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array:23 [ "pii" => "S0210570507723270" "issn" => "02105705" "doi" => "10.1157/13108816" "estado" => "S300" "fechaPublicacion" => "2007-08-01" "aid" => "72327" "copyright" => "Elsevier España S.L.. All rights reserved" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Gastroenterol Hepatol. 2007;30:375-80" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3028 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 2396 "PDF" => 623 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210570507723282" "issn" => "02105705" "doi" => "10.1157/13108811" "estado" => "S300" "fechaPublicacion" => "2007-08-01" "aid" => "72328" "copyright" => "Elsevier España S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Gastroenterol Hepatol. 2007;30:381-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3820 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 3084 "PDF" => 726 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Valor de los contrastes ecográficos en el diagnóstico de hepatocarcinoma en lesiones ocupantes de espacio detectadas en pacientes con hepatopatía" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "381" "paginaFinal" => "386" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Value of contrast-enhanced ultrasound in the diagnosis of hepatocarcinoma in focal lesions detected in patients with liver disease" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rafael Ángel Gómez Rodríguez, Tomás Artaza Varasa, Concepción González de Frutos, Juan José Sánchez Ruano, Alejandro Repiso Ortega, María José Pérez-Grueso Macías, Concepción Muñoz Rosas, José María Carrobles Jiménez" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Rafael Ángel" "apellidos" => "Gómez Rodríguez" ] 1 => array:2 [ "nombre" => "Tomás" "apellidos" => "Artaza Varasa" ] 2 => array:2 [ "nombre" => "Concepción González" "apellidos" => "de Frutos" ] 3 => array:2 [ "nombre" => "Juan José" "apellidos" => "Sánchez Ruano" ] 4 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Repiso Ortega" ] 5 => array:2 [ "nombre" => "María José" "apellidos" => "Pérez-Grueso Macías" ] 6 => array:2 [ "nombre" => "Concepción" "apellidos" => "Muñoz Rosas" ] 7 => array:2 [ "nombre" => "José María" "apellidos" => "Carrobles Jiménez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570507723282?idApp=UINPBA00004N" "url" => "/02105705/0000003000000007/v1_201307171020/S0210570507723282/v1_201307171020/es/main.assets" ] "asociados" => array:2 [ 0 => array:18 [ "pii" => "S0210570508712640" "issn" => "02105705" "doi" => "10.1016/S0210-5705(08)71264-0" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "71264" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "err" "cita" => "Gastroenterol Hepatol. 2008;31:7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2149 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 1507 "PDF" => 631 ] ] "es" => array:7 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Fe de errores</span>" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "7" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570508712640?idApp=UINPBA00004N" "url" => "/02105705/0000003100000001/v1_201307171027/S0210570508712640/v1_201307171027/es/main.assets" ] 1 => array:18 [ "pii" => "S0210570508712779" "issn" => "02105705" "doi" => "10.1016/S0210-5705(08)71277-9" "estado" => "S300" "fechaPublicacion" => "2008-02-01" "aid" => "71277" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "err" "cita" => "Gastroenterol Hepatol. 2008;31:74" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2362 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 1692 "PDF" => 660 ] ] "es" => array:7 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Fe de errors</span>" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "74" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570508712779?idApp=UINPBA00004N" "url" => "/02105705/0000003100000002/v1_201307171030/S0210570508712779/v1_201307171030/es/main.assets" ] ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Computed tomography colonography compared with conventional colonoscopy for the detection of colorectal polyps" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "375" "paginaFinal" => "380" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Chaparro Sánchez, Lourdes del Campo Val, José Maté Jiménez, José Cantero Perona, Antonio Barbosa, Sam Khorrami, Ricardo Moreno-Otero, Javier P. Gisbert" "autores" => array:8 [ 0 => array:4 [ "nombre" => "María" "apellidos" => "Chaparro Sánchez" "email" => array:1 [ 0 => "mariachs2005@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Lourdes" "apellidos" => "del Campo Val" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "José" "apellidos" => "Maté Jiménez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "José" "apellidos" => "Cantero Perona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "Antonio" "apellidos" => "Barbosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "Sam" "apellidos" => "Khorrami" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "Ricardo" "apellidos" => "Moreno-Otero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 7 => array:3 [ "nombre" => "Javier P." "apellidos" => "Gisbert" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Gastroenterology and Hepatology. University Hospital La Princesa. Madrid. Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Department of Radiology. University Hospital La Princesa. Madrid. Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Dra. M. Chaparro Sánchez. Americio, 17, PE, 2.° C. 28029 Madrid. Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Validación de la colonoscopia virtual frente a la colonoscopia convencional para el diagnóstico de pólipos y tumores colorrectales" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-01-22" "fechaAceptado" => "2007-03-27" "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To determine the diagnostic accuracy of computed tomography colonography (CTC) compared with conventional colonoscopy (CC).</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Patients with an indication of CC were included. Fifty patients underwent CTC using multidetector CT before diagnostic colonoscopy was performed by an expert colonoscopist. Diagnostic accuracy was assessed individually both for each polyp and for each patient.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Fifty patients were included and 40 polyps were analyzed. The by-polyp sensitivity of CTC was 15% for polyps 5<span class="elsevierStyleHsp" style=""></span>mm or less, 75% for polyps 5-10<span class="elsevierStyleHsp" style=""></span>mm and 75% for polyps 10<span class="elsevierStyleHsp" style=""></span>mm or larger. By-patient specificity was 6% for polyps 5 mm or less, 75% for polyps 5-10<span class="elsevierStyleHsp" style=""></span>mm and 80% for polyps 10<span class="elsevierStyleHsp" style=""></span>mm or larger. The specificity of CTC was 94%. CTC was preferred over CC by 90% of the patients. The mean colonoscopy examination time was 30 minutes for CC and 35 minutes for CTC (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The sensitivity of CTC is moderate in detecting polyps larger than 10 mm, low in detecting 5-10 mm polyps and very low in detecting those less than 5 mm. The overall specificity of the procedure was 94%. Procedure time was lower with CC than with CTC but the latter was better tolerated by most patients.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar la exactitud diagnóstica de la colonoscopia virtual (CV) comparada con la colonoscopia convencional (CC).</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyeron pacientes con indicación de CC. Se les realizó una CV y, posteriormente, se llevó a cabo la CC sin sedación por parte de un colonoscopista experto. El análisis del rendimiento diagnóstico se efectuó tanto individualmente para cada pólipo como por paciente.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han incluido 50 pacientes, y se contabilizó un total de 40 pólipos. La CV tuvo una sensibilidad del 15% para pólipos menores de 5<span class="elsevierStyleHsp" style=""></span>mm, aumentó hasta el 75% para pólipos de entre 5 y 10<span class="elsevierStyleHsp" style=""></span>mm, y fue del 75% para los mayores de 10<span class="elsevierStyleHsp" style=""></span>mm. La sensibilidad respecto al diagnóstico de pacientes con lesiones fue del 6% para pólipos menores de 5<span class="elsevierStyleHsp" style=""></span>mm, del 75% para pólipos de 5-10<span class="elsevierStyleHsp" style=""></span>mm y del 80% para los mayores de 10 mm. La especificidad de la colonoscopia virtual fue del 94%. La CV fue la exploración preferida por el 90% de los pacientes. La duración media de la CC fue de 30<span class="elsevierStyleHsp" style=""></span>min, mientras que la de la CV fue de 35<span class="elsevierStyleHsp" style=""></span>min (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La CV es una técnica moderadamente sensible para la detección de pólipos mayores de 10 mm; dicha sensibilidad desciende considerablemente en los pólipos de 5-10<span class="elsevierStyleHsp" style=""></span>mm y es muy baja para los menores 5<span class="elsevierStyleHsp" style=""></span>mm. La especificidad global de la prueba ha sido del 94%. La duración de la CC fue menor que la de la CV, y esta última fue mejor tolerada por la mayoría de los pacientes.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography colonography in routine clinical practice" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.M. Gallo" 1 => "G. Galatola" 2 => "M. Fracchia" 3 => "G. Defazio" 4 => "F. De Bei" 5 => "A. 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