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[CT结肠成像:一种检测结直肠癌和息肉的新方法]

[CT colonography: a new method for detecting colorectal cancer and polyps].

作者信息

Ringstad Geir, Holmquist Henrik, Brabrand Knut, Aaløkken Trond Mogens, Hauge Truls

机构信息

Radiologisk avdeling, Sykehuset Østfold, Postboks 16, 1603 Fredrikstad.

出版信息

Tidsskr Nor Laegeforen. 2006 May 25;126(11):1470-3.

PMID:16732340
Abstract

BACKGROUND

CT colonography is a new method for the detection of colorectal cancer and polyps.

MATERIAL AND METHODS

The article is based upon a review of the literature in PubMed (1994-2005) for CT colonography, as well as the authors' own experience.

RESULTS

The seven largest publications show 55-94% sensitivity and 92-98% specificity for polyps > or = 10 mm. Compared to conventional CT examinations, the method has different requirements for patient preparation and technique. Our own experience so far is limited, but promising.

INTERPRETATION

CT colonography seems to be a good alternative to the barium enema examination and a suitable supplement to incomplete colonoscopy. Hands-on training of radiologists is required before optimal results can be obtained.

摘要

背景

CT结肠成像术是一种检测结直肠癌和息肉的新方法。

材料与方法

本文基于对PubMed(1994 - 2005年)中关于CT结肠成像术的文献综述以及作者自身经验。

结果

七篇最大规模的出版物显示,对于直径大于或等于10毫米的息肉,其敏感度为55% - 94%,特异度为92% - 98%。与传统CT检查相比,该方法对患者准备和技术有不同要求。我们目前的经验有限,但前景良好。

解读

CT结肠成像术似乎是钡剂灌肠检查的良好替代方法,也是不完全结肠镜检查的合适补充。在获得最佳结果之前,放射科医生需要进行实际操作培训。

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1
[CT colonography: a new method for detecting colorectal cancer and polyps].[CT结肠成像:一种检测结直肠癌和息肉的新方法]
Tidsskr Nor Laegeforen. 2006 May 25;126(11):1470-3.
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Meta-analysis comparing CT colonography, air contrast barium enema, and colonoscopy.比较CT结肠成像、气钡双重造影和结肠镜检查的荟萃分析。
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Computed tomographic colonography (virtual colonoscopy): blinded prospective comparison with conventional colonoscopy for the detection of colorectal neoplasia.计算机断层结肠成像(虚拟结肠镜检查):与传统结肠镜检查用于检测结直肠肿瘤的盲法前瞻性比较。
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