Barium enema and endoscopy for the detection of colorectal neoplasia: sensitivity, specificity, complications and its determinants.

Abstract:

AIM:To analyse sensitivity, specificity and complication rate of endoscopy, and barium enema for the detection of colorectal neoplasia. MATERIALS AND METHODS:A MEDLINE search was performed (1980-2000) directed at the endoscopic and radiologic literature on barium enema. Articles were selected based on the type of study, availability of sensitivity and specificity values in sizeable patient groups, and reports on complications. Sixty articles were included in the analysis. RESULTS:Endoscopy proved to have superior sensitivity for polyps in patients at high-risk for colorectal neoplasia. The role of endoscopy and radiology in average-risk screening populations is not known. Sensitivity and specificity rates ranged widely, probably due to bias. For the detection of small polyps endoscopy has superior performance, whereas sensitivity is similar for endoscopy and barium enema for the detection of larger (>1 cm) polyps and tumours. Overall, endoscopy is associated with a higher complication rate. CONCLUSION:Endoscopy is the preferred detection method in high-risk patients. The role of endoscopy and radiology in a screening setting requires evaluation. This review provides the test characteristics of endoscopy and radiology which are relevant for a cost-effectiveness analysis. Double-contrast barium enema may play an important role for screening purposes, owing to its good sensitivity for detecting larger (>1 cm) polyps and its lack of major complications. de Zwart, I. M.et al. (2001). Clinical Radiology56, 401-409.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

de Zwart IM,Griffioen G,Shaw MP,Lamers CB,de Roos A

doi

10.1053/crad.2000.0672

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

401-9

issue

5

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(00)90672-X

journal_volume

56

pub_type

杂志文章,评审
  • Radiological appearances of lymphomas arising from mucosa-associated lymphoid tissue (MALT) in the lung.

    abstract::We review the radiological findings in 13 patients with histologically proven (n = 10) or clinically diagnosed (n = 3) lymphomas arising in mucosa-associated lymphoid tissue (MALT) of the lung. These rare B-cell lymphomas typically follow an indolent course, and many cases are still being incorrectly described in curr...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(98)80123-2

    authors: O'Donnell PG,Jackson SA,Tung KT,Hassan B,Wilkins B,Mead GM

    更新日期:1998-04-01 00:00:00

  • High-dose effects in the treatment of carcinoma of the bladder under air and hyperbaric oxygen conditions.

    abstract::Twenty-seven patients with carcinoma of the bladder were treated at the Glasgow Institute of Radiotherapeutics as part of a national hyperbaric oxygen trial. These patients were treated on a 4 MeV linear accelerator either in air or in 3 atm, absolute, of oxygen, by random selection. Of these patients, one-third were ...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(76)80134-1

    authors: Kirk J,Wingate GW,Watson ER

    更新日期:1976-04-01 00:00:00

  • Can we use pulsed fluoroscopy to decrease the radiation dose during video fluoroscopic feeding studies in children?

    abstract:AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2008.07.011

    authors: Cohen MD

    更新日期:2009-01-01 00:00:00

  • Inter-observer variation in the interpretation of chest radiographs for pneumonia in community-acquired lower respiratory tract infections.

    abstract:AIM:To assess inter-observer variation in the interpretation of chest radiographs of individuals with pneumonia versus those without pneumonia. MATERIALS AND METHODS:Chest radiographs of out-patients with a lower respiratory tract infection (LRTI) were assessed for the presence of infiltrates by radiologists from thre...

    journal_title:Clinical radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.crad.2004.01.011

    authors: Hopstaken RM,Witbraad T,van Engelshoven JM,Dinant GJ

    更新日期:2004-08-01 00:00:00

  • Mortality related to coronary angiography.

    abstract::Coronary angiography is in general regarded as a safe investigation with a low risk of serious complications. Unfortunately, a risk of serious complications exists, especially in patients with left main coronary artery disease or 3-vessel disease. The mortality rate ranges in different studies between 0.10% to 0.25%. ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(96)80082-1

    authors: Jansson K,Fransson SG

    更新日期:1996-12-01 00:00:00

  • Clinical features and cardiovascular magnetic resonance characteristics in Danon disease.

