جستجوی مقالات مرتبط با کلیدواژه "تصویربرداری رادیولوژیک" در نشریات گروه "پزشکی"

we aimed to determine the best differential diagnosis between Crohn''s disease and intestinal tuberculosis. Abdominal and pelvic ct exams with oral and IV contrast and small bowel barium study findings are selected to differentiate intestinal tuberculosis from crohn’s disease. This was a cross-sectional retrospective study between 2001 -2011. The data was gathered from the medical records of patients with peritoneal and intestinal tuberculosis and Crohn''s disease who were referred to Ghaem and Emam raza Hospitals. Twenty six patients with Crohn''s and 22 cases of intestinal tuberculosis were selected. The data was extracted from the bowel and mesentery imaging methods including abdominal and pelvis CT-scan with oral and IV contrast، CT enterography، and small intestinal transit. The frequency of ten visible radiographic findings of medical records of patients was assessed and diagnostic value of each variable was evaluated in differentiating the two diseases. There was a significant difference between the age of the patients with TB and Crohn''s (p=0. 013). Data of CT-scan showed there was a significant difference between the patients with and without thickening and multiple strictures (p=0. 01)، mural strification (p=0. 015)، mural calcification (0. 038)، mesentic hypervascularity or natural mesenteric vasculature، ascites، lymphadenopathy (all، p<0. 001)، fibrofatty proliferation (p=0. 015)، and necrosis (p=0. 001). The other data showed that there was a significant association between mural strification and mesentic hypervascularity (p<0. 001). our study showed CT-scan is effective in proper diagnosis of TB by imaging findings and could differentiate Crohn''s disease. The mural calcification was evaluated as distinguishing factor of TB from Crohn’s disease. Necrotic lymphadenopathy in CT-scan can be assessed as a tool for differentiated TB from Crohn''s disease.