Clinical Gastroenterology Vol.17 No.6(3)

Theme Virtual Endoscopy -- Present Status and Perspective
Title CT Colonography, Using Multi-detector Row CT Scans
Publish Date 2002/06
Author Tadatoshi Tsuchigame Department of Radiology, School of Medicine, Kumamoto University
Author Ichiro Ogata Department of Radiology, School of Medicine, Kumamoto University
Author Katsuhiko Mitsuzaki Kumamoto Association of Preventive Medicine for Adult Disease
Author Masataka Kadota Department of Radiology, School of Medicine, Kumamoto University
Author Yoshiharu Nakayama Department of Radiology, School of Medicine, Kumamoto University
Author Joji Urata Department of Radiology, Saiseikai Kumamoto Hospital
Author Ryuichi Saitoh Department of Radiology, Japanese Red Cross Kumamoto Hospital
Author Hiroshi Kako Department of Gastroenterology, Arao Municipal Hospital
Author Yasuyuki Yamashita Department of Radiology, School of Medicine, Kumamoto University
Author Hideaki Uozumi Department of Radiology, Kumamoto-Chuo Hospital
[ Summary ] Three-dimensional displays of the gastrointestinal tract, based on multi-detector CT scans, have come to be commonly used, due to progress in computers. Herein, we related the current uses of CT colonography(CT-C) by our group. Unfortunately CT-C is inferior to colon fiber(CF) and barium enemas(BE) examinations in the diagnosis of colonic diseases-especially those in the form of polypoid lesions. CT-C should be used in cases where there are difficulties with CF or BE examinations. At the moment, the suitable indications for CT-C are as follows: support for TCF technical failures, difficulties with insertion into the anal side, caused by cancerous stenosis or inflammatory/carcinomatous adhesions on CF. We have concluded that CT-C examination is sometimes necessary, having some advantages over the extra luminal information obtained with CT's.
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