FANG Zheng,ZHAO Jian-nong,GUO Da-jing,YU Cong,XIE Wei-bo,ZHONG Wei-jia.Diagnostic value of multiple multi-slice spiral CT colonography for colorectal tumors after postprocessing[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1926-1929.
FANG Zheng,ZHAO Jian-nong,GUO Da-jing,YU Cong,XIE Wei-bo,ZHONG Wei-jia.Diagnostic value of multiple multi-slice spiral CT colonography for colorectal tumors after postprocessing[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1926-1929.DOI:
Diagnostic value of multiple multi-slice spiral CT colonography for colorectal tumors after postprocessing
Objective To evaluate the diagnostic value of several 16-slice CT colonography (CTC) for colorectal tumors. Methods Forty-two patients with colorectal tumors underwent transverse scan using 16-slice spiral CT. The size
the circumferential extension and the pathologic patterns of tumors were compared among the images obtained by different techniques
including the original transverse images
the images of the multiplanar reformation (MPR)
shaded surface display (SSD)
Raysum
CT virtual colonoscopy (CTVC)
Wall View and virtual dissection (VD)
most of which were obtained from the postprocessing in the workstation. All the tumors were confirmed by the conventional colonography (CC) and/or histologically. Results The correction rates of the tumor size evaluation by Wall View
SSD and Raysum (97.6%
95.2%
95.2%) were higher than CTVC (78.6%) and original transverse images (73.8%). The correction rate in evaluating the circumferential extension of colorectal tumors by VD (100%) was higher than by CTVC
SSD
Raysum and original transverse images (85.7%
80.9%
80.9%
78.6%). The correction rate in evaluating the pathologic pattern by CTVC (90.5%) was higher than by SSD
Raysum and VD (71.4%
71.4%
61.9%); Futhermore
that by Wall View (88.1%) was higher than by VD (61.9%). Conclusion Seven display methods of CT colonography have their own advantages and disadvantages in diagnosis of the colorectal tumors. Proper choice of display methods and their combination can improve the diagnostic accuracy.