Skip to main content

The Role of Imaging in Colonic Polyps and Polyposis

  • Chapter
Intestinal Polyps and Polyposis

Abstract

Radiology plays a critical role in the diagnosis and management of patients with colorectal polyps and cancer. Newer techniques, particularly virtual colonoscopy (VC), including computed tomography colonography (CTC), magnetic resonance colonography (MRC), and positron emission tomography (PET)/CTC may offer attractive alternatives for healthcare provider recommendation and patient use. With the exponential development in computer processing power, CT, MR, and PET/CTC offer numerous advantages over more traditional methods of radiological diagnosis, and provide essential information not only for initial diagnosis, but also for management, follow-up and detection of potential complications. Will CT, MR, and PET/CTC replace conventional colonoscopy in the future? We do not believe so at present.

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 PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover 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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Levine MS, Rubesin SE, Laufer I, et al (2000) Diagnosis of colorectal neoplasms at double-contrast barium enema examination. Radiology 216:11–18.

    PubMed  CAS  Google Scholar 

  2. Gebert HF, Jagelman DG, McGannon E (1986) Familial polyposis coli. Am Fam Physician 33:127–137.

    PubMed  CAS  Google Scholar 

  3. Bartram CI, Thornton A (1984) Colonic polyp patterns in familial polyposis. AJR Am J Roentgenol 142:305–308.

    PubMed  CAS  Google Scholar 

  4. Low G, Tho LM, Leen E, et al (2008) The role of imaging in the pre-operative staging and post-operative follow-up of rectal cancer. Surgeon 6:222–231.

    Article  PubMed  CAS  Google Scholar 

  5. Bromer MQ, Weinberg DS (2005) Screening for colorectal cancer now and the near future. Semin Oncol 32:3–10.

    Article  PubMed  Google Scholar 

  6. Burling D, Moore A, Taylor S, et al (2007) Virtual colonoscopy training and accreditation: a national survey of radiologist experience and attitudes in the UK. Clin Radiol 62:651–659.

    Article  PubMed  CAS  Google Scholar 

  7. Zimmerman RK, Nowalk MP, Tabbarah M, et al (2006) Predictors of colorectal cancer screening in diverse primary care practices. BMC Health Serv Res 6:116.

    Article  PubMed  Google Scholar 

  8. Saliangas K (2004) Screening for colorectal cancer. Tech Coloproctol 8(suppl 1):S10–S13.

    Article  PubMed  Google Scholar 

  9. Ajaj W, Goyen M (2007) MR imaging of the colon: technique, indications, results and limitations. Eur J Radiol 61:415–423.

    Article  PubMed  Google Scholar 

  10. Luo MY, Shan H, Yao LQ, et al (2004) Postprocessing techniques of CT colonography in detection of colorectal carcinoma. World J Gastroenterol 10: 1574–1577.

    PubMed  Google Scholar 

  11. Gollub MJ, Schwartz LH, Akhurst T (2007) Update on colorectal cancer imaging. Radiol Clin North Am 45:85–118.

    Article  PubMed  Google Scholar 

  12. Limburg PJ, Fletcher JG (2006) Making sense of CT colonography related complication rates. Gastroenterology 131:2023–2024.

    Article  PubMed  CAS  Google Scholar 

  13. Sosna J, Sella T, Bar-Ziv J, et al (2006) Perforation of the colon and rectum-a newly recognized complication of CT colonography. Semin Ultrasound CT MR 27:161–165.

    Article  PubMed  Google Scholar 

  14. Graser A, Stieber P, Nagel D, et al (2008) Comparison of CT Colonography, Colonoscopy, Sigmoidoscopy, and Fecal Occult Blood Tests for the Detection of Advanced Adenoma in an Average Risk Population. Gut Oct 13 [Epub ahead of print].

    Google Scholar 

  15. Whitlock EP, Lin JS, Liles E, et al (2008) Screening for Colorectal Cancer: A Targeted, Updated Systematic Review for the U.S. Preventive Services Task Force. Ann Intern Med Oct 6 [Epub ahead of print].

    Google Scholar 

  16. Kim DH, Pickhardt PJ, Hoff G, et al (2007) Computed tomographic colonography for colorectal screening. Endoscopy 39:545–549.

    Article  PubMed  CAS  Google Scholar 

  17. Bazensky I, Shoobridge-Moran C, Yoder LH (2007) Colorectal cancer: an overview of the epidemiology, risk factors, symptoms, and screening guidelines. Medsurg Nurs 16:46–51.

