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Tubular adenoma of the Ampulla of Vater

Case Study
Philips CT Clinical Science Philips Healthcare • USA

Clinical history

This middle-aged female came to the UCL Brussels emergency room complaining of abdominal pain. A technologist performed an abdomen/pelvis scan on the IQon Spectral CT system.

Image scan parameters

  • 120 kVp
  • 149 mA
  • 310.0 DLP
  • 5.3 mGy CTDI
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Top image: Conventional. Bottom image: Iodine density overlay. Top image: Conventional. Bottom image: Iodine density overlay.
Top image: Conventional. Bottom image: Iodine density overlay.
Top image: Conventional. Bottom image: Iodine density overlay.

Diagnosis

When reviewing the conventional CT, the pancreatic duct appeared to be dilated but the conventional images did not identify the cause. The scan was immediately reviewed using Spectral Magic Glass, which allowed the radiologist to view five different spectral results without changing his workflow. Upon review of the various results, a tumor was identified in the head of the pancreas, and the patient was referred for a endoscopic ultrasound biopsy. That pathology report identified a tubular adenoma of the Ampulla of Vater.

Clinical significance

This case demonstrates the ability of the IQon Spectral CT to potentially enable the shortest time to diagnosis.

 

Results from case studies are not predictive of results in other cases. Results in other cases may vary.


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Nov 18, 2017

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Case Study
IntelliSpace Portal, IQon Spectral CT
abdomen, abdominal pain, Body, emergency department, iodine overlay, Magic Glass, pancreas, Pelvis, spectral CT, tumor
 

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