| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Gastrointestinal Imaging |
1 From the Department of Diagnostic Radiology, Mallinckrodt Institute of Radiology, 510 S Kingshighway Blvd, St Louis, MO 63110 (A.K.H.), and the Departments of Diagnostic Radiology (C.D.J., R.L.M., T.J.W., C.H.M.) and Biostatistics (W.S.H.), Mayo Clinic, Rochester, Minn. Received June 12, 2000; revision requested July 26; revision received September 22; accepted November 1. Address correspondence to A.K.H. (e-mail: haraa2@yahoo.com).
PURPOSE: To compare respiratory artifacts, colonic distention, and polyp detection at computed tomographic (CT) colonography by using single– and multi–detector row helical CT systems.
MATERIALS AND METHODS: A total of 237 consecutive patients received subcutaneously administered glucagon and underwent prone and supine CT colonography with single–detector row CT (n = 77) and multi–detector row CT (n = 160), followed by colonoscopy. Examination results were graded for colonic distention, respiratory artifacts, and polyp depiction by two radiologists working independently.
RESULTS: Suboptimal colonic distention was significantly more common with single–detector row CT and was present in at least one segment in 52% (40 of 77 patients) of examinations versus only 19% (30 of 160 patients) with multi–detector row CT (P < .001). Mild respiratory artifacts were present in 61% (47 of 77 patients) of single–detector row CT examinations versus only 16% (26 of 160 patients) of multi–detector row CT examinations (P < .001). Depiction of polyps larger than 10 mm was 89% (eight of nine polyps) for single–detector row CT and 80% (eight of 10 polyps) for multi–detector row CT (P > .05).
CONCLUSION: CT colonography performed with multi–detector row CT significantly improved the demonstration of colonic distention and depicted fewer respiratory artifacts compared with single–detector row CT. No significant differences in the depiction of polyps larger than 10 mm were demonstrated between single– and multi–detector row CT for a small number of polyps. Studies with a larger prevalence of clinically important polyps are needed for further evaluation of differences in polyp detection.
Index terms: Colon, CT, 75.12115 • Colon neoplasms, CT, 75.12115 • Colon neoplasms, diagnosis, 75.311, 75.32 • Colonoscopy, 75.1289 • Computed tomography (CT), comparative studies • Computed tomography (CT), helical, 75.12115
This article has been cited by other articles:
|
|
 |
|
  J. Sosna, J. Bar-Ziv, E. Libson, M. Eligulashvili, and A. Blachar CT Colonography: Positioning Order and Intracolonic Pressure Am. J. Roentgenol., October 1, 2008; 191(4): W175 - W180. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. Kim, J. M. Lee, C.-I. Shin, H. C. Kim, J.-G. Lee, J. H. Kim, J. Y. Choi, H. W. Eun, J. K. Han, J. Y. Lee, et al. Effects of Spatial Resolution and Tube Current on Computer-aided Detection of Polyps on CT Colonographic Images: Phantom Study Radiology, August 1, 2008; 248(2): 492 - 503. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sosna, T. Sella, O. Sy, P. T. Lavin, R. Eliahou, S. Fraifeld, and E. Libson Critical Analysis of the Performance of Double-Contrast Barium Enema for Detecting Colorectal Polyps >= 6 mm in the Era of CT Colonography Am. J. Roentgenol., February 1, 2008; 190(2): 374 - 385. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K Hashimoto, S Kawashima, S Kameoka, Y Akiyama, T Honjoya, K Ejima, and K Sawada Comparison of image validity between cone beam computed tomography for dental use and multidetector row helical computed tomography Dentomaxillofac. Radiol., December 1, 2007; 36(8): 465 - 471. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Mang, A. Maier, C. Plank, C. Mueller-Mang, C. Herold, and W. Schima Pitfalls in Multi-Detector Row CT Colonography: A Systematic Approach RadioGraphics, March 1, 2007; 27(2): 431 - 454. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Veit-Haibach, C. A. Kuehle, T. Beyer, H. Stergar, H. Kuehl, J. Schmidt, G. Borsch, G. Dahmen, J. Barkhausen, A. Bockisch, et al. Diagnostic Accuracy of Colorectal Cancer Staging With Whole-Body PET/CT Colonography JAMA, December 6, 2006; 296(21): 2590 - 2600. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T Xiong, K McEvoy, D G Morton, S Halligan, and R J Lilford Resources and costs associated with incidental extracolonic findings from CT colonogaphy: a study in a symptomatic population Br. J. Radiol., December 1, 2006; 79(948): 948 - 961. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Wessling, R. Fischbach, A. Borchert, H. Kugel, T. Allkemper, N. Osada, and W. Heindel Detection of Colorectal Polyps: Comparison of Multi-Detector Row CT and MR Colonography in a Colon Phantom Radiology, October 1, 2006; 241(1): 125 - 131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A G Schreyer and R Kikinis Combined PET/CT colonography: is this the way forward? Gut, January 1, 2006; 55(1): 10 - 12. [Full Text] [PDF]
