconds and in one patient--after 180 seconds.
Conclusions:
The presented insufflation system allows optimization of CT colonography technique, reduces the risk of adverse events during examination and improves the precision of the method.
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