 This study found that curved multiplanar reformatted, MPR, images are highly accurate in identifying the location of the zone of transition in patients with intestinal obstruction. Of the 60 patients included in the study, 44 had their surgery confirmed by MPR imaging, resulting in a high specificity of 85.7%, a high sensitivity of 95.6% and a diagnostic accuracy of 93.3%. These results indicate that MPR imaging can be used to accurately identify the location of the zone of transition in patients with intestinal obstruction, which can help guide appropriate treatment. This article was authored by Adnan Iqbal, Sikander Shahzad, Pashmina Ghul, and others.