Supplementsonline Version ESGAR 2008 Book of Abstracts / Volume 18 / Supplement 2 / June 2008

Total Page:16

File Type:pdf, Size:1020Kb

Supplementsonline Version ESGAR 2008 Book of Abstracts / Volume 18 / Supplement 2 / June 2008 European The official journal of the European Society of RadioloGastrointestinal and Abdominal Radiology gy Supplementsonline version ESGAR 2008 Book of Abstracts / Volume 18 / Supplement 2 / June 2008 ESGAR 2008 / June 10 –13 / Istanbul, Turkey 19th Annual Meeting and Postgraduate Course ISSN-Nummer: 1613-3757 EDUCATIONAL ACTIVITIES European Society of Gastrointestinal and Abdominal Radiology ANNUAL MEETINGS ESGAR 2009 ESGAR 2010 20th Annual Meeting and Postgraduate Course 21st Annual Meeting and Postgraduate Course Valencia, Spain Dresden, Germany June 23 – 26, 2009 June 1 – 4, 2010 Meeting President: Meeting President: Dr. Luis Marti-Bonmati, Valencia/ES Prof. Michael Laniado, Dresden/DE CT-COLONOGRAPHY HANDS-ON WORKSHOPS 9th ESGAR CT-Colonography Hands-on Workshop September 11 – 13, 2008, Berlin, Germany 10th ESGAR CT-Colonography Hands-on Workshop February 2 – 4, 2009, Harrogate, United Kingdom 11th ESGAR CT-Colonography Hands-on Workshop September 17 – 19, 2009, Stresa, Italy GE Doctor to Doctor Training on CT-Colonography October 2 – 3, 2008, Buc, France LIVER IMAGING WORKSHOP 3rd Liver Imaging Workshop October 9 – 11, 2008, Munich, Germany ESGAR thanks its Corporate Members for supporting the realisation of the aims of the Society www.esgar.org EUROPEAN SOCIEISTY OFT GASANTROINTESTINALB ANDUL ABDOMINAL RADIOLOGY/ TR ESGAR 2008 BOOK OF ABSTRACTS INCLUDES ABSTRACTS OF THE POSTGRADUATE COURSE, SCIENTIFIC PRESENTATIONS AND LUNCH SYMPOSIA 19TH ANNUALJUNE MEETING 10 AND POS– T13GRADUATE COURSE IMPORTANT ADDRESSES / CME / SPONSORS IMPORTANT ADDRESSES ORGANISING SECRETARIAT HOTEL ACCOMMODATION / TRAVEL AGENT Central ESGAR Office Figür Congress & Organisation Services Neutorgasse 9/2a Mrs. Yesim Andic AT-1010 Vienna, Austria Ayazmaderesi Cad. Karadut Sok. No: 7 Phone: +43 1 535 89 27 TR – 34394 Dikilitas / Istanbul, Turkey Fax: +43 1 535 70 37 Phone: +90 212 258 6020 – ext. 124 E-mail: [email protected] Fax: +90 212 258 6078 E-Mail: [email protected] EXECUTIVE DIRECTOR Ms. Brigitte Lindlbauer CONFERENCE VENUE [email protected] Istanbul Convention & Exhibition Centre (ICEC) TR – 80230 Harbiye / Istanbul, Turkey WEBSITE www.icec.org www.esgar.org EXHIBITION MANAGEMENT MAW – Medizinische Ausstellungsgesellschaft Freyung 6 AT-1010 Vienna, Austria Phone: + 43 1 536 63 35 Fax: + 43 1 535 60 16 E-mail: [email protected] PATRONAgE CME TRD The European Society of Gastrointestinal and Abdominal Turkish Society of Radiology Radiology, ESGAR, is accredited by the European Accreditation Council for Continuing Medical Education TGRD (EACCME). The EACCME is an institution of the European Turkish Society of Cardiovascular and Interventional Union of Medical Specialists (UEMS), www.uems.be Radiology ESGAR 2008 has been accredited with 24 CME Credits by the EACCME and with 23.5 CME/CPD Credits by the Date of publishing: May 2008 Turkish Medical Association. SPONSORS ESGAR wishes to gratefully acknowledge the support of ESGAR also thanks the following companies and its Corporate Members: institutions for supporting ESGAR 2008: ANGIOTECH/BERKA BAYINDIR HOSPITALS BRACCO GE MEDÝCAL