    abstract:AIMS:To investigate the clinical spectrum, cardiovascular magnetic resonance imaging (cMRI) characteristics, including T1 and extracellular volume fraction, and outcomes of Danon disease to facilitate further understanding of the phenotype of patients with Danon disease. MATERIALS AND METHODS:The study comprised six m...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.04.012

    authors: He J,Xu J,Chen L,Ji K,Fan X,Zhao S,Lu M

    更新日期:2020-09-01 00:00:00

  • CT diagnosis of afferent loop syndrome.

    abstract:OBJECTIVE:To report the computed tomography (CT) features of afferent loop syndrome which is often clinically unsuspected. MATERIALS AND METHODS:The CT studies of five patients with afferent loop syndrome were reviewed. These patients had undergone gastroenterostomy and other surgical procedures, for malignant neoplas...

    journal_title:Clinical radiology

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Gayer G,Barsuk D,Hertz M,Apter S,Zissin R

    更新日期:2002-09-01 00:00:00

  • Educational videotapes-by and for the teaching department.

    abstract::To date television has not been used very much in teaching diagnostic radiology. The authors describe their method of producing educational videotape recordings suitable for teaching purposes. The adults point out that the procedure is relatively cheap in a department that possesses a videotape recorder and emphasise ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(75)80063-8

    authors: James WB,Sutherland GR

    更新日期:1975-04-01 00:00:00

  • Radiomic mapping model for prediction of Ki-67 expression in adrenocortical carcinoma.

    abstract:AIM:To determine the value of contrast-enhanced computed tomography (CT)-derived radiomic features in the preoperative prediction of Ki-67 expression in adrenocortical carcinoma (ACC) and to detect significant associations between radiomic features and Ki-67 expression in ACC. MATERIALS AND METHODS:For this retrospect...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.01.012

    authors: Ahmed AA,Elmohr MM,Fuentes D,Habra MA,Fisher SB,Perrier ND,Zhang M,Elsayes KM

    更新日期:2020-06-01 00:00:00

  • MRI at the completion of chemoradiotherapy can accurately evaluate the extent of disease in women with advanced urethral carcinoma undergoing anterior pelvic exenteration.

    abstract:AIM:To demonstrate the value of pelvic magnetic resonance imaging (MRI) in mapping tumour extension after chemoradiotherapy and before anterior pelvic exenteration in patients with primary carcinoma of the urethra. MATERIALS AND METHODS:The Institutional Review Board approved and issued a waiver of informed consent fo...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2011.07.039

    authors: Gourtsoyianni S,Hudolin T,Sala E,Goldman D,Bochner BH,Hricak H

    更新日期:2011-11-01 00:00:00

  • Squamous-cell carcinoma arising in dental cysts.

    abstract::Two cases of squamous-cell carcinoma arising in dental cysts are presented. A review of the literature reveals that this is a rare condition and experience of treatment by radiotherapy is limited. The cases reported were controlled locally by external beam megavoltage radiotherapy with no significant long-term morbidi...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(85)80309-3

    authors: Pearcey RG

    更新日期:1985-07-01 00:00:00

  • Barium enema or computed tomography for the frail elderly patient?

    abstract::In order to determine whether abdominopelvic computed tomography (CT) offers an alternative to barium enema (BE) for the investigation of the large bowel in frail elderly patients, we have assessed and compared the results of both tests performed in each patient. Thirty-seven patients aged 71 to 88 (mean 80) with a hi...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80108-4

    authors: Day JJ,Freeman AH,Coni NK,Dixon AK

    更新日期:1993-07-01 00:00:00

  • Squamous cell carcinoma originating in the parotid gland: MRI features with histopathological correlation.

    abstract:AIM:To report the magnetic resonance imaging (MRI) and corresponding histopathological features of squamous cell carcinoma (SCC) originating in the parotid gland. MATERIALS AND METHODS:The MRI images of seven patients with histopathologically proven SCC originating in the parotid gland were reviewed retrospectively, w...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2013.08.002

    authors: Takahashi H,Kashiwagi N,Chikugo T,Nakanishi K,Tomita Y,Murakami T

    更新日期:2014-01-01 00:00:00

  • The radiology of external carotid-internal carotid anastomosis.

