Aspectos comuns e pseudolesões na colonografia por tomografia computadorizada: ensaio iconográfico

Computed tomography colonography is a minimally invasive method for screening for polyps and colorectal cancer, with extremely unusual complications, increasingly used in the clinical practice. In the last decade, developments in bowel preparation, imaging, and in the training of investigators have...

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Detalles Bibliográficos
Autores: Atzingen, Augusto Castelli von [UNIFESP], Tiferes, Dario Ariel [UNIFESP], Matsumoto, Carlos Alberto [UNIFESP], Nunes, Thiago Franchi, Maia, Marcos Vinicius Alvim Soares [UNIFESP], D'Ippolito, Giuseppe [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7189
Acceso en línea:http://dx.doi.org/10.1590/S0100-39842012000300008
http://repositorio.unifesp.br/handle/11600/7189
Access Level:acceso abierto
Palabra clave:Colonography
Computed tomography
Colorectal neoplasm
Colonic polyps
Colonografia
Tomografia computadorizada
Câncer colorretal
Pólipos do colo
Descripción
Sumario:Computed tomography colonography is a minimally invasive method for screening for polyps and colorectal cancer, with extremely unusual complications, increasingly used in the clinical practice. In the last decade, developments in bowel preparation, imaging, and in the training of investigators have determined a significant increase in the method sensitivity. Images interpretation is accomplished through a combined analysis of two-dimensional source images and several types of three-dimensional renderings, with sensitivity around 96% in the detection of lesions with dimensions equal or greater than 10 mm in size, when analyzed by experienced radiologists. The present pictorial essay includes examples of diseases and pseudolesions most frequently observed in this type of imaging study. The authors present examples of flat and polypoid lesions, benign and malignant lesions, diverticular disease of the colon, among other conditions, as well as pseudolesions, including those related to inappropriate bowel preparation and misinterpretation.