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Automated Insufflation of Carbon Dioxide for MDCT Colonography: Distension and Patient Experience Compared with Manual Insufflation

David Burling1, Stuart A. Taylor1,2, Steve Halligan1,2, Louise Gartner1, Mehjabeen Paliwalla1, Chandani Peiris1, Leanne Singh1, Paul Bassett1 and Clive Bartram1

1 Department of Intestinal Imaging, St. Mark's and Northwick Park Hospitals, Harrow, United Kingdom HA1 3UJ.
2 Present address: Department of Imaging, University College Hospital, 235 Euston Rd., London, United Kingdom NW1 2BU.



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  		Fig. 1A —CT colonography images show grades of distention. Grade 1 colonic distention in 63-year-old man. Complete luminal collapse is seen in rectum (arrows).

 


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  		Fig. 1B —CT colonography images show grades of distention. Grade 2 colonic distention in 68-year-old woman. Partial luminal collapse is seen in sigmoid colon (arrows).

 


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  		Fig. 1C —CT colonography images show grades of distention. Grade 3 colonic distention in 76-year-old man. Reasonable but suboptimal luminal distention is seen in ascending colon (arrows).

 


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  		Fig. 1D —CT colonography images show grades of distention. Grade 4 colonic distention in 70-year-old man. Optimal luminal distention is seen in splenic flexure.

 

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