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Can Computed Tomography Colonography Replace Optical Colonoscopy in Detecting Colorectal Lesions?: State of the Art

  • Alessia Chini (Department of Clinical Medicine and Surgery, University of Naples "Federico II") ;
  • Michele Manigrasso (Department of Advanced Biomedical Sciences, University of Naples "Federico II") ;
  • Grazia Cantore (Department of Clinical Medicine and Surgery, University of Naples "Federico II") ;
  • Rosa Maione (Department of Clinical Medicine and Surgery, University of Naples "Federico II") ;
  • Marco Milone (Department of Clinical Medicine and Surgery, University of Naples "Federico II") ;
  • Francesco Maione (Department of Clinical Medicine and Surgery, University of Naples "Federico II") ;
  • Giovanni Domenico De Palma (Department of Clinical Medicine and Surgery, University of Naples "Federico II")
  • 투고 : 2021.10.11
  • 심사 : 2021.12.01
  • 발행 : 2022.03.30

초록

Colorectal cancer is an important cause of morbidity and mortality worldwide. Optical colonoscopy (OC) is widely accepted as the reference standard for the screening of colorectal polyps and cancers, and computed tomography colonography (CTC) is a valid alternative to OC. The purpose of this review was to assess the diagnostic accuracy of OC and CTC for colorectal lesions. A literature search was performed in PubMed, Embase, and Cochrane Library, and 18 articles were included. CTC has emerged in recent years as a potential screening examination with high accuracy for the detection of colorectal lesions. However, the clinical application of CTC as a screening technique is limited because it is highly dependent on the size of the lesions and has poor performance in detecting individual lesions <5 mm or flat lesions, which, although rarely, can have a malignant potential.

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참고문헌

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