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Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
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[CT colonography: pathologic findings and pitfalls].

T Mang1, A Graser, A Maier

  • 1Univ.-Klinik für Radiodiagnostik, Medizinische Universität Wien, Währinger Gürtel 18-20, A-1090, Wien, Osterreich. thomas.mang@meduniwien.ac.at

Der Radiologe
|January 23, 2008
PubMed
Summary
This summary is machine-generated.

Multidetector-row computed tomographic (MDCT) colonography aids in detecting and classifying colon lesions. This review details imaging features of polyps, carcinomas, and pseudolesions for accurate interpretation.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Medical Imaging

Background:

  • Thin-section multidetector-row computed tomographic (MDCT) colonography is a key tool for colonic lesion evaluation.
  • Accurate interpretation of CT colonography datasets relies on distinguishing genuine lesions from artifacts.

Purpose of the Study:

  • To review the main imaging features of common colonic lesions and pseudolesions.
  • To provide criteria for the correct interpretation of filling defects in CT colonography.

Main Methods:

  • Review of thin-section (0.75-2 mm) helical CT datasets of the cleansed and air-distended colon.
  • Preparation and interpretation of 2D and 3D projections.
  • Analysis of lesion characteristics including morphology, structure, contrast absorption, and mobility.

Main Results:

  • Summarizes imaging features of polyps, diverticula, lipomas, and carcinomas.
  • Highlights characteristics differentiating true lesions from pseudolesions (artifacts).

Conclusions:

  • Knowledge of morphologic and attenuation characteristics is essential for accurate CT colonography interpretation.
  • MDCT colonography is effective for colonic lesion detection and classification.