ERRORS WHEN PERFORMING COMPUTED TOMOGRAPHIC COLONOGRAPHY (VIRTUAL COLONOSCOPY) AND ASSESSING ITS RESULTS
https://doi.org/10.20862/0042-4676-2014-0-1-63-69
Abstract
Computed tomographic colonography (CTC) is a noninvasive diagnostic method for significantly identifying clinically relevant colonic and rectal tumors. Good colonic preparation that includes laxatives or residue-free diet, as well as labelling the intestinal contents is needed to adequately interpret CTC data. However, errors in interpreting the results of CTС can be associated with not only the imperfections of large bowel preparation for examination, but also due to those of the latter and because of the anatomic features of the colon. The paper describes difficulties and the most common errors in CTC, including own experience.
About the Authors
N. N. RogozinaRussian Federation
Radiologist
S. P. Morozov
Russian Federation
MD, PhD, DSc, Professor of the Department of Radiology
O. V. Kryuchkovа
Russian Federation
MD, PhD, Head of the Department of Radiology and Imaging
S. P. Nishitov
Russian Federation
MD, PhD, Head of the Department of Proctology
References
1. Johnson C.D., Chen MH., Toleda-no A.Y. et al. Accuracy of CT colonography for detection of large adenomas and cancers. N. Engl. J. Med. 2008; 359: 1207–17.
2. Kim D.H., Pickhardt P.J., Taylor A.J. et al. CT colonography versus colonoscopy for the detection of advanced neoplasia. N. Engl. J. Med. 2007; 357: 1403–12.
3. Regge D. The IMPACT Study Group Investigators, Accuracy of CT colonography in subjects at increased risk of colorectal carcinoma: a multicenter study on 1000 patients: Presented at annual meeting of the Radiological Society of North America. Chicago; 2007.
4. Graser A., Stieber P., Nagel D., Schafer C., Horst D., Becker C.R. et al. Comparison of CT colonography, colonoscopy, sigmoidoscopy and faecal occult blood tests for the detection of advanced. Gut. 2009; 58 (2): 241–8.
5. Burling D. International collaboration for CT colonography standards CT colonography standards. Clin. Radiol. 2010; 65: 474–80.
6. Rockey D.C., Paulson E., Niedzwiecki D., Davis W., Bosworth H.B., Sanders L. et al. Analysis of air contrast barium enema, computed tomographic colonography, and colonoscopy: prospective comparison. Lancet. 2005; 365 (9456): 305–11.
7. Doshi T., Rusinak D., Halvorsen R.A., Rockey D.C., Suzuki K., Dach-man A.H. CT colonography: false-negative interpretations. Radiology. 2007; 244 (1): 165–73.
8. Barish M.A., Soto J.A., Ferrucci J.T. Consensus on current clinical practice of virtual colonoscopy. Am. J. Roentgenol. 2005; 184: 786–92.
9. Lefere P., Gryspeerdt S., Dewyspelaere J. et al. Dietary fecal tagging as a cleansing method before CT colonography: initial results polyp detection and patient acceptance. Radiology. 2002; 224: 393–403.
10. Fletcher J.G., Johnson C.D., MacCarty R.L., Welch T.J., Reed J.E., Ha-ra A.K. CT colonography potential pitfalls and problem solving techniques. Am. J. Roentgenol. 1999; 172: 1271–8.
11. Macari M., Megibow A.J. Pitfalls of using three dimensional CT colonography with two dimensional imaging correlation. Am. J. Roentgenol. 2001; 176: 137–43.
12. Macari M., Milano A., Lavelle M., Berman P., Megibow A.J. Comparison of time-efficient CT colonography with two-dimensional and three dimensional colonic evaluation for detectingcolorectal polyps. Am. J. Roentgenol. 2000; 174: 1543–9.
13. Laks S., Macari M., Bini E.J. Positiona changein colon polyps at CT colonography. Radiology. 2004; 231(3): 761–6.
14. O’Connor S.D., Summers R.M., Choi J.R. et al. Oral contrast adherence to polyps on CT colonography. J. Comput. Assist. Tomogr. 2006; 30: 51–7.
15. Chen J.C., Dchman A.H. Cecal mobility: a potential pitfall of CT colonography. Am. J. Roentgenol. 2006; 186: 1086–9.
16. Dachman A.H., Lefere P., Gryspeerdt S., Morrin M. CT colonography: visualization methods, interpretation, and pitfalls. Radiol. Clin. North. Am. 2007; 45: 347–59.
17. Reeders J.W., Tytgat G.N. Clinical Radiology and endoscopy of the colon. Thieme, Stuttgart; 1994: 375–7.
18. Gray H. Gray’s anatomy. Anatomy of the human body. XI Splanchno-logy, 2H The Large Intestine 1918. The Bartleby project at http:// www.bartleby.com/107/249.html
19. Lefere P., Gryspeerdt S., Baekelandt M. et al. Diverticular disease in CT colonography. Eur. Radiol. 2003; 13: L62–L74.
20. Gryspeerdt S.S., Herman M.J., Baekelandt M.A. et al. Supine/left decubitus scanning: a valuable alternative to supine/prone scanning in CT colonography. Eur. Radiol. 2004; 14: 768–77.
21. Chintapalli K.N., Chopra S., Ghiatas A.A. et al. Diverticulitis vs colon cancer: differentiation with helical CT findings. Radiology. 1999; 210: 429–35.
22. Glick S.N. Inverted colonic diver-ticulum: air contrast barium enema findings in six cases. Am. J. Roentgenol. 1991; 156: 961–4.
Review
For citations:
Rogozina N.N., Morozov S.P., Kryuchkovа O.V., Nishitov S.P. ERRORS WHEN PERFORMING COMPUTED TOMOGRAPHIC COLONOGRAPHY (VIRTUAL COLONOSCOPY) AND ASSESSING ITS RESULTS. Journal of radiology and nuclear medicine. 2014;(1):63-69. (In Russ.) https://doi.org/10.20862/0042-4676-2014-0-1-63-69