    PubMed  Google Scholar 

  18. Mulhall BP, Veerappan GR, Jackson JL (2005) Metaanalysis: computed tomographic colonography. Ann Intern Med 142:635–650.

    PubMed  Google Scholar 

  19. Silva AC, Hara AK, Leighton JA, et al (2005) CT colonography with intravenous contrast material: varied appearances of colorectal carcinoma. Radiographics 25:1321–1334.

    Article  PubMed  Google Scholar 

  20. Yoshida H, Nappi J (2007) CAD in CT colonography without and with oral contrast agents: progress and challenges. Comput Med Imaging Graph 31:267–284.

    Article  PubMed  Google Scholar 

  21. Hjern F, Jonas E, Holmstrom B, et al (2007) CT colonography versus colonoscopy in the follow-up of patients after diverticulitis-a prospective, comparative study. Clin Radiol 62:645–650.

    Article  PubMed  CAS  Google Scholar 

  22. Mang T, Graser A, Schima W, et al (2007) CT colonography: techniques, indications, findings. Eur J Radiol 61:388–399.

    Article  PubMed  Google Scholar 

  23. Dachman AH, Dawson DO, Lefere P, et al (2007) Comparison of routine and unprepped CT colonography augmented by low fiber diet and stool tagging: a pilot study. Abdom Imaging 32:96–104.

    Article  PubMed  Google Scholar 

  24. Dachman AH, Lefere P, Gryspeerdt S, et al (2007) CT Colonography: Visualization Methods, Interpretation, and Pitfalls. Radiol Clin North Am 45:347–359.

    Article  PubMed  Google Scholar 

  25. Fletcher JG, Johnson CD, Krueger WR, et al (2002) Contrastenhanced CT colonography in recurrent colorectal carcinoma: feasibility of simultaneous evaluation for metastatic disease, local recurrence, and metachronous neoplasia in colorectal carcinoma. AJR Am J Roentgenol 178:283–290.

    PubMed  CAS  Google Scholar 

  26. Lauenstein TC (2006) MR colonography: current status. Eur Radiol 16:1519–1526.

    Article  PubMed  Google Scholar 

  27. Kinner S, Lauenstein TC (2007) MR Colonography. Radiol Clin North Am 45:377–387.

    Article  PubMed  Google Scholar 

  28. Ajaj W, Ruehm SG, Gerken G, et al (2006) Strengths and weaknesses of dark-lumen MR colonography: clinical relevance of polyps smaller than 5 mm in diameter at the moment of their detection. J Magn Reson Imaging 24:1088–1094.

    Article  PubMed  Google Scholar 

  29. Bielen DJ, Bosmans HT, De Wever LL, et al (2005) Clinical validation of highresolution fast spin-echo MR colonography after colon distention with air. J Magn Reson Imaging 22:400–405.

    Article  PubMed  Google Scholar 

  30. Haykir R, Karakose S, Karabacakoglu A, et al (2006) Detection of colonic masses with MR colonography. Turk J Gastroenterol 17:191–197.

    PubMed  Google Scholar 

  31. Luboldt W, Bauerfeind P, Wildermuth S, et al (2000) Colonic masses: detection with MR colonography. Radiology 2000; 216: 383–388.

    Google Scholar 

  32. Kinner S, Kuehle CA, Langhorst J, et al (2007) MR colonography with fecal tagging: do individual patient characteristics influence image quality? J Magn Reson Imaging 25:1007–1012.

    Article  PubMed  Google Scholar 

  33. Ajaj W, Lauenstein TC, Pelster G, et al (2005) MR colonography in patients with incomplete conventional colonoscopy. Radiology 234:452–459.

    Article  PubMed  Google Scholar 

  34. Purkayastha S, Tekkis PP, Athanasiou T, et al (2005) Magnetic resonance colonography versus colonoscopy as a diagnostic investigation for colorectal cancer: a metaanalysis. Clin Radiol 60:980–989.

    Article  PubMed  CAS  Google Scholar 

  35. Pappalardo G, Polettini E, Frattaroli FM, et al (2000) Magnetic resonance colonography versus conventional colonoscopy for the detection of colonic endoluminal lesions. Gastroenterology 119:300–304.

    Article  PubMed  CAS  Google Scholar 

  36. Purkayastha S, Athanasiou T, Tekkis PP, et al (2007) Magnetic resonance colonography vs computed tomography colonography for the diagnosis of colorectal cancer: an indirect comparison. Colorectal Dis 9:100–111.