SYSTEMS-TURKEY MINISTRY OF CULTURE AND TOURISM OPAKIM SIEMENS -TURKEY/SIMEKS TUBITAK The final programme of ESGAR 2008 is available on the ESGAR website www.esgar.org TABLE OF CONTENTS TABLE OF CONTENTS Postgraduate Course, Tuesday, June 10 05 - 09 Lunch Symposia, Tuesday, June 10 / (SY 1, SY 2) 11 Lunch Symposia, Wednesday, June 11 / (SY 3, SY 4) 12 - 13 Lunch Symposia, Thursday, June 12 / (SY 5, SY 6) 13 - 14 Lunch Symposia, Friday, June 13 / (SY 7, SY 8) 14 - 15 Scientific Sessions, Wednesday, June 11 / (SS 1 - SS 5) 17 - 27 Scientific Sessions, Thursday, June 12 / (SS 6 - SS 10) 28 - 38 Scientific Sessions, Friday, June 13 / (SS 11 - SS 15) 39 - 49 EPOS™ Presentations (P-001 - P-305) 51 - 109 Authors‘ index 111 - 119 B COMMITTEES ESGAR MEETING PRESIDENT ESGAR PROGRAMME COMMITTEE Prof. Dr. Okan Akhan Department of Radiology CHAIRMAN Hacettepe University C. Bartolozzi (Pisa/IT) School of Medicine Sihhiye MEMBERS TR – 6100 Ankara, Turkey Phone: +90 312 305 1188 O. Akhan (Ankara/TR) Fax: +90 312 311 2145 F. Caseiro-Alves (Coimbra/PT) E-Mail: [email protected] N. Elmas (Izmir/TR) N. Gourtsoyiannis (Heraklion/GR) CO-MEETING PRESIDENT M. Laniado (Dresden/DE) A. Laghi (Latina/IT) Prof. Dr. Nevra Elmas D.E. Malone (Dublin/IE) Department of Radiology B. Marincek (Zurich/CH) EGE University Medical School L. Marti-Bonmati (Valencia/ES) Bornova Y. Menu (Le Kremlin-Bicêtre/FR) TR – 35100 Izmir, Turkey Phone: +90 232 390 2209 Fax: +90 232 342 0001 LOCAL ORGANISING COMMITTEE E-Mail: [email protected] D. Akata (Ankara/TR) M. Başak (Istanbul/TR) O. Dicle (Izmir/TR) ESGAR EXECUTIVE COMMITTEE M. Harman (Izmir/TR) A. Kabaalioğlu (Antalya/TR) PRESIDENT U. Korman (Istanbul/TR) B. Marincek (Zurich/CH) F. Obuz (Izmir/TR) PRESIDENT-ELECT M. Özmen (Ankara/TR) Y. Menu (Le Kremlin-Bicêtre/FR) G. Savci (Bursa/TR) VICE PRESIDENT D. Tüney (Istanbul/TR) F. Caseiro-Alves (Coimbra/PT) SECRETARY D.E. Malone (Dublin/IE) TREASURER S. Halligan (London/UK) PAST PRESIDENT C. Bartolozzi (Pisa/IT) BY-LAWS COMMITTEE A. Palkó (Szeged/HU) EDUCATION COMMITTEE A. Laghi (Latina/IT) MEMBERSHIP COMMITTEE J.S. Laméris (Amsterdam/NL) MEETING PRESIDENT O. Akhan (Ankara/TR) PRE-MEETING PRESIDENT L. Marti-Bonmati (Valencia/ES) PRE-PRE-MEETING PRESIDENT M. Laniado (Dresden/DE) FELLOWS REPRESENTATIVES L.H. Ros Mendoza (Zaragoza/ES) W. Schima (Vienna/AT) B 2 COMMITTEES REVIEWING PANEL D. Akata, Ankara/TR L. Marti-Bonmati, Valencia/ES O. Akhan, Ankara/TR C. Matos, Brussels/BE M.-M. Amitai, Tel Aviv/IL R.M. Mendelson, Perth/AU C.D. Becker, Geneva/CH Y. Menu, Le Kremlin-Bicêtre/FR R.G.H. Beets-Tan, Maastricht/NL G. Morana, Treviso/IT R. Bouzas, Vigo/ES E. Neri, Pisa/IT G. Brancatelli, Palermo/IT B. Op De Beeck, Edegem/BE D.J. Breen, Southampton/UK A. Palkó, Szeged/HU C. Bru, Barcelona/ES O. Papakonstantinou, Athens/GR J.-M. Bruel, Montpellier/FR N. Papanikolaou, Heraklion/GR F. Caseiro-Alves, Coimbra/PT P.L. Pereira, Tübingen/DE C. Catalano, Rome/IT P. Pokieser, Vienna/AT D. Cioni, Pisa/IT P. Prassopoulos, Alexandroupolis/GR L. Crocetti, Pisa/IT M. Puckett, Torquay/UK M.C. Della Pina, Pisa/IT J. Puig Domingo, Sabadell/ES A. Denys, Lausanne/CH A.S. Roberts, Cardiff/UK N. Elmas, Izmir/TR G.A. Rollandi, Genova/IT B. Fox, Plymouth/UK P.R. Ros, Barcelona/ES A.H. Freeman, Cambridge/UK L.H. Ros Mendoza, Zaragoza/ES A. Gillams, London/UK W. Schima, Vienna/AT P. Goffette, Brussels/BE S. Skehan, Dublin/IE J.A. Guthrie, Leeds/UK M. Staunton, Toronto, ON/CA S. Halligan, London/UK G.W. Stevenson, Victoria, BC/CA T. Helmberger, Munich/DE J. Stoker, Amsterdam/NL F. Iafrate, Rome/IT Z. Tarján, Budapest/HU C. Kay, Bradford/UK I. Távora, Lisbon/PT H.