Abdominal Imaging

, Volume 38, Issue 1, pp 82–97

Missed lesions at CT colonography: lessons learned

Article

DOI: 10.1007/s00261-012-9897-z

Cite this article as:
Pickhardt, P.J. Abdom Imaging (2013) 38: 82. doi:10.1007/s00261-012-9897-z

Abstract

Misinterpretation at CT colonography (CTC) can result in either a colorectal lesion being missed (false-negative) or a false-positive diagnosis. This review will largely focus on potential missed lesions—and ways to avoid such misses. The general causes of false-negative interpretation at CTC can be broadly characterized and grouped into discrete categories related to suboptimal study technique, specific lesion characteristics, anatomic location, and imaging artifacts. Overlapping causes further increase the likelihood of missing a clinically relevant lesion. In the end, if the technical factors of bowel preparation, colonic distention, and robust CTC software are adequately addressed on a consistent basis, and the reader is aware of all the potential pitfalls at CTC, important lesions will seldom be missed.

Keywords

CT colonography Virtual colonoscopy Interpretation Pitfalls Colorectal polyps 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of Wisconsin School of Medicine & Public Health, E3/311 Clinical Science CenterMadisonUSA