Review
Copyright ©2009 Baishideng.
World J Gastrointest Surg. Nov 30, 2009; 1(1): 38-48
Published online Nov 30, 2009. doi: 10.4240/wjgs.v1.i1.38
Table 6 Interpretative CT classification of small bowel and small bowel mesentery for DMPM
ClassInterpretative CT classification of small bowel and small bowel mesentery
0No ascites in the region of the small bowel; no evidence of peritoneal tumor present; the jejunal and ileal vessels appear as round and curvilinear densities within the mesenteric fat
IFree ascites only; mesentery is stranded and stratified as the fluid accumulation outlined the small bowel mesentery; small bowel vessels are easily identified within the mesenteric fat
IITumor involvement of small bowel and/or its mesentery; peritoneal surface is thickened and enhanced due to the presence of tumor nodules or plaques; there may be an increased amount of ascites and the mesentery may appear stellate or pleated
IIIIncreased solid tumor involvement and adjacent small bowel loops are matted together in some cuts; small bowel mesenteric vessels are difficult to define due to obliteration of mesenteric fat