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Gastrointestinal Imaging • Original Research Yu et al. CT Detection and Grading of Esophageal Varices Gastrointestinal Imaging Original Research Nam C. Yu1 Daniel Margolis 2 Margaret Hsu2 Steven S. Raman2 David S. K. Lu2 Yu NC, Margolis D, Hsu M, Raman SS, Lu DSK Keywords: CT, esophageal varices, liver cirrhosis DOI:10.2214/AJR.10.5458 Received August 3, 2010; accepted after revision January 30, 2011. 1 Department of Radiology, The Methodist Hospital, Houston, TX. 2 Department of Radiology, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Los Angeles, CA 90095. Address correspondence to D. S. K. Lu (dlu@mednet.ucla.edu). AJR 2011; 197:643–649 0361–803X/11/1973–643 © American Roentgen Ray Society AJR:197, September 2011 Detection and Grading of Esophageal Varices on Liver CT: Comparison of Standard and Thin-Section Multiplanar Reconstructions in Diagnostic Accuracy OBJECTIVE. The objective of our study was to evaluate the performance of liver CT in the diagnosis of esophageal varices in patients with cirrhosis and to determine whether thinsection multiplanar reconstructions (MPRs) improve accuracy. MATERIALS AND METHODS. We identified 109 patients with cirrhosis who underwent endoscopy within 10 weeks after dual-phase liver MDCT supplemented with thin-section axial and coronal portal venous phase reconstructions. Two blinded radiologists independently evaluated each CT examination for the presence and sizes of varices using standard 5-mm axial versus ...
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