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Diagnostic Value of CT Colonography in Colorectal Carcinoma
引用本文:Bohan Xiao Zhaoxiang Ye Peifang Liu Jianyu Xiao. Diagnostic Value of CT Colonography in Colorectal Carcinoma[J]. 中国肿瘤临床(英文版), 2007, 4(4): 268-272. DOI: 10.1007/s11805-007-0268-4
作者姓名:Bohan Xiao Zhaoxiang Ye Peifang Liu Jianyu Xiao
作者单位:[1]Key Laborato.ry of Cancer Prevention and Therapy, Tianjin 300060, China. [2]Department of Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.
摘    要:OBJECTIVE To investigate the value of CT colonography (CTC) in diagnosis and preoperative staging of colorectal carcinoma. METHODS CTC was performed on 33 patients who were suspected of having colorectal carcinoma. The results of CTC were compared with those of a pathological examination. RESULTS Among the 22 patients who were diagnosed with colorectal carcinoma by CTC, 20 cases were confirmed by pathology. The diagnostic sensitivity and specificity were 100% (20/20) and 84.6% (11/13) respec- tively. The accuracy of showing carcinoma pathologic patterns was 90% (18/20). The sensitivity and specificity were both 100% in the mass type; 77.8% and 100% in the infiltrating type; 100% and 85.7% in the ulcerated type. The accuracy of staging Dukes' carcinoma was 75%. The sensitiv- ity and specificity were 100% and 94.1% for Dukes'A; 80% and 73.3% for Dukes' B; 60% and 100% in Dukes' C; 71.4% and 100% for Dukes' D. CONCLUSION CTC produces a high success rate and provides con- siderable diagnostic information for both an accurate diagnosis of colorectal carcinoma and staging before operation.

关 键 词:结直肠肿瘤 X线检查 CT诊断 治疗
收稿时间:2007-02-28
修稿时间:2007-02-28

Diagnostic value of CT colonography in colorectal carcinoma
Bohan Xiao, Zhaoxiang Ye, Peifang Liu and Jianyu Xiao. Diagnostic value of CT colonography in colorectal carcinoma[J]. Chinese Journal of Clinical Oncology, 2007, 4(4): 268-272. DOI: 10.1007/s11805-007-0268-4
Authors:Bohan Xiao   Zhaoxiang Ye   Peifang Liu  Jianyu Xiao
Affiliation:(1) Key Laboratory of Cancer Prevention and Therapy, Tianjin, 300060, China;(2) Department of Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, 300060, China
Abstract:Objective To investigate the value of CT colonography (CTC) in diagnosis and preoperative staging of colorectal carcinoma. Methods CTC was performed on 33 patients who were suspected of having colorectal carcinoma. The results of CTC were compared with those of a pathological examination. Results Among the 22 patients who were diagnosed with colorectal carcinoma by CTC, 20 cases were confirmed by pathology. The diagnostic sensitivity and specificity were 100% (20/20) and 84.6% (11/13) respectively. The accuracy of showing carcinoma pathologic patterns was 90% (18/20). The sensitivity and specificity were both 100% in the mass type; 77.8% and 100% in the infiltrating type; 100% and 85.7% in the ulcerated type. The accuracy of staging Dukes’ carcinoma was 75%. The sensitivity and specificity were 100% and 94.1% for Dukes’A; 80% and 73.3% for Dukes’ B; 60% and 100% in Dukes’ C; 71.4% and 100% for Dukes’ D. Conclusion CTC produces a high success rate and provides considerable diagnostic information for both an accurate diagnosis of colorectal carcinoma and staging before operation.
Keywords:tomography  X-ray computed  colorectal neoplasm  diagnosis  neoplasm staging.
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