Académique Documents
Professionnel Documents
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Gastrointestinal Radiology
• Plain Film
• Fluoroscopy (barium studies)
• Ultrasound (US)
• Computed Tomographic (CT) scan
• Magnetic Resonance Imaging
(MRI)
Plain Film
• Pro:
– Cheapest and more available
– Good for screening of
• Abnormal air
• Abnormal calcification
• Abnormal bowel gas dilatation
• Cons:
– Radiation
– DDx only 5 density: air, fat, soft tissue, bone,
and metallic
Density in Plain Films
3
4
2
3 1
1 = air
4
2 = fat
3 = soft tissue
5
4 = bone
5 = metallic
Plain Film
• Plain abdomen
– Supine
– Upright
Supine Upright
Plain Film
• Plain abdomen
– Supine
– Upright
• Abnormal air
– Pneumoperitoneum
• Abnormal bowel gas dilatation
– Gut obstruction
– Paralytic ileus
• Abnormal calcification
– Gallstone
Abnormal Air:
Pneumoperitoneum
CXR: upright
Abnormal Bowel Gas Dilatation
• Gut obstruction
• Paralytic ileus
Gut Obstruction vs Ileus
supine upright
Paralytic Ileus
supine upright
Abnormal Calcification:
Gallstones
AP Lateral
Fluoroscopy
• Pro:
– See mucosal / intraluminal lesion
– Real time
– Dynamic study [anatomy and movement
(peristalsis)]
• Cons:
– Radiation
– Contrast use: barium sulfate (single vs double
contrast)
Single vs Double Contrast
Mucosal Details
Stomach
Small bowels
Colon
Fluoroscopy
– Esophagography
– Upper GI series (UGIS)
– GI follow through (GIFT)
– Barium Enema
Esophagography
– Terminate at EG junction
• Except see lesion in gastric fundus
Esophagography
EG
junction
Spot Films
Esophagography
Overhead
Films
UGIS or GISM