Skip to main content
SpringerLink
Log in

Radiological Imaging of the Lower Gastrointestinal Tract

  • Chapter
Endoscopic Oncology

  • 854 Accesses

Abstract

This chapter focuses on radiological imaging of colonic neoplasia. Examination of the colon is most often performed with barium radiography and computed tomography (CT). Ultrasonography, positron emission tomography, and magnetic resonance imaging (MRI) have minor roles in colon imaging.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Fork ET, Ekberg O, Nilsson G, et al. Colon cleansing regimens. Gastrointest Radiol 1982; 7:383–389.

    Article  PubMed  CAS  Google Scholar 

  2. Gelfand DW, Chen YM, Ott DJ. Colonic cleansing for radiographic detection of neoplasia: efficacy of the magnesium citrate-castor oil-cleansing enema regimen. AJR 1988; 151:705–708.

    PubMed  CAS  Google Scholar 

  3. Gelfand DW, Chen YM, Ott DJ. Preparing the colon for the barium enema examination. Radiology 1991; 178:609–613.

    PubMed  CAS  Google Scholar 

  4. Williams SM, Harned RK. Recognition and prevention of barium enema complications. Curr Probl Diagn Radiol 1991; 20:123–151.

    Article  PubMed  CAS  Google Scholar 

  5. Maglinte DDT, Strong RC, Strate RW, et al. Barium enema after colorectal biopsies: experimental data. AJR 1982; 139:693–697.

    PubMed  CAS  Google Scholar 

  6. Harned RK, Consigny PM, Cooper NB. Barium enema examination following biopsy of the rectum or colon. Radiology 1982; 145:11–16.

    PubMed  CAS  Google Scholar 

  7. Janower ML. Hypersensitivity reactions after barium studies of the upper and lower gastrointestinal tract. Radiology 1986; 161:139–140.

    PubMed  CAS  Google Scholar 

  8. Fezcko PJ, Simms SM, Bakirici N. Fatal hypersensitivity reaction during a barium enema. AJR 1989; 153:275–276.

    Google Scholar 

  9. Ownby DR, Tomlanovich M, Sammons N, et al. Anaphylaxis associated with latex allergy during barium enema examinations. AJR 1991; 156:903–908.

    PubMed  CAS  Google Scholar 

  10. Gelfand DW. Barium enemas, latex balloons and anaphylactic reactions. AJR 1991; 156:1,2.

    PubMed  CAS  Google Scholar 

  11. Skucas J. Contrast media. In: Gore RM, Levine MS, eds. Textbook of Gastrointestinal Radiology, 2nd ed. Philadelphia: WB Saunders; 2000:2–14.

    Google Scholar 

  12. Rubesin SE, Laufer I. Double contrast barium enema: technical aspects. In: Levine MS, Rubesin SE, Laufer I, eds. Double contrast gastrointestinal radiology, 3rd ed. Philadelphia: WB Saunders; 2000:331–356.

    Google Scholar 

  13. Levine MS, Barnes MJ, Bronner MP, et al. Atypical hyperplastic polyps on double-contrast barium enema. Radiology 1990; 175:691–694.

    PubMed  CAS  Google Scholar 

  14. Muto T, Bussey HJR, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975; 36:2251–2270.

    Article  PubMed  CAS  Google Scholar 

  15. Thompson JJ, Enterline HT. The macroscopic appearance of colorectal polyps. Cancer 1981; 48:151–160.

    Article  PubMed  CAS  Google Scholar 

  16. Smith TR. Pedunculated malignant colonic polyps with superficial invasion of the stalk. Radiology 1975; 115:593–596.

    PubMed  CAS  Google Scholar 

  17. Haggitt RC, Glotzbach RE, Soffer EE, Wruble WD. Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesion removal by endoscopic polypectomy. Gastroenterology 1985; 89:328–336.

    PubMed  CAS  Google Scholar 

  18. Youker JE, Welin S. Differentiation of the true polypoid lesions of the colon from extraneous material, a new roentgen sign. Radiology 1965; 84:610–615.

    PubMed  CAS  Google Scholar 

  19. Ott DJ, Gelfand DW, Wu WC. Colonic polyp morphology on double contrast barium enema: its pathologic predictive value. AJR 1983; 141:965–970.

    PubMed  CAS  Google Scholar 

  20. Rubesin SE, Sul SH, Laufer I, et al. Carpet lesions of the colon. Radiographics 1985; 5:537–552.

    Google Scholar 

  21. Iida M, Iwashita A, Yao T, et al. Villous tumor of the colon: correlation of histologic, macroscopic, and radiographic features. Radiology 1988; 167:673–677.

    PubMed  CAS  Google Scholar 

  22. Matsumoto T, Iida M, Kohrogi N, et al. Minute nonpolypoid adenomas of the colon depicted with barium enema examination. Radiology 1993; 187:377–380.

    PubMed  CAS  Google Scholar 

  23. Fujiya M, Maruyama M. Small depressed neoplasm of the large bowel: radiographic visualization and clinical significance. Abdom Imaging 1997; 22:325–331.

