CT-Kolonographie (virtuelle Endoskopie) in der Diagnostik des kolorektalen Karzinoms

Zusammenfassung

Die CT-Kolonographie (virtuelle Endoskopie, Pneumokolon CT) ist ein vielversprechendes, neues, bildgebendes Verfahren in der Diagnostik kolorektaler Neoplasien. Sowohl für das Screening, die präoperartive Diagnostik als auch die Tumornachsorge besitzt die CT-Kolonographie ein hohes Potenzial. In der vorliegenden Arbeit werden diese Aspekte anhand aktueller Ergebnisse vorgestellt und diskutiert.

Abstract

CT-Colonography (virtual colonoscopy, CT pneumocolon) is a promising new diagnostic procedure for screening, preoperative staging and follow-up of colorectal neoplasms. In this article we discuss the current and potential role of CTC.

Schlüsselwörter

Kolorektales Karzinom - virtuelle Kolonoskopie - CT-Kolonographie - CT

Key words

Colorectal cancer - virtual colonoscopy - CT-colonography - CT

Literatur

• 1 Luboldt W, Fletcher J G, Vogl T J. Colonography: current status, research directions and challenges. Update 2002.  Eur Radiol. 2002;  12 502-524
• 2 Arbeitsgemeinschaft Bevölkerungsbezogener Krebsregister in Deutschland .Krebs in Deutschland. 3. erweiterte, aktualisierte Ausgabe, Saarbrücken 2002
• 3 Yee J. CT colonography: examination prerequisites.  Abdom Imaging. 2002;  27 244-252
• 4 Power N, Pryor M, Martin A, Horrocks J, McLean A, Reznek R. Optimization of scanning parameters for CT colonography (In Process Citation).  Br J Radiol. 2002;  75 401-408
• 5 Luz O, Schäfer J F, Heuschmid M, Stüker D, Claussen C D. Technische Neuerungen in der CT-Kolonographie: Gegenwärtiger Stand und zukünftige Entwicklung.  Radiologe. 2002;  42 712-721
• 6 Morrin M, Raptopoulos V. Contrast enhanced CT colonography.  Sem Ultrasound CT MR. 2001;  22 420-424
• 7 Fletcher J, Johnson C, Krueger W. et al . Contrast - enhanced 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. 2002;  178 283-290
• 8 Neri E, Giusti P, Battola L. et al . Colorectal cancer: role of CT colonography in preoperative evaluation after incomplete colonoscopy.  Radiology. 2002;  223 615-619
• 9 Vogel S B, Drane W E, Pos P R, Kerns S R, Bland K I. Prediction of surgical resectability in patients with hepatic colorectal metastases.  Ann Surg. 1994;  219 508-519
• 10 Zerhouni E A, Rutter C, Hamilton S R. et al . CT and MR Imaging in the staging of colorectal carcinoma: report of the Radiology Diagnostic Oncology Group II.  Radiology. 1996;  200 443-451
• 11 Svensson M, Svensson E, Lasson A, Hellstrom M. Patient acceptance of CT colonography and conventional colonoscopy: prospective comparative study in patients with or suspected of having colorectal disease (In Process Citation).  Radiology. 2002;  222 337-345
• 12 Hara A Johnson C, Reed J. Colorectal lesions: evaluation with CT colography.  Radiographics. 1997;  17 1157-1167; discussion 1167 - 1168
• 13 Thomeer M, Bielen D, Vanbeckevoort D. et al . Patient acceptance for CT colonography: what is the real issue?.  Eur Radiol. 2002;  12 1410-1415
• 14 McFarland E G. Reader strategies for CT colonography.  Abdom Imaging. 2002;  27 275-283
• 15 Summers R M. Challenges for computer-aided diagnosis for CT colonography.  Abdom Imaging. 2002;  27 268-274
• 16 Macari M. Virtual colonoscopy: clinical results.  Sem Ultrasound CT MR. 2001;  22 432-442
• 17 Wessling J, Fischbach R, Domagk D, Lugering N, Neumann E, Heindel W. Colorectal polyps: detection with multislice-CT colonography.  RoFo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 2001;  173 1069-1071
• 18 Yee J, Akerkar G, Hung R, Steinauer-Gebauer A, Wall S, Mc Quaid K. Colorectal neoplasia: performance characteristics of CT colonography for detection in 300 patients.  Radiology. 2001;  219 685-692
