Wessling J, Heindel W
Institut für Klinische Radiologie, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, 48129, Münster.
Radiologe. 2008 Feb;48(2):135-45. doi: 10.1007/s00117-007-1604-7.
Evaluation and interpretation of CT colonography is based on both 2D and 3D techniques. The 2D techniques are popular mainly because the time needed for evaluation is short. The 3D techniques allow better definition than the 2D techniques, especially of polyps close to folds or at the base of a fold. The evaluation strategies generally accepted so far (primarily 2D, with 3D for problem cases, or vice versa) demand knowledge of both 2D and 3D techniques. Newer 3D visualization techniques help make it possible to acquire more complete and faster recording particularly of areas that are not easily accessible to endoscopic examination. These user-friendly developments are thus well suited to improving the detection and the security of detection of polyps. It must be remembered that experience and the knowledge of associated artifacts and the limitations they can impose on diagnosis are prime requirements for the implementation of such visualization techniques.
CT结肠成像的评估和解读基于二维和三维技术。二维技术之所以受欢迎,主要是因为评估所需时间短。三维技术比二维技术能提供更好的清晰度,特别是对于靠近褶皱处或褶皱底部的息肉。目前普遍公认的评估策略(主要是二维,疑难病例用三维,反之亦然)需要掌握二维和三维技术。更新的三维可视化技术有助于更完整、快速地记录,尤其是内镜检查不易触及的区域。因此,这些用户友好型的进展非常适合提高息肉的检测率及检测的安全性。必须记住,经验以及对相关伪影及其可能对诊断造成的局限性的了解,是实施此类可视化技术的首要条件。