|
|
|
|
|
|
P Veit, C Kuhle, T Beyer, H Kuehl, C U Herborn, G Borsch, H Stergar, J Barkhausen, A Bockisch, and G Antoch Whole body positron emission tomography/computed tomography (PET/CT) tumour staging with integrated PET/CT colonography: technical feasibility and first experiences in patients with colorectal cancer Gut, January 1, 2006; 55(1): 68 - 73. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Yasumoto, T. Murakami, H. Yamamoto, M. Hori, R. Iannaccone, T. Kim, H. Abe, M. Kuwabara, K. Yamasaki, N. Kikkawa, et al. Assessment of Two 3D MDCT Colonography Protocols for Observation of Colorectal Polyps Am. J. Roentgenol., January 1, 2006; 186(1): 85 - 89. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Burling, S. A. Taylor, S. Halligan, L. Gartner, M. Paliwalla, C. Peiris, L. Singh, P. Bassett, and C. Bartram Automated Insufflation of Carbon Dioxide for MDCT Colonography: Distension and Patient Experience Compared with Manual Insufflation Am. J. Roentgenol., January 1, 2006; 186(1): 96 - 103. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Halligan, D. G. Altman, S. A. Taylor, S. Mallett, J. J. Deeks, C. I. Bartram, and W. Atkin CT Colonography in the Detection of Colorectal Polyps and Cancer: Systematic Review, Meta-Analysis, and Proposed Minimum Data Set for Study Level Reporting Radiology, December 1, 2005; 237(3): 893 - 904. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. G. Mang, C. Schaefer-Prokop, A. Maier, E. Schober, G. Lechner, and M. Prokop Detectability of Small and Flat Polyps in MDCT Colonography Using 2D and 3D Imaging Tools: Results from a Phantom Study Am. J. Roentgenol., December 1, 2005; 185(6): 1582 - 1589. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Macari and E. J. Bini CT Colonography: Where Have We Been and Where Are We Going? Radiology, December 1, 2005; 237(3): 819 - 833. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Pickhardt, A. D. Lee, E. G. McFarland, and A. J. Taylor Linear Polyp Measurement at CT Colonography: In Vitro and in Vivo Comparison of Two-dimensional and Three-dimensional Displays Radiology, September 1, 2005; 236(3): 872 - 878. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Yee, N. N. Kumar, S. Godara, J. A. Casamina, R. Hom, G. Galdino, P. Dell, and D. Liu Extracolonic Abnormalities Discovered Incidentally at CT Colonography in a Male Population Radiology, August 1, 2005; 236(2): 519 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. H. Park, H. K. Ha, M.-J. Kim, K. W. Kim, A. Y. Kim, D. H. Yang, M.-G. Lee, P. N. Kim, Y. M. Shin, S.-K. Yang, et al. False-Negative Results at Multi-Detector Row CT Colonography: Multivariate Analysis of Causes for Missed Lesions Radiology, May 1, 2005; 235(2): 495 - 502. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. P. Mulhall, G. R. Veerappan, and J. L. Jackson Meta-Analysis: Computed Tomographic Colonography Ann Intern Med, April 19, 2005; 142(8): 635 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Ozgun, E. Rollven, L. Blomqvist, S. Bremmer, R. Odh, and A. Fransson Polyp Detection with MDCT: A Phantom-Based Evaluation of the Impact of Dose and Spatial Resolution Am. J. Roentgenol., April 1, 2005; 184(4): 1181 - 1188. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Chung, K. C. Huh, W. J. Choi, and J. K. Kim CT Colonography Using 16-MDCT in the Evaluation of Colorectal Cancer Am. J. Roentgenol., January 1, 2005; 184(1): 98 - 103. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Cohnen, C. Vogt, A. Beck, K. Andersen, W. Heinen, S. vom Dahl, V. Aurich, D. Haeussinger, and U. Moedder Feasibility of MDCT Colonography in Ultra-Low-Dose Technique in the Detection of Colorectal Lesions: Comparison with High-Resolution Video Colonoscopy Am. J. Roentgenol., November 1, 2004; 183(5): 1355 - 1359. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Macari, E. J. Bini, S. L. Jacobs, Y. W. Lui, S. Laks, A. Milano, and J. Babb Significance of Missed Polyps at CT Colonography Am. J. Roentgenol., July 1, 2004; 183(1): 127 - 134. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Gluecker, J. G. Fletcher, T. J. Welch, R. L. MacCarty, W. S. Harmsen, J. R. Harrington, D. Ilstrup, L. A. Wilson, K. E. Corcoran, and C. D. Johnson Characterization of Lesions Missed on Interpretation of CT Colonography Using a 2D Search Method Am. J. Roentgenol., April 1, 2004; 182(4): 881 - 889. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. W. F. Geenen, S. M. Hussain, F. Cademartiri, J.-W. Poley, P. D. Siersema, and G. P. Krestin CT and MR Colonography: Scanning Techniques, Postprocessing, and Emphasis on Polyp Detection RadioGraphics, January 1, 2004; 24(1): e18 - e18. [Abstract] [Full Text]
