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Performance of Radiographers in the Evaluation of CT Colonographic Images

Sebastiaan Jensch1,2, Rogier E. van Gelder1, Jasper Florie1, Marloes A. Thomassen-de Graaf1, Jack V. Lobé1, Patrick M. M. Bossuyt3, Shandra Bipat1, C. Yung Nio1 and Jaap Stoker1

1 Department of Radiology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, Noord-Holland, The Netherlands.
2 Department of Radiology, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, 1090 HM Amsterdam, The Netherlands.
3 Department of Clinical Epidemiology and Biostatistics, Academic Medical Center, University of Amsterdam, Meibergdrefef 9, 1105 AZ Amsterdam, The Netherlands.


Figure 1
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Fig. 1A —80-year-old woman with large colon polyp. Lesion missed by all observers on CT colonography. CT colonographic scan (A) shows location of lesion (arrowheads). Colonoscopic image (B) shows flat adenoma 2 cm from anus covering half of circumference of rectum. Water-filled balloon obscured flat lesion in rectum. Deflating balloon in prone position or using air-inflated balloon probably would have increased conspicuity of polyp.

 

Figure 2
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Fig. 1B —80-year-old woman with large colon polyp. Lesion missed by all observers on CT colonography. CT colonographic scan (A) shows location of lesion (arrowheads). Colonoscopic image (B) shows flat adenoma 2 cm from anus covering half of circumference of rectum. Water-filled balloon obscured flat lesion in rectum. Deflating balloon in prone position or using air-inflated balloon probably would have increased conspicuity of polyp.

 

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