{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:37:27Z","timestamp":1777711047437,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,11,29]],"date-time":"2016-11-29T00:00:00Z","timestamp":1480377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>The diagnosis of the partially obstructed inferior vena cava (IVC) in Budd\u2013Chiari syndrome (BCS) patients has received little attention. We aimed to evaluate the diagnostic accuracy of computed tomographic angiography (CTA) for patients with BCS and a partially obstructed IVC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 329 patients with BCS and an obstructed IVC were endovascularly treated with balloon dilation and\/or stent placement. All patients underwent a CTA examination prior to endovascular treatment, and the data were retrospectively reviewed. The presence of a round, oval, irregular shape or jet sign low\u2010density area without enhancement within the enhanced proximal IVC was considered a sign of a partially obstructed IVC. Digital subtraction angiography was used as the gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results from the digital subtraction angiography revealed a partially obstructed IVC in 108 BCS patients and a complete obstruction in 221 patients. The CTA discovered a partially obstructed IVC in 99 patients and a completely obstructed IVC in 230 patients. From the CTA results, 15 were false negatives, and six were false positives. The patient\u2010based evaluation yielded an accuracy of 93.6%, a sensitivity of 86.1%, specificity of 97.3%, positive predictive value of 93.9%, and negative predictive value of 93.5% for the detection of BCS patients with a partial IVC obstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Computed tomographic angiography offered a high diagnostic accuracy and sensitivity in BCS patients with a partially obstructed IVC. The low\u2010density area within the enhanced proximal IVC above the membrane in artery phase can be considered a reliable indicator of a stenotic IVC in BCS patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.13420","type":"journal-article","created":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T14:32:20Z","timestamp":1461767540000},"page":"1933-1939","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Accuracy of computed tomographic angiography in the diagnosis of patients with inferior vena cava partial obstruction in Budd\u2013Chiari syndrome"],"prefix":"10.1111","volume":"31","author":[{"given":"Shi\u2010Yi","family":"Liu","sequence":"first","affiliation":[{"name":"Institution of General Surgery Zhongnan University  Changsha China"},{"name":"Department of Intervention Henan Provincial People's Hospital Affiliated to Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Xiao","sequence":"additional","affiliation":[{"name":"Institution of General Surgery Zhongnan University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui\u2010Cun","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Intervention Henan Provincial People's Hospital Affiliated to Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao\u2010Sheng","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Intervention Henan Provincial People's Hospital Affiliated to Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian\u2010Xiao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Intervention Henan Provincial People's Hospital Affiliated to Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(02)00434-8"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-3-200908040-00004"},{"key":"e_1_2_5_4_1","first-page":"609","article-title":"Clinical application of interventional techniques in the treatment of Budd\u2013Chiari syndrome","volume":"116","author":"Xu K","year":"2003","journal-title":"Chin Med J (Engl)"},{"key":"e_1_2_5_5_1","first-page":"318","article-title":"Interventional endovascular treatment for Budd\u2013Chiari syndrome with long\u2010term follow\u2010up","volume":"135","author":"Qiao T","year":"2005","journal-title":"Swiss Med. 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