    Article  PubMed  CAS  Google Scholar 

  37. Macari M, Bini EJ (2005) CT colonography: where have we been and where are we going? Radiology 237: 819–833.

    Article  PubMed  Google Scholar 

  38. Gallo TM, Galatola G, Laudi C, et al (2006) CT colonography: screening in individuals at high risk for colorectal cancer. Abdom Imaging 31:297–301.

    Article  PubMed  CAS  Google Scholar 

  39. Hartmann D, Bassler B, Schilling D, et al (2006) Colorectal polyps: detection with dark-lumen MR colonography versus conventional colonoscopy. Radiology 238:143–149.

    Article  PubMed  Google Scholar 

  40. Debatin JF, Lauenstein TC (2003) Virtual magnetic resonance colonography. Gut 5(suppl 4):iv17–iv22.

    Google Scholar 

  41. Haykir R, Karakose S, Karabacakoglu A, et al (2006) Three-dimensional MR and axial CT colonography versus conventional colonoscopy for detection of colon pathologies. World J Gastroenterol 12: 2345–2348.

    PubMed  Google Scholar 

  42. Hartmann D, Bassler B, Schilling D, et al (2005) Incomplete conventional colonoscopy: magnetic resonance colonography in the evaluation of the proximal colon. Endoscopy 37:816–820.

    Article  PubMed  CAS  Google Scholar 

  43. Lauenstein TC, Goehde SC, Ruehm SG, et al (2002) MR colonography with barium-based fecal tagging: initial clinical experience. Radiology 223:248–254.

    Article  PubMed  Google Scholar 

  44. Rosman AS, Korsten MA (2007) Meta-analysis comparing CT colonography, air contrast barium enema, and colonoscopy. Am J Med 120:203–210.

    Article  PubMed  Google Scholar 

  45. Sosna J, Blachar A, Amitai M, et al (2006) Colonic perforation at CT colonography: assessment of risk in a multicenter large cohort. Radiology 239:457–458.

    Article  PubMed  Google Scholar 

  46. Brenner DJ, Georgsson MA (2005) Mass screening with CT colonography: should the radiation exposure be of concern? Gastroenterology 129:328–337.

    Article  PubMed  Google Scholar 

  47. Yoshida H, Nappi J (2007) CAD in CT colonography without and with oral contrast agents: Progress and challenges. Comput Med Imaging Graph 31:267–284.

    Article  PubMed  Google Scholar 

  48. Nio Y, Van Gelder RE, Stoker J (2006) Computed tomography colonography: current issues. Scand J Gastroenterol Suppl 243:139–145.

    Article  PubMed  Google Scholar 

  49. Park SH, Ha HK, Kim MJ, et al (2005) Falsenegative results at multi-detector row CT colonography: multivariate analysis of causes for missed lesions. Radiology 235:495–502.

    Article  PubMed  Google Scholar 

  50. Park SH, Lee SS, Choi EK, et al (2007) Flat colorectal neoplasms: definition, importance, and visualization on CT colonography. AJR Am J Roentgenol 188:953–959.

    Article  PubMed  Google Scholar 

  51. Vogt C, Cohnen M, Beck A, et al (2004) Detection of colorectal polyps by multislice CT colonography with ultralow-dose technique: comparison with high-resolution videocolonoscopy. Gastrointest Endosc 60:201–209.

    Article  PubMed  Google Scholar 

  52. Achiam MP, Bulow S, Rosenberg J (2002) CT-and MR colonography. Scand J Surg 91:322–327.

    PubMed  CAS  Google Scholar 

  53. Hoppe H, Netzer P, Spreng A, et al (2004) Prospective comparison of contrast enhanced CT colonography and conventional colonoscopy for detection of colorectal neoplasms in a single institutional study using second-look colonoscopy with discrepant results. Am J Gastroenterol 99:1924–1935.

    Article  PubMed  Google Scholar 

  54. Vijan S, Hwang I, Inadomi J, et al (2007) The cost-effectiveness of CT colonography in screening for colorectal neoplasia. Am J Gastroenterol 102:380–390.

    Article  PubMed  Google Scholar 

  55. Hassan C, Zullo A, Laghi A, et al (2007) Colon cancer prevention in Italy: cost-effectiveness analysis with CT colonography and endoscopy. Dig Liver Dis 39:242–250.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Italia

About this chapter

Cite this chapter

Manfredi, R., Faccioli, N. (2009). The Role of Imaging in Colonic Polyps and Polyposis. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1124-3_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1123-6

  • Online ISBN: 978-88-470-1124-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics