Skip to main content

Pitfalls and Artefacts

  • Chapter
  • First Online:
CT Colonography for Radiographers

Abstract

The use of CTC is intended for diagnosis of both polyps and malignancy in screening of asymptomatic individuals over the age of 50 years. There are however lesions and disease processes that may mimic both colonic polyps and cancer on CTC. The most basic of these pitfalls is the thickened or complex fold, which may be encountered on both 2D and 3D imaging. The most common pitfall is the presence of homogenous adherent stool. This may be mistaken for a polyp. Tagging is essential to distinguish stool and polyp on CTC images. Other potential pitfalls include, for example, anatomical locations and structures, position of the rectal catheter, external impressions on the colon lumen and a range of artefacts. These are described, with examples, in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pickhardt PJ, Kim DH. CT colonography: principles and practice of virtual colonoscopy. Philadelphia: Saunders; 2009. p. 239–313.

    Google Scholar 

  2. Yee J. Virtual colonoscopy. Philadelphia: Lippincott, Williams & Wilkins; 2008. p. 94–154.

    Google Scholar 

  3. Boas FE, Fleischmann D. CT artefacts: causes and reduction techniques. Imaging Med. 2012;4(2):229–40.

    Article  Google Scholar 

  4. Bortz JH. CT colonography: An approach for a successful examination. S Afr J Rad. 2014;18(1); http://dx.doi/org/10.4102/sajr.v18i1.607[www.sajr.org.za]

  5. Pickhardt PJ. Screening CT colonography: How I do it. AJR. 2007;189(2):290–8. http://dx.doi.org/10.2214/ajr.07.2136

    Google Scholar 

  6. Kim DH, Hinshaw L, Lubner MG et al. Contrast coating for the surface of flat polyps at CT colonography: a marker for detection. Eur Radiol. 2014;24(4):940–6. http://dx.doi.org/10.1007/s00330-014-3095-z

    Google Scholar 

  7. Cai W, Zalis ME, Näppi J, Harris GJ, Yoshida H. Structure-analysis method for electronic cleansing in cathartic and noncathartic CT colonography. Med Phys. 2008;35(7):3259–77.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Ahmed I, Asgeirsson K, Beckingham I, Lobo D. The position of the vermiform appendix at laparoscopy. Surg Radiol Anat. 2007;29:165–8. http://dx.doi.org/10.1007/s00276-007-0182-8

    Google Scholar 

  9. Pickhardt PJ. Differential diagnosis of polypoidal lesions seen at CT colonography (virtual colonoscopy). Radiographics. 2004;24(6):1535–56.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Viatronix, Stony Brook, New York, is thanked for providing the electronic cleansing images of the colon.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joel H. Bortz MBChB, DMRD, FRCR, FFRRCS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Bortz, J.H. (2016). Pitfalls and Artefacts. In: Bortz, J., Ramlaul, A., Munro, L. (eds) CT Colonography for Radiographers. Springer, Cham. https://doi.org/10.1007/978-3-319-29379-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29379-0_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29377-6

  • Online ISBN: 978-3-319-29379-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics