CT Colonography Using 16-MDCT in the Evaluation of Colorectal Cancer
Don Jin Chung1,
Kyu Chan Huh2,
Won Jun Choi3 and
Jae Kyun Kim1
1 Department of Radiology, University of Konyang School of Medicine, 685
Gasuwon-dong, Seo-gu, Daejeon 302-718, Korea.
2 Department of Gastroenterology, University of Konyang School of Medicine,
Daejeon 302-718, Korea
3 Department of Surgery, University of Konyang School of Medicine, Daejeon
302-718, Korea.

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Fig. 1A. 52-year-old man with polypoid occlusive carcinoma in rectum.
Colonoscopic image shows large, bleeding mass obstructing rectum, which could
not be crossed by colonoscope.
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Fig. 1B. 52-year-old man with polypoid occlusive carcinoma in rectum.
Virtual colonoscopy image obtained after enhancement, with patient supine,
reveals rectal mass (arrow).
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Fig. 1C. 52-year-old man with polypoid occlusive carcinoma in rectum.
Well-visualized ray-sum image, similar to that obtained with barium enema,
shows mass (arrow).
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Fig. 1D. 52-year-old man with polypoid occlusive carcinoma in rectum.
Coronal multiplanar reconstruction image shows tumor invasion through
muscularis propria into subserosa (arrow) (T3), with no regional
lymph node (N0).
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Fig. 2A. 65-year-old man with colonic polyp that was missed on
conventional colonoscopy. Conventional colonoscopy image shows large,
lobulated mass in sigmoid colon. Colonoscope could not cross mass.
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Fig. 2B. 65-year-old man with colonic polyp that was missed on
conventional colonoscopy. Ray-sum image shows mass (arrow) in sigmoid
colon.
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Fig. 2C. 65-year-old man with colonic polyp that was missed on
conventional colonoscopy. Mass is well visualized (arrow) on virtual
colonoscopy image.
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Fig. 2D. 65-year-old man with colonic polyp that was missed on
conventional colonoscopy. Virtual colonoscopy image shows small polyp
(arrow) descending the colon, proximal to mass.
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Fig. 3A. 61-year-old man with false-positive findings for colonic
polyp. Virtual colonoscopy image shows small, elevated lesion (arrow)
suspected, by consensus, of being a polyp.
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Fig. 3B. 61-year-old man with false-positive findings for colonic
polyp. Wide-window-setting transverse CT image shows small, suggestive polyp
(arrow).
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Fig. 3C. 61-year-old man with false-positive findings for colonic
polyp. Narrow-window-setting transverse CT colonography image shows tiny gas
bubble at center of elevated lesion (arrow); this finding confirmed
presence of residual fecal material. No polyp was seen on colonoscopy.
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Fig. 4A. 59-year-old man with false-negative findings for colonic
polyp. Conventional colonoscopy image shows small polyp (arrow).
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Fig. 4B. 59-year-old man with false-negative findings for colonic
polyp. Virtual colonoscopy (B) and transverse CT (C) images show
fluid-filled descending colon (arrows). Lesion was masked by fluid
and missed on CT colonography.
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Fig. 4C. 59-year-old man with false-negative findings for colonic
polyp. Virtual colonoscopy (B) and transverse CT (C) images show
fluid-filled descending colon (arrows). Lesion was masked by fluid
and missed on CT colonography.
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Fig. 5A. 48-year-old woman with overstaged T2 colon cancer. Axial
(A) and sagittal (B) reformatted images clearly show irregular
rectal mass with perirectal fat stranding (arrows). Initial
preoperative diagnosis was T3 lesion, but lesion proved to be T2.
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Fig. 5B. 48-year-old woman with overstaged T2 colon cancer. Axial
(A) and sagittal (B) reformatted images clearly show irregular
rectal mass with perirectal fat stranding (arrows). Initial
preoperative diagnosis was T3 lesion, but lesion proved to be T2.
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Copyright © 2005 by the American Roentgen Ray Society.