-U. Laasch, Manchester/UK S.A. Taylor, London/UK A. Laghi, Latina/IT V. Valek, Brno-Bohunice/CZ E. Leen, Glasgow/UK D. Vanbeckevoort, Leuven/BE P. Lefere, Roeselare/BE D. Weishaupt, Zurich/CH R. Lencioni, Pisa/IT A. Wuttge-Hannig, Munich/DE D.J. Lomas, Cambridge/UK C.J. Zech, Munich/DE M. Maher, Wilton, Cork/IE C.L. Zollikofer, Winterthur/CH T. Mang, Vienna/AT B. Marincek, Zurich/CH EPOS™ JURY R.G.H. Beets-Tan, Maastricht/NL G. Morana, Treviso/IT D.J. Breen, Southampton/UK O. Papakonstantinou, Athens/GR F. Caseiro-Alves, Coimbra/PT N. Papanikolaou, Heraklion/GR L. Crocetti, Pisa/IT P. Pokieser, Vienna/AT A. Gillams, London/UK P. Prassopoulos, Alexandroupolis/GR J.A. Guthrie, Leeds/UK L.H. Ros-Mendoza, Zaragoza/ES S. Halligan, London/UK W. Schima, Vienna/AT A. Laghi, Latina/IT S. Skehan, Dublin/IE M. Laniado, Dresden/DE M. Staunton, Toronto, ON/CA E. Leen, Glasgow/UK Z. Tarján, Budapest/HU A.J. Madureira, Porto/PT S.A. Taylor, London/UK M. Maher, Wilton, Cork/IE J. Venancio, Lisbon/PT B. Marincek, Zurich/CH C.J. Zech, Munich/D L. Marti-Bonmati, Valencia/ES D.F. Martin, Manchester/UK B 3 B POSTGRADUATE COURSE / TUESDAY, JUNE 10, 2008 P ostgraduate Course ABDOMINAL MDCT PG 1.03 Dual energy CT: does it signify progress? H. Alkadhi; Zurich/CH 09:05 - 10:30 Anadolu Auditorium Learning objectives: To describe the basic principles of dual energy MDCT and Postgraduate Course 1 discuss present and future applications in abdominal imaging. To address the radiation exposure and economic issues associated with dual energy MDCT. All you need to know Abstract: The recent introduction of the dual-source computed tomography (CT) scanner has brought about new opportunities in the imaging field. The scanner PG 1.01 type is characterized by two X-ray tubes and two corresponding detectors that are From 4 to 256-slice MDCT: capabilities, post-processing mounted onto the rotating gantry with an angular offset of 90º. The two X-ray tubes and PACS issues of the scanner can be operated either at identical tube potentials that results in a P. Rogalla; Berlin/DE doubling of the temporal resolution of the scanner being beneficial for cardiac examinations, or at two different tube potentials that enable the simultaneous Learning objectives: To compare the quality of MDCT images obtained with different Lunch acquisition of CT data in the dual-energy mode. The latter approach allows for an detector configurations and the clinical capabilities of each configuration. To describe improved characterization of tissue and for the generation of virtual non-enhanced post processing methods, address PACS issues (data management, image transfer and images through the identification and subtraction of iodine from contrast-enhanced storage etc) and to introduce 3D applications. data sets. The theoretical concept of the dual energy CT technique is based on the Abstract: A major step in CT imaging was taken when the first 4-slice CT became S spectral properties of different materials, the atomic z-numbers, and the different available for clinical imaging.
