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First published online August 2, 2006
British Journal of Radiology (2006) 79, 719-724
© 2006 British Institute of Radiology
doi: 10.1259/bjr/17000205

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Oesophageal dysmotility in systemic sclerosis: comparison of HRCT and scintigraphy

E H Pitrez, MD 1 M Bredemeier, MD, MSc 2 R M Xavier, MD, PhD 2 K G Capobianco, MD, MSc 2 V G Restelli, MD 2 M V Vieira, MD, PhD 1 D H C Ludwig, MD 3 J C T Brenol, MD, PhD 2 A P A Furtado, MD 1 L M B Fonseca, MD, PhD 4 and B Gutfilen, MD, PhD 4

1 Serviço de Radiologia, 2 Serviço de Reumatologia, 3 Serviço de Medicina Nuclear, Hospital de Clínicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2350, Porto Alegre, RS, Brazil, 90.035-003, 4 Departamento de Radiologia, Hospital Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brigadeiro Trompovsky, Ilha do Fundão, CEP 21941-590, Rio de Janeiro, RJ, Brazil


Figure 1
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A schematic drawing of how the coronal oesophageal diameter was measured.

 

Figure 2
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A 63-year-old man. High resolution CT demonstrates (a) supra-aortic oesophageal dilatation and (b) infra-aortic dilatation (black arrows). Note peripheral ground-glass opacities (white arrowheads).

 

Figure 3
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A 55-year-old woman. Infra-aortic slice demonstrates patulous thin-wall (white arrow) oesophageal dilatation.

 

Figure 4
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Receiver operating characteristic curves of(a) supra-aortic and (b) infra-aortic coronal diameters for oesophageal dysfunction detected in scintigraphy.

 

Figure 5
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A 61-year-old woman. Dilated infra-aortic oesophagus after overnight fasting demonstrates ingested contents (black arrow).

 





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