Computed tomography and magnetic resonance colonography

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Computed tomography and magnetic resonance colonography

Background. Colon cancer is the second leading cause of cancer death in the western world. Adenomatous colorectal polyps, which are found in 30-50% of Americans more than 50 years old, are recognized as important precursors of malignancy. Probably most of the invasive colon carcinomas arise from polyps. For this reason an early detection of these polyps and their complete removal is a recognized strategy for the prevention of colon cancer. So far no single method for an early diagnosis of colon polyps or colon cancer offers high sensitivity and specificity along with low cost and good patient acceptance. Endoscopic colonoscopy allows the accurate detection of very small lesions and has since almost completely replaced fluoroscopy. Cross-sectional imaging techniques, including magnetic resonance imaging (MRI) and computed tomography (CT), are increasingly being considered imaging modalities for the detection of colorectal polyps.

Conclusions. CT and MR colonography are new techniques for imaging of the colon. In symptomatic patients, these new techniques show promising results for the detection of polyps equal to or larger than 1 cm in diameter.

Potter JD, Stattery ML, Bostick RM, Gapstur SM. Colon cancer: a review of epidemiology. Epidemiologic Rev 1993; 15: 499-545.

Visser O, Coebergh JWW, Schouten LJ, et al. Incidence of cancer in the Netherlands 1996. Utrecht: Vereniging van integrale kankercentra; 2000.

Seidman H, Mushinski MH, Gelb SK, Silverberg E. Probability of eventually developing and dying of cancer: United States, 1985. CA Cancer J Clin 1985; 35: 36-56.

Muto T, Bussey HJR, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975; 36: 2251-70.

Vogelstein B, Fearon ER, Hamilton SR, Kern SE, Preisinger AC, Leppert M, et al. Genetic alterations during colorectal-tumor development. N Engl J Med 1988; 319: 525-32.

Morson BC. The evolution of colorectal carcinoma. Clin Radiol 1984; 35: 425-31.

Toribara NW, Sleisinger MH. Screening for colorectal cancer. N Engl J Med 1995; 332: 861-7.

Geenen RW, Hussain SM, Cademartiri F, Poley JW, Siersema PD, Krestin GP. CT and MR colonography: scanning techniques, postprocessing, and emphasis on polyp detection. Radiographics 2004; 24(1): e18. Epub 2003 Oct 3

Macari M, Lavell M, Pedrosa I. Effect of different preparations on residual fluid at CT colonography. Radiology 2001; 218: 274-7.

Yee J, Hung RK, Akerkar GA, Wall SD. The usefulness of glucagon hydrochloride for colonic distention in CT colonography. AJR Am J Roentgenol 1999; 173: 169-72.

Luboldt W, Fletcher JG, Vogl TJ. Colonography: current status, research directions and challenges: update 2002. Eur Radiol 2002; 12: 502-24.

Fletcher JG, Luboldt W. CT colonography and MR colonography: current status, research directions and comparison. Eur Radiol 2000; 10: 786-801.

van Gelder RE, Venema HW, Serlie IW, Nio CY, Determann RM, Tipker CA, et al. CT colonography at different radiation dose levels: feasibility of dose reduction. Radiology 2002; 224: 25-33.

Lauenstein T, Goyen M. Dark-lumen MR colonography. Highlights in MRI. Essen: Department of Diagnostic and Interventional Radiology University Hospital Essen; 2004.

Landis SH, Murray T, Bolden S, Wingo PA. Cancer statistics, 1998. CA Cancer J Clin 1998; 48: 6-29.

O'Brien MJ, Winawer SJ, Zauber AG, Gottlieb LS, Sternberg SS, Diaz B, et al. The National Polyp Study. Patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas. Gastroenterology 1990; 98: 371-9.

Luboldt W, Debatin JF. Virtual endoscopic colonography based on 3D MRI. Abdom Imaging 1998; 23: 568-72.

Lauenstein TC, Herborn CU, Vogt FM, Gohde SC, Debatin JF, Ruehm SG. Dark lumen MR-colonography: initial experience. Rofo 2001; 173: 785-9.

Schoenenberger AW, Bauerfeind P, Krestin GP, Debatin JF. Virtual colonoscopy with magnetic resonance imaging: in vitro evaluation of a new concept. Gastroenterology 1997; 112: 1863-70.

Vining DJ, Shifrin RY, Grishaw EK, Liu K, Gelfand DW. Virtual colonoscopy. [Abstract]. Radiology 1994; 193: 446.

Luboldt W, Bauerfeind P, Steiner P, Fried M, Krestin GP, Debatin JF. Preliminary assessment of three-dimensional magnetic resonance imaging for various colonic disorders. Lancet 1997; 349:1288-91.

Ajai W, Lauenstein TC, Pelster G, Goehde SC, Ruehm SG, Debatin JF. MR colonography: How do es air compare to water for colonic distention. J Magn Reson Imaging 2004; 19: 216-21.

Fischbach R, Wessling J. CT-colonography using multi-slice computed tomography. Electromedica 2001; 69(2): 116-9.

Interventional procedure guidance 129. London: National Institute for Health and Clinical Excellence; 2005; ISBN 1-84629-042-2.

Ajaj W, Pelster G, Treichel U, Vogt FM, Debatin JF, Ruehm SG, et al. Dark lumen magnetic resonance colonography: comparison with conventional colonoscopy for the detection of colorectal pathology. Gut 2003; 52: 1738-43.

Lauenstein TC, Goehde SC, Ruehm SG, Holtmann G, Debatin JF. MR colonography with bariumbased fecal tagging: initial clinical experience. Radiology 2002; 223: 248-54.

Vandaele P, Oliva MR, Barish MA, Mortelé KJ. CT colonography: the essentials. Applied Radiology 2006; 35(1): 246-9.

Debatin JF, Lauenstein TC. Virtual magnetic resonance colonography. Gut 2003; 52(Suppl 4): iv17-22.

Luboldt W, Bauerfeind P, Wildermuth S, Marincek B, Fried M, Debatin JF. Colonic masses: detection with MR colonography. Radiology 2000; 216: 383-8.

Radiology and Oncology

The Journal of Association of Radiology and Oncology

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