Recommended publications
  • Focal Spot, Spring 2006
    Washington University School of Medicine Digital Commons@Becker Focal Spot Archives Focal Spot Spring 2006 Focal Spot, Spring 2006 Follow this and additional works at: http://digitalcommons.wustl.edu/focal_spot_archives Recommended Citation Focal Spot, Spring 2006, April 2006. Bernard Becker Medical Library Archives. Washington University School of Medicine. This Book is brought to you for free and open access by the Focal Spot at Digital Commons@Becker. It has been accepted for inclusion in Focal Spot Archives by an authorized administrator of Digital Commons@Becker. For more information, please contact [email protected]. SPRING 2006 VOLUME 37, NUMBER 1 *eiN* i*^ MALLINCKRC RADIOLO AJIVERSITY *\ irtual Colonoscopy: a Lifesaving Technology ^.IIMi.|j|IUII'jd-H..l.i.|i|.llJ.lii|.|.M.; 3 2201 20C n « ■ m "■ ■ r. -1 -1 NTENTS FOCAL SPOT SPRING 2006 VOLUME 37, NUMBER 1 MIR: 75 YEARS OF RADIOLOGY EXPERIENCE In the early 1900s, radiology was considered by most medical practitioners as nothing more than photography. In this 75th year of Mallinckrodt Institute's existence, the first of a three-part series of articles will chronicle the rapid advancement of radiol- ogy at Washington University and the emergence of MIR as a world leader in the field of radiology. THE METABOLISM OF THE DIABETIC HEART More diabetic patients die from cardiovascular disease than from any other cause. Researchers in the Institute's Cardiovascular Imaging Laboratory are finding that the heart's metabolism may be one of the primary mechanisms by which diseases such as diabetes have a detrimental effect on heart function. VIRTUAL C0L0N0SC0PY: A LIFESAVING TECHNOLOGY More than 55,000 Americans die each year from cancers of the colon and rectum.
    [Show full text]
  • Imaging in Double Gall Bladder with Acute Cholecystitis—A Rare Entity
    Surgical Science, 2014, 5, 273-279 Published Online July 2014 in SciRes. http://www.scirp.org/journal/ss http://dx.doi.org/10.4236/ss.2014.57047 Imaging in Double Gall Bladder with Acute Cholecystitis—A Rare Entity Praveen Kumar Vasanthraj, Rajoo Ramachandran, Kumaresh Athiyappan, Anupama Chandrasekharan, Cunnigaiper Dhanasekaran Narayanan Department of Radiology, Sri Ramachandra University, Chennai, India Email: [email protected] Received 28 April 2014; revised 26 May 2014; accepted 22 June 2014 Copyright © 2014 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/ Abstract Duplication of gall bladder is a rare congenital anomaly of the hepatobiliary system. It is a very important entity in clinical practice as preoperative diagnosis plays a significant role in the man- agement and to avoid unnecessary bile duct injury during surgery. We report a case of duplicated gall bladder presenting as acute cholecystitis. Keywords Gall Bladder, Duplication, Cholecystitis 1. Introduction Gall bladder (GB) duplication is a rare congenital anomaly of hepatobiliary system with a reported incidence of about 1 per 4000 autopsies [1]. Duplication of gall bladder and their varying anatomical positions are associated with an increased risk of complications including biliary leak after laparoscopic or open cholecystectomy [2]-[5]. 2. Case Presentation A 45 years old lady presented with complaints of abdomen pain for the past two days. It was colicky type pain, intermittent in nature and localized to the right hypochondrium. She also gave history of three episodes of vo- miting which was non bilious, non blood stained and non foul smelling.
