Benefits of contrast-enhanced multidetector row CT colonography for preoperative staging in colorectal cancer patients

Gen Iinuma; Noriyuki Moriyama; Mitso Satake; Kunihisa Miyakawa; Yukio Muramatsu; Ukihide Tateishi; Takayuki Akasu; Yousuke Otake; Takahiro Fujii; Toshiaki Kobayashi

doi:10.1117/12.480399

2 May 2003 Benefits of contrast-enhanced multidetector row CT colonography for preoperative staging in colorectal cancer patients

Gen Iinuma, Noriyuki Moriyama, Mitso Satake, Kunihisa Miyakawa, Yukio Muramatsu, Ukihide Tateishi, Takayuki Akasu, Yousuke Otake, Takahiro Fujii, Toshiaki Kobayashi

Author Affiliations +

Proceedings Volume 5031, Medical Imaging 2003: Physiology and Function: Methods, Systems, and Applications; (2003) https://doi.org/10.1117/12.480399
Event: Medical Imaging 2003, 2003, San Diego, California, United States

Abstract

Recently, CT colonography has been recognized as an effective option for evaluating colorectal polyps in the USA. We have applied this technique to preoperative staging of colorectal cancer patients with a contrast-enhanced multi-detector row CT (MDCT). The use of manipulated multi-planar reconstruction (MPR) views in contrast-enhanced MDCT colonography proved advantageous for detecting lymph node metastases. Furthermore, 3-dimensional (3D) endoluminal images with Hansfield-transparency settings allowed vascular views of the colorectal wall for identification of invasive colorectal cancers. Using endoluminal images, increase in flow and pooling of blood related to angiogenesis of invasive cancer could be demonstrated, not only in the lymph nodes but also in the colorectal wall. Both MPR views and 3D endoluminal images can be acquired from the same 3D volumetric data generated by helical scanning in MDCT colonography, and both have great potential as modalities for computer-aided diagnosis (CAD) using blood flow information. Therefore the use of CAD can be expected to improve radiologists' diagnostic performance with regard to colorectal cancer.

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Gen Iinuma, Noriyuki Moriyama, Mitso Satake, Kunihisa Miyakawa, Yukio Muramatsu, Ukihide Tateishi, Takayuki Akasu, Yousuke Otake, Takahiro Fujii, and Toshiaki Kobayashi "Benefits of contrast-enhanced multidetector row CT colonography for preoperative staging in colorectal cancer patients", Proc. SPIE 5031, Medical Imaging 2003: Physiology and Function: Methods, Systems, and Applications, (2 May 2003); https://doi.org/10.1117/12.480399

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KEYWORDS

Colorectal cancer

Lymphatic system

Virtual colonoscopy

Cancer

3D image processing

Computer aided diagnosis and therapy

Colon

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