    Article  PubMed  CAS  Google Scholar 

  24. Bond JH. Small flat adenomas appear to have little clinical importance in Western countries. Gastrointest Endosc 1995; 42:184–186.

    Article  PubMed  CAS  Google Scholar 

  25. McCarthy PA, Rubesin SE, Levine MS, et al. Colon cancer: morphology detected by barium enema examination versus histopathologic stage. Radiology 1995; 197:683–687.

    PubMed  CAS  Google Scholar 

  26. Cunnane ME, Rubesin SE, Furth EE, et al. Small flat umbilicated tumors of the colon: radiographic and pathologic findings. AJR 2000:175:747–749.

    PubMed  CAS  Google Scholar 

  27. Rubesin SE, Stuzin N, Laufer I. Atlas of Colon Tumors. Seminars in Col & Rect Surg. 1993; 4:94–111.

    Google Scholar 

  28. Shimoda T, Ikegami M, Fujisaki J et al. Early colorectal carcinoma with special reference to its development de novo. Cancer 1989; 64:1138–1146.

    Article  PubMed  CAS  Google Scholar 

  29. Raskin MM, Viamonte M, Viamonte M Jr. Primary linitis plastica carcinoma of the colon. Radiology 1974; 113:17–22.

    PubMed  CAS  Google Scholar 

  30. Kelvin FM, Gardiner R, Vas W, et al. Colorectal carcinoma missed on double contrast barium enema study: a problem in perception. AJR 1981; 137:307–313.

    PubMed  CAS  Google Scholar 

  31. Chong A, Shah JN, Levine MS, et al. Diagnostic yield of barium enemas after incomplete colonoscopy. Radiology 2002; 223:620–624.

    Article  PubMed  Google Scholar 

  32. Habr-Gama A, Waye JD. Complications and hazards of gastrointestinal endoscopy. World J Surgery 1989; 13:193–201.

    Article  CAS  Google Scholar 

  33. Fenlon HM, McAneny, Nunes DP, et al. Occlusive colon carcinoma: virtual colonoscopy in the preoperative evaluation of the proximal colon. Radiology 1999; 210:423–428.

    PubMed  CAS  Google Scholar 

  34. Macari M, Berman P, Dicker M, et al. Usefulness of CT colonography in patients with incomplete colonoscopy. AJR 1999; 173:561–564.

    PubMed  CAS  Google Scholar 

  35. Johnson CD, Harmsen LA, Wilson RL et al. Prospective blinded evaluation of computed tomographic colonography for screen detection of colorectal polyps. Gastroenterology 2003; 125: 311–319.

    Article  PubMed  Google Scholar 

  36. Pineau BC, Paskett ED, Chen MA. Virtual colonoscopy using oral contrast compared with colonoscopy for the detection of patients with colorectal polyps. Gastroenterology 2003; 125:304–310.

    Article  PubMed  Google Scholar 

  37. Galdino GM, Yee J. Carpet lesion on CT colonography: a potential pitfall. AJR 2003; 180:1332–1334.

    PubMed  Google Scholar 

  38. Eddy DM, Nugent FW, Eddy JF, et al. Screening for colorectal cancer in a high-risk population. Gastroenterology 1987; 92:682–692.

    PubMed  CAS  Google Scholar 

  39. Glick S, Wagner JL, Johnson CD. Cost-effectiveness of double-contrast barium enema in screening for colorectal cancer. AJR 1998; 170:629–636.

    PubMed  CAS  Google Scholar 

  40. Lieberman D. How to screen for colon cancer. Ann Rev Med 1998; 49:163–172.

    Article  PubMed  CAS  Google Scholar 

  41. Low RN, McCue, Barone R, et al. MR staging of primary colorectalcarcinoma: comparison with surgical and histopathologic findings. Abdom Imaging 2003; 28:784–793.

    Article  PubMed  CAS  Google Scholar 

  42. Butch RJ, Stark DD, Wittenberg J, et al. Staging rectal cancer by MR and CT. AJR 1986; 146:1155–1160.

    PubMed  CAS  Google Scholar 

  43. Dobos N, Rubesin SE. Radiologic imaging modalities in the diagnosis and management of colorectal cancer. Hem/Onc Clin NA 2002; 16:875–895.

    Google Scholar 

  44. Schnall MD, Furth EE, Rosato EF, et al. Rectal tumor stage: correlation of endorectal MR imaging and pathologic findings. Radiology 1994; 190:709–714.

    PubMed  CAS  Google Scholar 

  45. Zagoria RJ, Schlarb CA, Ott DJ, et al. Assessment of rectal tumor infiltration utilizing endorectal MR imaging and comparison with endoscopic rectal sonography. J Surg Oncol 1997; 64:312–317.

    Article  PubMed  CAS  Google Scholar 

  46. Kim NK, Kim NJ, Yun SH, et al. Comparative study of transrectal ultrasonography, pelvic computerized tomography, and magnetic resonance imaging in preoperative staging of rectal cancer. Dis Colon Rectum 1999; 42:770–775.