    [Show full text]
  • Rectal Water Contrast Transvaginal Ultrasound Versus Double-Contrast Barium Enema in the Diagnosis of Bowel Endometriosis
    Open Access Research BMJ Open: first published as 10.1136/bmjopen-2017-017216 on 7 September 2017. Downloaded from Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis Jipeng Jiang, Ying Liu, Kun Wang, Xixiang Wu, Ying Tang To cite: Jiang J, Liu Y, Wang K, ABSTRACT Strengths and limitations of this study et al. Rectal water contrast Objectives The aim of study was to compare the transvaginal ultrasound versus accuracy between rectal water contrast transvaginal ► This is the first comparison of the accuracy between double-contrast barium enema ultrasound (RWC-TVS) and double-contrast barium enema in the diagnosis of bowel rectal water contrast transvaginal ultrasound (RWC- (DCBE) in evaluating the bowel endometriosis presence as endometriosis. BMJ Open TVS) and double-contrast barium enema (DCBE) in well as its extent. 2017;7:e017216. doi:10.1136/ the diagnosis of bowel endometriosis. Design and setting 198 patients at reproductive age with bmjopen-2017-017216 ► This study demonstrated RWC-TVS as a very reliable suspicious bowel endometriosis were included. Physicians technique to determine the bowel endometriosis ► Prepublication history for in two groups specialised at endometriosis performed presence and extent and it has similar accuracy to this paper is available online. RWC-TVS as well as DCBE before laparoscopy and both To view these files please visit that of DCBE. groups were blinded to other groups’ results. Findings the journal online (http:// dx. doi. ► We demonstrate that DCBE is related to more from RWC-TVS or DCBE were compared with histological org/ 10. 1136/ bmjopen- 2017- tolerance than RWC-TVS.
    [Show full text]
  • F • High Accuracy Sonographic Recognition of Gallstones
    517 - • High Accuracy Sonographic f Recognition of Gallstones Paul C. Messier1 Recent advances in the imaging capabilities of gray scale sonography have increased Donald S. Hill1 the accuracy with which gallstones may be diagnosed. Since the sonographic diagnosis Frank M. Detorie2 of gallstones is often followed by surgery without further confirmatory studies, the Albert F. Rocco1 avoidance of false-positive diagnoses assumes major importance. In an attempt to improve diagnostic accuracy, 420 gallbladder sonograms were evaluated for gall- stones. Positive diagnoses were limited to cases in which the gallbladder was well visualized and contained densities that produced acoustic shadowing or moved rapidly with changes in position. Gallstones were diagnosed in 123 cases and surgery or autopsy in 70 of these patients confirmed stones in 69. There was one false-positive, an accuracy rate for positive diagnosis of 98.6%. Five cases were called indeterminate for stones; one of these had tiny 1 mm stones at surgery. The other four cases had no surgery. Of 276 cases called negative for stones, two were operated. One contained tiny 1 mm stones; the other had no stones. None of the 146 cases with negative sonograms and oral cholecystography or intravenous cholangiography had stones diagnosed by these methods. Because of its ease and simplicity, sonography is attractive as the initial study in patients suspected of having gallstones. With the criteria used here, a diagnosis of gallstones in the gallbladder can be offered with great confidence. Since 1974, the imaging capabilities of gray scale sonography have improved steadily, with corresponding increases in its accuracy in gallstone recognition.
    [Show full text]
  • ACR Manual on Contrast Media
    ACR Manual On Contrast Media 2021 ACR Committee on Drugs and Contrast Media Preface 2 ACR Manual on Contrast Media 2021 ACR Committee on Drugs and Contrast Media © Copyright 2021 American College of Radiology ISBN: 978-1-55903-012-0 TABLE OF CONTENTS Topic Page 1. Preface 1 2. Version History 2 3. Introduction 4 4. Patient Selection and Preparation Strategies Before Contrast 5 Medium Administration 5. Fasting Prior to Intravascular Contrast Media Administration 14 6. Safe Injection of Contrast Media 15 7. Extravasation of Contrast Media 18 8. Allergic-Like And Physiologic Reactions to Intravascular 22 Iodinated Contrast Media 9. Contrast Media Warming 29 10. Contrast-Associated Acute Kidney Injury and Contrast 33 Induced Acute Kidney Injury in Adults 11. Metformin 45 12. Contrast Media in Children 48 13. Gastrointestinal (GI) Contrast Media in Adults: Indications and 57 Guidelines 14. ACR–ASNR Position Statement On the Use of Gadolinium 78 Contrast Agents 15. Adverse Reactions To Gadolinium-Based Contrast Media 79 16. Nephrogenic Systemic Fibrosis (NSF) 83 17. Ultrasound Contrast Media 92 18. Treatment of Contrast Reactions 95 19. Administration of Contrast Media to Pregnant or Potentially 97 Pregnant Patients 20. Administration of Contrast Media to Women Who are Breast- 101 Feeding Table 1 – Categories Of Acute Reactions 103 Table 2 – Treatment Of Acute Reactions To Contrast Media In 105 Children Table 3 – Management Of Acute Reactions To Contrast Media In 114 Adults Table 4 – Equipment For Contrast Reaction Kits In Radiology 122 Appendix A – Contrast Media Specifications 124 PREFACE This edition of the ACR Manual on Contrast Media replaces all earlier editions.
    [Show full text]
  • Cholecystokinin Cholescintigraphy: Methodology and Normal Values Using a Lactose-Free Fatty-Meal Food Supplement
    Cholecystokinin Cholescintigraphy: Methodology and Normal Values Using a Lactose-Free Fatty-Meal Food Supplement Harvey A. Ziessman, MD; Douglas A. Jones, MD; Larry R. Muenz, PhD; and Anup K. Agarval, MS Department of Radiology, Georgetown University Hospital, Washington, DC Fatty meals have been used by investigators and clini- The purpose of this investigation was to evaluate the use of a cians over the years to evaluate gallbladder contraction in commercially available lactose-free fatty-meal food supple- conjunction with oral cholecystography, ultrasonography, ment, as an alternative to sincalide cholescintigraphy, to de- and cholescintigraphy. Proponents assert that fatty meals velop a standard methodology, and to determine normal gall- are physiologic and low in cost. Numerous different fatty bladder ejection fractions (GBEFs) for this supplement. meals have been used. Many are institution specific. Meth- Methods: Twenty healthy volunteers all had negative medical histories for hepatobiliary and gallbladder disease, had no per- odologies have differed, and few investigations have stud- sonal or family history of hepatobiliary disease, and were not ied a sufficient number of subjects to establish valid normal taking any medication known to affect gallbladder emptying. All GBEFs for the specific meal. Whole milk and half-and-half were prescreened with a complete blood cell count, compre- have the advantage of being simple to prepare and admin- hensive metabolic profile, gallbladder and liver ultrasonography, ister (4–7). Milk has been particularly well investigated. and conventional cholescintigraphy. Three of the 20 subjects Large numbers of healthy subjects have been studied, a were eliminated from the final analysis because of an abnormal- clear methodology described, and normal values determined ity in one of the above studies.
    [Show full text]
  • Answer Key Chapter 1
    Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 1 of 101 Answer Key Chapter 1 Introduction to Clinical Coding 1.1: Self-Assessment Exercise 1. The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. 2. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. CPT Code: 27766-LT The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture. Correct code: 52281 4. The operative report states that the physician performed Strabismus surgery, requiring resection of the medial rectus muscle. CPT Code: 67314 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Correct code: 67311 5. The chiropractor documents that he performed osteopathic manipulation on the neck and back (lumbar/thoracic). CPT Code: 98925 Note in the paragraph before code 98925, the body regions are identified. The neck would be the cervical region; the thoracic and lumbar regions are identified separately. Therefore, three body regions are identified. Correct code: 98926 Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 2 of 101 6.
    [Show full text]
  • Virtual Colonoscopy
    Virtual Colonoscopy National Digestive Diseases Information Clearinghouse Virtual colonoscopy (VC) uses x rays and • You will be asked to hold your breath computers to produce two- and three- during the scan to avoid distortion on dimensional images of the colon (large the images. intestine) from the lowest part, the rectum, • The scanning procedure is then National all the way to the lower end of the small Institute of repeated with you lying on your Diabetes and intestine and display them on a screen. Digestive stomach. and Kidney The procedure is used to diagnose colon Diseases and bowel disease, including polyps, diver- After the examination, the information ticulosis, and cancer. VC can be performed from the scanner must be processed to NATIONAL INSTITUTES with computed tomography (CT), some- create the computer picture or image of OF HEALTH times called a CAT scan, or with magnetic your colon. A radiologist evaluates the resonance imaging (MRI). results to identify any abnormalities. You may resume normal activity after the VC Procedure procedure, although your doctor may While preparations for VC vary, you will usually be asked to take laxatives or other oral agents at home the day before the pro- cedure to clear stool from your colon. You Conventional Colonoscopy may also be asked to use a suppository to In a conventional colonoscopy, the cleanse your rectum of any remaining fecal doctor inserts a colonoscope—a long, matter. flexible, lighted tube—into the patient’s VC takes place in the radiology department rectum and slowly guides it up through of a hospital or medical center.
    [Show full text]
  • Virtual Colonography
    Virtual Colonography Radiologists at the VCU Medical Center were among the first in Virginia to develop, test and adopt for routine use a more patient-friendly way to screen for colon polyps and colon cancer. The noninvasive treatment procedure known medically as - Virtual Colonography (VC) or CT Colonography (CTC) - uses computed tomography (CT) scanning to determine whether or not colon polyps are present. Because Virtual Colonography does not require the use of a colonoscope as in a conventional colonoscopy procedure, it is sometimes referred to as a “Virtual Colonoscopy”. What makes Virtual Colonography an ideal option for screening? Because the procedure is noninvasive, safe, quick (lasting only a few minutes), and does not require sedation, Virtual Colonography is an excellent screening technology, and often preferred by patients over the conventional or standard colonoscopy. There are no risks of complications such as bowel perforation or complications from sedation associated with standard colonoscopy. Patients may return to their usual activities as soon as the test is over. Virtual Colonography also allows for evaluation of the entire colon, something a standard colonoscopy may not be able to do in all cases because normal twists and turns in the large intestines make navigating the colonoscope difficult. Virtual Colonography is accurate in identifying significant polyps and offers an alternative screening option for those who are simply not willing to undergo conventional colonoscopy, which is invasive, can be uncomfortable, and requires sedation. How accurate is Virtual Colonography compared to conventional colonoscopy? Early studies show that Virtual Colonography is comparable to conventional colonoscopy in terms of identifying polyps six millimeters or greater in size.
    [Show full text]
  • Digestive Endoscopy in Five Decades
    ■ COLLEGE LECTURES Digestive endoscopy in five decades Peter B Cotton ABSTRACT – The world of gastroenterology scopy. So-called semi-flexible gastroscopes were changed forever when flexible endoscopes cumbersome and used infrequently by only a few became available in the 1960s. Diagnostic and enthusiasts. therapeutic techniques proliferated and entered the mainstream of medicine, not without some Diagnostic endoscopy controversy. Success resulted in a huge service demand, with the need to train more endo- The first truly flexible gastroscope was developed in 1 This paper is scopists and to organise large endoscopy units the USA, following pioneering work on fibre-optic 2 based on the Lilly and teams of staff. The British health service light transmission in the UK by Harold Hopkins. Lecture given at struggled with insufficient numbers of consul- However, commercial production of endoscopes was the Royal College tants, other staff and resources, and British rapidly dominated by Japanese companies, building of Physicians on endoscopy fell behind that of most other devel- on their earlier expertise with intragastric cameras. 12 April 2005 by oped countries. This situation is now being My involvement began in 1968, whilst doing bench Peter B Cotton addressed aggressively, with many local and research with Dr Brian Creamer at St Thomas’ MD FRCP FRCS, national initiatives aimed at improving access and Hospital, London. An expert in coeliac disease (and Medical Director, choice, and at promoting and documenting jejunal biopsy), he opined that gastroscopy might Digestive Disease quality. Many more consultants are needed and become useful and legitimate only if it became pos- Center, Medical some should be relieved of their internal medi- sible to take target biopsy specimens – since no one University of South Carolina, cine commitment to focus on their specialist seriously believed what endoscopists said that they Charleston, USA skills.
