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Role of CT colonography in symptomatic assessment, surveillance and screening.

Almond, L Maximilian and Bowley, Douglas M and Karandikar, Sharad S and Roy-Choudhury, Shuvro H (2011) Role of CT colonography in symptomatic assessment, surveillance and screening. International journal of colorectal disease, 26 (8). pp. 959-66. ISSN 1432-1262. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://link.springer.com/article/10.1007%2Fs00384-...

Abstract

INTRODUCTION

When 'whole colonic imaging' is indicated, clinicians must decide between optical colonoscopy, barium enema and CT colonography (CTC). CTC is a relatively new technique which has become increasingly accessible in the UK over the past 5 years. As radiologists have gained experience and scanning parameters have standardised, there have been substantial improvements in both the accuracy and safety of CTC.

METHODS

We review evidence from observational studies and randomised trials, and draw on expert opinion, to provide a comprehensive discussion of the current role of CTC in both symptomatic and asymptomatic individuals.

CONCLUSIONS

The emergence of CTC could soon entirely obviate the need for barium enema. CTC now has a complementary role alongside colonoscopy in symptomatic patients and a possible future role in colorectal cancer screening in the UK.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WI Digestive system. Gastroenterology
Divisions: Planned IP Care > Gastroentrology
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 02 Dec 2014 10:57
Last Modified: 02 Dec 2014 10:57
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/743

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