TY - JOUR
T1 - Extracolonic findings at CT colonography
AU - Sosna, J.
AU - Kruskal, J. B.
AU - Bar-Ziv, J.
AU - Copel, L.
AU - Sella, T.
PY - 2005/12
Y1 - 2005/12
N2 - This review focuses on the detection of extracolonic findings at CT colonography (CTC). Since its introduction, it has been regarded as a promising alternative to conventional colonoscopy for the detection of colorectal polyps and cancers. Unlike conventional colonoscopy and barium enema, CTC allows evaluation not only of the colon but also visualization of the lung bases, the abdomen, and the pelvis. CTC is performed with thin sections (1-5 mm) and small intervals (0.5-2 mm), enabling superb image reconstruction. The ability to evaluate the extracolonic structures can present a clinical dilemma. On the one hand, CTC may incidentally demonstrate asymptomatic malignant diseases or other clinically important conditions, thus possibly reducing morbidity or mortality. On the other hand, CTC may reveal numerous findings of no clinical relevance; this could result in costly additional diagnostic examinations with an increase in morbidity and overall negative impact on patients' health. In this article, extracolonic findings at CTC will be reviewed and the potential benefits and disadvantages will be presented.
AB - This review focuses on the detection of extracolonic findings at CT colonography (CTC). Since its introduction, it has been regarded as a promising alternative to conventional colonoscopy for the detection of colorectal polyps and cancers. Unlike conventional colonoscopy and barium enema, CTC allows evaluation not only of the colon but also visualization of the lung bases, the abdomen, and the pelvis. CTC is performed with thin sections (1-5 mm) and small intervals (0.5-2 mm), enabling superb image reconstruction. The ability to evaluate the extracolonic structures can present a clinical dilemma. On the one hand, CTC may incidentally demonstrate asymptomatic malignant diseases or other clinically important conditions, thus possibly reducing morbidity or mortality. On the other hand, CTC may reveal numerous findings of no clinical relevance; this could result in costly additional diagnostic examinations with an increase in morbidity and overall negative impact on patients' health. In this article, extracolonic findings at CTC will be reviewed and the potential benefits and disadvantages will be presented.
KW - Colonography
KW - Computerized tomography
KW - Extra-colonic findings
UR - http://www.scopus.com/inward/record.url?scp=28544432900&partnerID=8YFLogxK
U2 - 10.1007/s00261-005-0333-5
DO - 10.1007/s00261-005-0333-5
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C2 - 16096866
AN - SCOPUS:28544432900
SN - 0942-8925
VL - 30
SP - 709
EP - 713
JO - Abdominal Imaging
JF - Abdominal Imaging
IS - 6
ER -