    [Show full text]
  • Chapter One General Introduction
    Chapter One General Introduction 1.1Introduction: Magnetic resonance cholangiopancreatography (MRCP) is an abdominal magnetic resonance imaging method that allows non-invasive visualization of the pancreatobiliary tree and requires no administration of contrast agent. (Adamek HE et al, 1998). MRCP is increasingly being used as a non-invasive alternative to ERCP and a high percentage of the diagnostic results of MRCP are comparable with those from ERCP for various hepatobiliary pathologies. (Vogl TJ et al.2006). It has been exactly two decades since magnetic resonancecholangiopancreatography (MRCP) was first described. Over this time, the technique has evolved considerably, aided by improvements in spatial resolution and speed of acquisition. It has now an established role in the investigation of many biliary disorders, serving as a non-invasive alternative to endoscopic retrograde cholangiopancreatography (ERCP).It makes use of heavily T2-weighted pulse sequences, thus exploiting the inherent differences in the T2-weighted contrast between stationary fluid-filled structures in the abdomen (which have a long T2 relaxation time) and adjacent soft tissue (which has a much shorter T2 relaxation time). Static or slow moving fluids within the biliary tree and pancreatic duct appear of high signal intensity on MRCP, whilst surrounding tissue is of reduced signal intensity. (WallnerBK ,et al 1991). 1 Heavily T2-weighted images were originally achieved using a gradient-echo (GRE) balanced steady-state free precession technique. A fast spin-echo (FSE) pulse sequence with a long echo time (TE) was then introduced shortly after, with the advantages of a higher signal-to-noise ratio and contrast-to-noise ratio, and a lower sensitivity to motion and susceptibility artefacts.
    [Show full text]
  • Ography C Virtual Colonoscopy for Screening
    466 Gut 2004;53:466 Gut: first published as on 11 February 2004. Downloaded from Please visit the Gut website (www.gutjnl.com) for links possible to generate three dimensional ultrasound cholangiograms. to these articles – many to full text. The authors prospectively evaluated the ability of this technique, compared with direct cholangiography (endoscopic retrograde cholangiopancreatography (ERCP)/percutaneous transhepatic cho- langiogram (PTC)) and MRCP, to detect and characterise biliary ....................................................................... obstruction in 40 patients. Experienced operators, who were blinded to the results of the other tests, evaluated images for Pseudo-pseudomembranous collagenous technical adequacy, presence and level of obstruction, and c suspected cause of any stricture. Compared with two dimensional colitis ultrasound, three dimensional analysis improved the assessment of m Yuan S, Reyes V, Bronner MP. Pseudomembranous collagenous colitis. Am J biliary anatomy in seven of 40 patients. Three dimensional Surg Pathol 2003;27:1375–9. ultrasound however visualised the peripapillary region less well Microscopic colitis has been divided into three types (Warren BF, et (80%) than MRCP (95%) and direct cholangiography (100%) but al. Histopathology 2002;40:374–6), all characterised by watery was superior at demonstrating the gall bladder and biliary tree diarrhoea and minimal mucosal changes at colonoscopy, asso- proximal to a stricture. All techniques were highly sensitive for ciated with an increase in lamina propria lymphocytes and minimal detection of biliary obstruction (100%) and each diagnosed the crypt architectural distortion. Of the three types, lymphocytic colitis likely cause in 90–95% of cases. Three dimensional ultrasound also has an increase in intraepithelial lymphocytes, collagenous detected the correct level of obstruction in 92% of cases compared colitis has a subepithelial collagen band, and microscopic colitis not with 95% for MRCP and 90% for ERCP/PTC.
    [Show full text]