    abstract::Surgical anastomosis between branches of the external and internal carotid arteries may be beneficial in selected cases of transient ischaemic attacks and reversible ischaemic neurological deficit. It is the responsibility of the radiologist, at the time of initial angiographic evaluation, to recognise patients who mi...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(79)80197-x

    authors: Cail WS,Morris JL

    更新日期:1979-09-01 00:00:00

  • Uptake of hepatitis B vaccination amongst West Midlands radiologists.

    abstract::A postal survey of 150 radiologists within the West Midlands Regional Health Authority was undertaken to obtain information about hepatitis B vaccination uptake and its relationship, if any, to their involvement in interventional radiology. Overall, 64% were vaccinated, the rate being higher amongst trainees (81%). No...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80087-x

    authors: Holland P,Hutchinson CE

    更新日期:1992-05-01 00:00:00

  • Cost effectiveness and the role of the National Institute of Health and Care Excellence (NICE) in interventional radiology.

    abstract::Healthcare expenditure is continually increasing and projected to accelerate in the future, with an increasing proportion being spent on interventional radiology. The role of cost effectiveness studies in ensuring the best allocation of resources is discussed, and the role of National Institute of Health and Care Exce...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2020.09.017

    authors: Maudgil DD

    更新日期:2020-10-17 00:00:00

  • Strictures and other late complications of neonatal necrotising enterocolitis.

    abstract::Eighty infants have been treated for neonatal necrotising enterocolitis within a period of five years. Twenty-five per cent developed strictures of the small or large intestine. Four cases of atresia including two with multiple cyst formation were seen. Four patients developed severe malabsorption requiring hyperalime...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(79)80036-7

    authors: Virjee JP,Gill GJ,Desa D,Somers S,Stevenson GW

    更新日期:1979-01-01 00:00:00

  • Effect of breathing on the detection of in vivo simulated pulmonary nodules by spiral CT.

    abstract:OBJECTIVE:To determine the effect of breathing on the detection of small dense pulmonary nodules of threshold conspicuity by spiral computed tomography (SCT). MATERIALS AND METHODS:Forty pulmonary nodules of high density were created by endobronchial deployment of 2 and 4mm diameter beads in the peripheral airways of ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(98)80170-0

    authors: Coakley FV,Cohen MD,Johnson MS,Gonin R,Hanna MP

    更新日期:1998-07-01 00:00:00

  • Magnetic resonance imaging of Trilucent TM breast implants.

    abstract:AIM:To demonstrate the magnetic resonance imaging (MRI) appearances of intact and ruptured Trilucent TM implants with imaging and surgical correlation. The appearances of the implant transponder artefact are also described MATERIALS AND METHODS:A retrospective review of the MRI findings in 34 patients with bilateral s...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2001.0767

    authors: Elson EM,Jones A,King R,Chapman P,Stanek J,Irvine AT,Bingham JB

    更新日期:2002-04-01 00:00:00

  • Can contrast-enhanced MRI with gadoxetic acid predict liver failure and other complications after major hepatic resection?

    abstract:AIM:To determine whether a combination of clinical factors, the future liver remnant (FLR) ratio, and hepatic uptake of gadoxetic acid can be used to predict post-hepatectomy liver failure (PHLF) and other major complications (OMC). MATERIALS AND METHODS:Sixty-five consecutive patients who underwent pre-hepatectomy ga...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2017.02.004

    authors: Costa AF,Tremblay St-Germain A,Abdolell M,Smoot RL,Cleary S,Jhaveri KS

    更新日期:2017-07-01 00:00:00

  • Is the KUB radiograph redundant for investigating acute ureteric colic in the non-contrast enhanced computed tomography era?

    abstract:AIM:To establish whether non-contrast enhanced computed tomography (NCCT) renders the kidneys-ureters-bladder (KUB) radiograph redundant as the initial imaging investigation for suspected acute ureteric colic. MATERIALS AND METHODS:The imaging investigations for 120 patients consecutively admitted to an emergency depa...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2008.04.012

    authors: Kennish SJ,Bhatnagar P,Wah TM,Bush S,Irving HC

    更新日期:2008-10-01 00:00:00

  • Dedifferentiated chondrosarcoma: use of MRI to guide needle biopsy.

