Objective To study the value of dual-phase enhanced multi-slice computed tomography (MSCT)scan in combination with the reconstruction technique for distinguishing gallbladder adenomyomatosis (GBA)from gallbladder cancer.Methods We ret-rospectively reviewed the CT features (including dual-phase and reconstructed images)of 36 patients with GBA (Group A,1 6 pa-tients)or gallbladder cancer (Group B,20 patients)proved by pathology.Fisher exact test was used to compare the CT findings be-tween the two groups.Results The occurrence rates of RAS,gallbladder wall smoothing,clear gallbladder border,uniform en-hancement of serous layer and thickening of the gallbladder wall were statistically significantly different between Group A and B. When using the Rokitansky-Aschoff sinuses as a parameter for the differential diagnosis of the two groups,the diagnostic accuracy reached to 92.85%.Conclusion Dual-phase enhanced MSCT scan in combination with the reconstruction technique is a valuable ima-ging technique for distinguishing GBA from gallbladder cancer.

Objective To investigate the diognostic value of multi-sllce helical CT(MSCT) in spinal tuber-culosis, and making a further understanding of this disease. Methods The MSCT and post-processing films manifes-tations of 23 spinal tuberculosis proved by operation and pathology were reviewed retrospectively. Results MSCT could show the bone destructions location, range, relationships with neighbor tissues, osseous vertebral narrowing and para-vertebral abscess,etc. MPR, CPR, SSD and VR could more completely and stereoscopically show these character-istics of spinal tuberculosis. Conclusion MSCT post-processing techniques could make up for the lack of axial CT scan. It has high value in elevating the diagnosis accuracy of spinal tuberculosis.

ObjectiveTo evaluate the diagnostic value of CT in adults with midgut malrotation.MethodsThe CT and clinical findings of 13 cases confirmed by surgery were analyzed retrospectively.ResultsCT found “whirl sign” in 9 cases,“transposition sign” in 5 cases,and the superior mesenteric vein located in right lower abdomen in 4 cases.At the same time,duodenum and upper jejunum located in right upper abdomen.Conclusion“Whirl sign” and “transposition sign” were the typical CT findings of midgut malrotation in adults.Ectopic superior mesenteric vein highly indicated slight midgut malrotation in adults.