Canadian Association of Radiologists Practice Guidelines for Computed Tomography Colonography.

Autor:	Chawla T; Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada.; Mount Sinai Hospital, Toronto, Ontario, Canada., Hurrell C; Canadian Association of Radiologists, Ottawa, Ontario, Canada., Keough V; Department of Diagnostic Radiology, Dalhousie University, Halifax, Nova Scotia, Canada., Lindquist CM; Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada., Mohammed MF; Abdominal Radiology Section, Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Samson C; Département de Radiologie, Radio-oncologie et Médecine Nucléaire, Université de Montréal, Montreal, Quebec, Canada., Sugrue G; Department of Radiology, University of British Columbia, Vancouver, BC, Canada., Walsh C; Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes [Can Assoc Radiol J] 2024 Feb; Vol. 75 (1), pp. 54-68. Date of Electronic Publication: 2023 Jul 06.
DOI:	10.1177/08465371231182975
Abstrakt:	Colon cancer is the third most common malignancy in Canada. Computed tomography colonography (CTC) provides a creditable and validated option for colon screening and assessment of known pathology in patients for whom conventional colonoscopy is contraindicated or where patients self-select to use imaging as their primary modality for initial colonic assessment. This updated guideline aims to provide a toolkit for both experienced imagers (and technologists) and for those considering launching this examination in their practice. There is guidance for reporting, optimal exam preparation, tips for problem solving to attain high quality examinations in challenging scenarios as well as suggestions for ongoing maintenance of competence. We also provide insight into the role of artificial intelligence and the utility of CTC in tumour staging of colorectal cancer. The appendices provide more detailed guidance into bowel preparation and reporting templates as well as useful information on polyp stratification and management strategies. Reading this guideline should equip the reader with the knowledge base to perform colonography but also provide an unbiased overview of its role in colon screening compared with other screening options. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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