|
|
|
|
|
|
R. Iannaccone, A. Laghi, C. Catalano, J. A. Brink, F. Mangiapane, S. Trenna, F. Piacentini, and R. Passariello Detection of Colorectal Lesions: Lower-Dose Multi-Detector Row Helical CT Colonography Compared with Conventional Colonoscopy Radiology, December 1, 2003; 229(3): 775 - 781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sosna, M. M. Morrin, J. B. Kruskal, P. T. Lavin, M. P. Rosen, and V. Raptopoulos CT Colonography of Colorectal Polyps: A Metaanalysis Am. J. Roentgenol., December 1, 2003; 181(6): 1593 - 1598. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Pickhardt Three-Dimensional Endoluminal CT Colonography (Virtual Colonoscopy): Comparison of Three Commercially Available Systems Am. J. Roentgenol., December 1, 2003; 181(6): 1599 - 1606. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. W. Lui, M. Macari, G. Israel, E. J. Bini, H. Wang, and J. Babb CT Colonography Data Interpretation: Effect of Different Section Thicknesses--Preliminary Observations Radiology, December 1, 2003; 229(3): 791 - 797. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A. Taylor, S. Halligan, C. I. Bartram, P. R. Morgan, I. C. Talbot, N. Fry, B. P. Saunders, K. Khosraviani, and W. Atkin Multi-Detector Row CT Colonography: Effect of Collimation, Pitch, and Orientation on Polyp Detection in a Human Colectomy Specimen Radiology, October 1, 2003; 229(1): 109 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Wessling, R. Fischbach, N. Meier, T. Allkemper, J. Klusmeier, K. Ludwig, and W. Heindel CT Colonography: Protocol Optimization with Multi-Detector Row CT--Study in an Anthropomorphic Colon Phantom Radiology, September 1, 2003; 228(3): 753 - 759. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Macari, E. J. Bini, S. L. Jacobs, N. Lange, and Y. W. Lui Filling Defects at CT Colonography: Pseudo- and Diminutive Lesions (The Good), Polyps (The Bad), Flat Lesions, Masses, and Carcinomas (The Ugly) RadioGraphics, September 1, 2003; 23(5): 1073 - 1091. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sosna, M. M. Morrin, J. B. Kruskal, R. J. Farrell, I. Nasser, and V. Raptopoulos Colorectal Neoplasms: Role of Intravenous Contrast-enhanced CT Colonography Radiology, July 1, 2003; 228(1): 152 - 156. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Gluecker, C. D. Johnson, W. S. Harmsen, K. P. Offord, A. M. Harris, L. A. Wilson, and D. A. Ahlquist Colorectal Cancer Screening with CT Colonography, Colonoscopy, and Double-Contrast Barium Enema Examination: Prospective Assessment of Patient Perceptions and Preferences Radiology, May 1, 2003; 227(2): 378 - 384. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. E. Walsh and J. P. Terdiman Colorectal Cancer Screening: Scientific Review JAMA, March 12, 2003; 289(10): 1288 - 1296. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. G. McFarland, T. K. Pilgram, J. A. Brink, R. A. McDermott, C. V. Santillan, P. W. Brady, J. P. Heiken, D. M. Balfe, L. B. Weinstock, E. P. Thyssen, et al. CT Colonography: Multiobserver Diagnostic Performance Radiology, November 1, 2002; 225(2): 380 - 390. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Yee CT Screening for Colorectal Cancer RadioGraphics, November 1, 2002; 22(6): 1525 - 1531. [Full Text] [PDF]
|
|
|
|
|
|
M. Macari, E. J. Bini, X. Xue, A. Milano, S. S. Katz, D. Resnick, H. Chandarana, G. Krinsky, K. Klingenbeck, C. H. Marshall, et al. Colorectal Neoplasms: Prospective Comparison of Thin-Section Low-Dose Multi-Detector Row CT Colonography and Conventional Colonoscopy for Detection Radiology, August 1, 2002; 224(2): 383 - 392. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. E. van Gelder, H. W. Venema, I. W. O. Serlie, C. Y. Nio, R. M. Determann, C. A. Tipker, F. M. Vos, A. S. Glas, J. F. W. Bartelsman, P. M. M. Bossuyt, et al. CT Colonography at Different Radiation Dose Levels: Feasibility of Dose Reduction Radiology, July 1, 2002; 224(1): 25 - 33. [Abstract] [Full Text]
|
|
|
|
 |
|
 C. J Garvey and R. Hanlon Computed tomography in clinical practice BMJ, May 4, 2002; 324(7345): 1077 - 1080. [Full Text] [PDF]
|
|
|
|
|
|
M. J. Gollub, M. S. Ginsberg, C. Cooper, and H. T. Thaler Quality of Virtual Colonoscopy in Patients Who Have Undergone Radiation Therapy or Surgery: How Successful Are We? Am. J. Roentgenol., May 1, 2002; 178(5): 1109 - 1116. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
