Role of CT colonography in symptomatic assessment, surveillance and screening.

Abstract:

INTRODUCTION:When 'whole colonic imaging' is indicated, clinicians must decide between optical colonoscopy, barium enema and CT colonography (CTC). CTC is a relatively new technique which has become increasingly accessible in the UK over the past 5 years. As radiologists have gained experience and scanning parameters have standardised, there have been substantial improvements in both the accuracy and safety of CTC. METHODS:We review evidence from observational studies and randomised trials, and draw on expert opinion, to provide a comprehensive discussion of the current role of CTC in both symptomatic and asymptomatic individuals. CONCLUSIONS:The emergence of CTC could soon entirely obviate the need for barium enema. CTC now has a complementary role alongside colonoscopy in symptomatic patients and a possible future role in colorectal cancer screening in the UK.

journal_name

Int J Colorectal Dis

authors

Almond LM,Bowley DM,Karandikar SS,Roy-Choudhury SH

doi

10.1007/s00384-011-1178-8

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

959-66

issue

8

eissn

0179-1958

issn

1432-1262

journal_volume

26

pub_type

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