    Article  PubMed  CAS  Google Scholar 

  47. Chintapalli KN, Esola CC, Chopra S, et al. Pericolic mesenteric lymph nodes: an aid in distinguishing diverticulitis from cancer of the colon. AJR 1997; 169:253–1255.

    Google Scholar 

  48. Farouk R, Nelson H, Radice E, et al. Accuracy of computed tomography in determining resectability for locally and advanced primary or recurrent colorectal cancers. AM J Surg 1998; 175:283–287.

    Article  PubMed  CAS  Google Scholar 

  49. Meyers MA. Dynamic radiology of the Abdomen: Normal and Pathologic Anatomy, 5th ed. New York: Springer, 2000.

    Google Scholar 

  50. Fong Y, Kemeny N, Paty P, et al. Treatment of colorectal cancer: hepatic metastases. Semin Surg Oncol 1996; 12:219–252.

    Article  PubMed  CAS  Google Scholar 

  51. Kim EE, Chung SK, Haynie TP, et al. Differentiation of residual recurrent tumors for post-treatment changes with F-18 FDG PET. Radiographics 1992; 12:269–279.

    PubMed  CAS  Google Scholar 

  52. Tan TXL, Klein MY, Tabib VT, Turner C, Forde JM. Oncologic Applications of PET: An Updated Review. Applied Radiology 2000; 29:18–25.

    Article  Google Scholar 

  53. Castro DB, Stearns MW. Lipomas of the gastrointestinal tract. Dis. Colon Rectum 1972; 15:441–444.

    Article  PubMed  CAS  Google Scholar 

  54. Rubesin SE, Furth EE. Other Tumors of the Colon. In Gore RM, Levine MS, eds. Textbook of Gastrointestinal Radiology, 2nd ed. Philadelphia: WB Saunders; 2001:1049–1074.

    Google Scholar 

  55. Hurwitz MH, Redleaf PD, Williams HJ, et al. Lipomas of the gastrointestinal tract. AJR 1967; 99:84–89.

    CAS  Google Scholar 

  56. Megibow AJ, Redmond PE, Bosniak MA, et al. Diagnosis of gastrointestinal lipomas by CT. AJR 1979; 133:743–745.

    PubMed  CAS  Google Scholar 

  57. Williams SN, Berk RN, Harned RK. Radiologic features of multinodular lymphoma of the colon. AJR 1984; 143:87–91.

    PubMed  CAS  Google Scholar 

  58. O’Connell DJ, Thompson AJ: Lymphoma of the colon. The spectrum of radiologic changes. Gastrointestinal Radiology 1978; 2:377–385.

    Article  PubMed  CAS  Google Scholar 

  59. Meyers MA, McSweeney J. Secondary neoplasms of the bowel. Radiology 1972; 105:1–11.

    PubMed  CAS  Google Scholar 

  60. Becker JA. Prostatic carcinoma involving the rectum and sigmoid colon. AJR 1965; 94:421–428.

    Google Scholar 

  61. Rubesin SE, Levine MS, Bezzi M, et al. Rectal involvement by prostatic carcinoma: radiographic findings. AJR 1989; 152:53–57.

    PubMed  CAS  Google Scholar 

  62. Meyers MA. Distribution of intra-abdominal malignant seeding: dependency on dynamics of flow of ascitic fluid. AJR 1973; 119:198–206.

    CAS  Google Scholar 

  63. Rubesin SE, Levine MS. Omental cakes: Colonic involvement by omental metastasis. Radiology 1985; 154:593–596.

    PubMed  CAS  Google Scholar 

  64. Rubesin SE, Levine MS, Glick SN. Gastric involvement by omental cakes: Radiographic findings. Gastrointest Radiol 1986; 11:223–228.

    Article  PubMed  CAS  Google Scholar 

  65. Meyers MA. Intraperitoneal spread of malignancies and its effect on the bowel. Clin Radiol 1981; 32:129–146.

    Article  PubMed  CAS  Google Scholar 

  66. Pannu HK, Bristow RE, Montz FJ, Fishman EK. Multidetector CT of peritoneal carcinomatosis from ovarian cancer. Radio Gaphics 2003; 23:687–701.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Pennsylvania School of Medicine and Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA

    Stephen E. Rubesin MD (Professor of Radiology)

Authors
  1. Stephen E. Rubesin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Oregon Health and Science University, Portland, OR

    Douglas O. Faigel MD, FACG, FASGE (Associate Professor of Medicine, Director of Endoscopy) (Associate Professor of Medicine, Director of Endoscopy)

  2. Hospital of the University of Pennsylvania, Philadelphia, PA

    Michael L. Kochman MD, FACP, FASGE (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology) (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology)

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Humana Press, Totowa, NJ

About this chapter

Cite this chapter

Rubesin, S.E. (2006). Radiological Imaging of the Lower Gastrointestinal Tract. In: Faigel, D.O., Kochman, M.L. (eds) Endoscopic Oncology. Humana Press. https://doi.org/10.1007/978-1-59745-172-7_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-172-7_22

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-532-3

  • Online ISBN: 978-1-59745-172-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation