By Wendy Atkin MD, John Northover MD (auth.), Anthony H. Chapman MD (eds.)
Radiology has noticeable dramatic technological advances lately. This multi-author textual content describes the present method of colonic imaging and offers a close perception into most probably destiny advancements. The position of radiology in melanoma screening is totally thought of. during this context, specific awareness is dedicated to CT and MR digital colonography, which, it really is expected, will principally substitute barium enema radiology and decrease using diagnostic colonoscopy. glossy melanoma staging concepts, together with puppy scanning, are reviewed, and post-treatment follow-up concepts are tested. The imaging of inflammatory and tense stipulations of the colon is defined, as are present colonic interventional ideas, resembling tumour stenting, colon decompression and vascular embolisation. in brief, this publication offers a entire, well-illustrated and up to date overview of colonic imaging.
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Additional resources for Radiology and Imaging of the Colon
In contrast caecal and ascending colon polyps are predominantly sessile. The stalk in pedunculated polyps is often lined by normal mucosa and contains submucosal connective tissue and vessels. Flat adenomas are discussed in more detail below. I982). Micro-adenomas, which are invisible to the naked eye and consist of one or a few dysplastic crypts (unicrypt and oligocryptal adenomas), are the earliest lesion identifiable histologically (Fig. 2). They are very rarely seen in "average risk" populations but are well described in patients with familial adenomatous polyposis (FAP) (BRADBURN et al.
Dis Colon Rectum 34: 696-698 Pescatore P,Glucker T, Delarive J et al (2000) Diagnostic accuracy and interobserver agreement of CT colonography (virtual colonoscopy) . Gut 47:126-130 Rembacken BJ, Fujii T,Cairns A et al (2000) Flat and depressed colonic neoplasms: a prospective study of 1000 colonosco pies in the UK. Lancet 355:1211-1214 Rex DK,Cutler CS,Lemmel GT et al (1997) Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology 112:24-28 Rex DK, Vining D, Kopecky K (1997) Screening for colon polyps using spiral CT with and without virtual colonos copy (abstract).
N Engl J Med 329:1977-1981 Winawer SJ, Fletcher RH, Miller L et al (1997) Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 112:594-642 Woodford-Richens K, Bevan S, Churchman M et al (2000) Analysis of genetic and phenotypic heterogeneity in juvenile polyposis. Gut 46:656-660 Wu Y, Berends MJ, Sijmons RH et al (2001) A role for MLH3 in hereditary nonpolyposis colorectal cancer. Nat Genet 29:137-138 Yee J,Akerkar GA, Hung RK et al (2001) Colorectal neoplasia: performance characteristics of CT colonography for detection in 300 patients.
Radiology and Imaging of the Colon by Wendy Atkin MD, John Northover MD (auth.), Anthony H. Chapman MD (eds.)