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Eighty-four computed tomographic (CT) scans from patients referred for bowel obstruction between January 2, 1988, and December 31, 1989, were retrospectively evaluated. A pair of radiologists without knowledge of patient histories determined the presence or absence of bowel obstruction. Sixty-four patients ultimately proved to have intestinal obstruction, and 20 did not. Diagnosis was established by means of surgery (n = 39), barium studies (n = 17), and clinical course (n = 28). Causes of obstruction included adhesions (n = 37), metastases (n = 6), primary tumor (n = 7), Crohn disease (n = 4), hernia (n = 3), hematoma (n = 2), colonic diverticulitis (n = 2), and other (n = 3). In addition, 83 CT examinations in patients with no history or indication of intestinal obstruction were simultaneously reviewed. The overall sensitivity was 94%, specificity was 96%, and accuracy was 95%. The cause of obstruction was correctly predicted in 47 of 64 cases (73%). Intestinal obstruction was not diagnosed in any of the 83 control patients. CT is most useful in patients with a history of abdominal malignancy and in patients who have not been operated on and who have signs of infection, bowel infarction, or a palpable abdominal mass.

It is noted that the Jones-matrix formalism for polarization optics is a sixparameter two-by-two representation of the Lorentz group. It is shown that the four independent Stokes parameters form a Minkowskian four-vector, just like the energy-momentum four-vector in special relativity. The optical filters are represented by four-by-four Lorentz-transformation matrices. This fourby-four formalism can deal with partial coherence described by the Stokes parameters. A four-by-four matrix formulation is given for decoherence effects on the Stokes parameters, and a possible experiment is proposed. It is shown also that this Lorentz-group formalism leads to optical filters with a symmetry property corresponding to that of two-dimensional Euclidean transformations.