    abstract:AIM:To describe the use of MRI to identify and biopsy areas of dedifferentiation in patients with a suspected diagnosis of dedifferentiated chondrosarcoma. MATERIALS AND METHODS:Low-grade chondrosarcoma is characterized at magnetic resonance imaging (MRI) as having a lobulate, hyperintense appearance on T2-weighted sp...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2003.08.009

    authors: Saifuddin A,Mann BS,Mahroof S,Pringle JA,Briggs TW,Cannon SR

    更新日期:2004-03-01 00:00:00

  • The mammographic features of infiltrating epitheliosis.

    abstract::The clinical, radiological and histological findings are described in nine cases of infiltrating epitheliosis. In seven cases the mammogram revealed 2.5-5.0 cm discoid radial scars which conformed with the histological features and there was no associated significant clinical abnormality. It can be difficult to differ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(83)80235-9

    authors: Price JL,Thomas BA,Gibbs NM

    更新日期:1983-07-01 00:00:00

  • Computed tomography of intracranial lymphoma.

    abstract::The appearances on computed tomography (CT) of 17 patients with histologically proven intracranial lymphoma have been analysed and abnormalities detected in 16. Four of the patients had systemic lymphoma. Multiple lesions were seen in eight patients (47%), in six of whom the multiple lesions in each patient were of si...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(82)80283-3

    authors: Thomas M,MacPherson P

    更新日期:1982-05-03 00:00:00

  • Large subarticular cysts (geodes) adjacent to the knee-joint in rheumatoid arthritis.

    abstract::Two patients with rheumatoid arthritis are described, who developed very large bone cysts or geodes adjacent to the knee-joint. The existence of cysts adjacent to joints involved by rheumatoid arthritis is well recognised, but the occurrence of very large cysts is unusual and may present diagnostic difficulties. Possi...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(75)80118-8

    authors: Carter AR,Liyanage SP

    更新日期:1975-10-01 00:00:00

  • Computed tomography and ultrasound imaging of jumper's knee-patellar tendinitis.

    abstract::We present nine cases of this relatively unreported condition affecting the patellar ligament in athletes. A comparison between ultrasound and computed tomography of this lesion, shows that whilst neither modality gives false positives, ultrasound is capable of greater distinction between the histological abnormalitie...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(88)80017-5

    authors: Mourad K,King J,Guggiana P

    更新日期:1988-03-01 00:00:00

  • Refined computed tomography of the thoracic aorta: the impact of electrocardiographic assistance.

    abstract::There have been a number of advances in helical computed tomography (CT) in recent years, which have had a beneficial impact on the quality of imaging of the thoracic aorta. These advances include sub-second gantry rotation, multislice acquisition, and the use of electrocardiographic (ECG) assistance. We examine these...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(03)00188-0

    authors: Morgan-Hughes GJ,Marshall AJ,Roobottom CA

    更新日期:2003-08-01 00:00:00

  • Comparison of excretory phase, helical computed tomography with intravenous urography in patients with painless haematuria.

    abstract:AIM:To compare excretory phase, helical computed tomography (CT) with intravenous (IV) urography for evaluation of the urinary tract in patients with painless haematuria. MATERIALS AND METHODS:Ninety-one out-patients had IV urography followed by helical CT limited to the urinary tract. Both IV urograms and CT images w...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(02)00464-6

    authors: O'Malley ME,Hahn PF,Yoder IC,Gazelle GS,McGovern FJ,Mueller PR

    更新日期:2003-04-01 00:00:00

  • CT angiography of the neck: value of contrast medium dose reduction with low tube voltage and high tube current in a 64-detector row CT.

    abstract:AIM:To evaluate the feasibility of a low-dose contrast medium protocol for 64-detector row computed tomography angiography (CTA) of the neck using a low-tube-voltage/high-tube-current setting. MATERIALS AND METHODS:A phantom study was performed using 64-detector row spiral CT at multiple tube voltage and current setti...

    journal_title:Clinical radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.crad.2013.12.001

    authors: Xia W,Wu JT,Yin XR,Wang ZJ,Wu HT

    更新日期:2014-04-01 00:00:00

  • Postoperative CT in pancreas transplantation.

    abstract:AIM:To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. MATERIALS AND METHODS:Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. RESULTS:Ninety-eight patients underwent 31...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.06.086

    authors: Powell FE,Harper SJ,Callaghan CJ,Shaw A,Godfrey EM,Bradley JA,Watson CJ,Pettigrew GJ

    更新日期:2015-11-01 00:00:00