• 19 Laghi A, Iannacone R, Carbone I. et al . Detection of colorectal lesions with virtual computed tomographic colonography.  Am J Surg. 2002;  183 124-131
• 20 Rogalla P, Meiri N, Ruckert J, Hamm B. Colonography using multislice CT.  Eur J Radiol. 2000;  36 81-85
• 21 Miao Y M, Amin Z, Healy J. et al . A prospective single center study comparing computed tomography pneumocolon against colonoscopy in the detection of colorectal neoplasms.  Gut. 2000;  47 832-837
• 22 Dachman A H, Kuniyoshi J K, Boyle C M. et al . CT colonography with three-dimensional problem solving for detection of colonic polyps.  Am J Roentgenol. 1998;  171 989-995
• 23 Fenlon H M, Nunes D P, Schroy P C, Barish M A, Clarke P D, Ferrucci J T. A comparison of virtual and conventional colonoscopy for the detection of colorectal polyps.  N Eng J Med. 1999;  341 1496-1503
• 24 Fenlon H M, McAneny D B, Nunes D P. et al . Occlusive colon carcinoma: virtual colonoscopy in the preoperative evaluation of the proximal colon.  Radiology. 1999;  210 423-428
• 25 Harvey C J, Muttalib M, Renfrew I. et al . Prospective blinded assessment of 3D spiral CT pneumocolon vs colonoscopy in the detection of colon carcinoma.  Eur Radiol. 1999;  9 Suppl 1 S190
• 26 Harvey C J, Renfrew I, Taylor S, Gillams A R, Lees W R. Spiral CT pneumocolon: applications, status and limitations.  Eur Radio. 2001;  11 1612-1625
• 27 Morrin M M, Kruskal J B, Farrell R J. et al . Endoluminal CT colonography after an incomplete colonoscopy.  AJR. 1990;  172 913-918
• 28 Arenas R B, Fichera A, Mhoon D, Michelassi F. Incidence and therapeutic implications of synchronous colonic pathology in colorectal adenocarcinoma.  Surgery. 1997;  122 706-710
• 29 Langevine J M, Nivatvongs S. The true incidence of synchronous cancer of the large bowel.  Am J Surg. 1984;  147 330-333
• 30 Fante R, Roncucci L, Di Gregorio C. et al . Frequency and clinical features of multiple tumors of the large bowel in the general population and in patients with hereditary colorectal carcinoma.  Cancer. 1996;  77 2013-2021
• 31 Hara A, Johnson C, MacCarty R, Welch T. Incidental extracolonic findings at CT colonography.  Radiology. 2000;  215 353-357
• 32 Harvey C J, Amin Z, Hare C MB. et al . Helical CT pneumocolon to assess colonic tumors: a radiologic-pathologic correlation.  AJR. 1998;  170 1439-1443
• 33 Geleijns J, Broerse J, Shaw M. et al . Patient dose due to colonic examination: dose assessment and results from a survey in the Netherlands.  Radiology. 1997;  204 553-559
• 34 Hart D, Wall B. Technical note: potentially higher patient doses using digital equipment for barium studies.  Br J Radiol. 1995;  68 112-1115
• 35 Fidler J L, Johnson C D, MacCarty R L, Welch T J, Hara A K, Harmsen W S. Detection of flat lesions in the colon with CT colonography.  Abdom Imaging. 2002;  27 292-300
• 36 Brenner H, Arndt V, Stürmer T, Stegmaier C, Ziegler H, Dhom G. Präventionspotenzial endoskopischer Vorsorgeuntersuchungen für kolorektale Karzinome.  Deutsches Ärzteblatt. 1999;  33 A 2186-A 2192
• 37 Sonnenberg A, Deko F, Bauerfeind P. Is virtual colonoscopy a cost-effective option to screen for colorectal cancer?.  AM J Gastroenterol. 1999;  94 2268- 2274
• 38 Pochacvesky R. Stool tagging with barium for CT colonography.  Radiology. 2001;  221 850-851
• 39 Callstrom M, Johnson C, Fletcher J. et al . CT colonography without cathartic preparation: feasibility study.  Radiology. 2001;  219 693-698
• 40 Laghi A, Iannaccone R, Bria E. et al . Contrast-enhanced computed tomographic colonography in the follow-up of colorectal cancer patients: a feasibility study.  Eur Radiol. 2003;  13 883-889