Japanese Journal of Radiology

, Volume 29, Issue 6, pp 386–393

Initial experience with computed tomographic colonography applied for noncolorectal cancerous conditions

  • Tamaki Ichikawa
  • Shuichi Kawada
  • Satoru Hirata
  • Shu Ikeda
  • Yuuki Sato
  • Yutaka Imai
Original Article

DOI: 10.1007/s11604-011-0569-7

Cite this article as:
Ichikawa, T., Kawada, S., Hirata, S. et al. Jpn J Radiol (2011) 29: 386. doi:10.1007/s11604-011-0569-7

Abstract

Purpose

The aim of this study was to asses retrospectively the performance of computed tomography colonography (CTC) for noncolorectal cancerous conditions.

Material and methods

A total of 44 patients with non-colorectal cancerous conditions underwent CTC. We researched the indications for CTC or present illness and evaluated the CTC imaging findings. We assessed whether diagnosis by CTC reduced conventional colonoscopic examinations.

Results

A total of 47 examinations were performed in 44 patients. The indications for CTC or a present illness were as follows: 15 patients with impossible or incomplete colonoscopy, 7 with diverticular disease, 6 with malignancy (noncolorectal cancer), 6 with Crohn’s disease, 4 suspected to have a submucosal tumor on colonoscopy, 2 with ischemic colitis, and 4 with various other diseases. Colonic findings were diagnosed on CTC in 36 examinations, and extracolonic findings were identified in 35 of 44 patients. In all, 17 patients had undergone colonoscopy previously, 9 (52.9%) of whom did not require further colonoscopy by CTC. Five patients underwent colonoscopy after CTC.

Conclusion

The indications for CTC were varied for patients with noncolorectal cancerous conditions. CTC examinations could be performed safely. Unlike colonoscopy or CT without preparation, CTC revealed colonic and extracolonic findings and may reduce the indication of colonoscopy in patients with noncolorectal cancerous conditions.

Key words

CT colonography Extracolonic findings 

Copyright information

© Japan Radiological Society 2011

Authors and Affiliations

  • Tamaki Ichikawa
    • 1
  • Shuichi Kawada
    • 1
  • Satoru Hirata
    • 2
  • Shu Ikeda
    • 2
  • Yuuki Sato
    • 2
  • Yutaka Imai
    • 1
  1. 1.Department of RadiologyTokai University of School of MedicineIseharaJapan
  2. 2.Department of Radiological TechnologyTokai University of School of MedicineIseharaJapan