Clinical Value of 256 Slice Spiral CT Colonography in Preoperative Staging of Colon Cancer

Author:LI Zhong-guo, HU Man-yi, WANG Yue,et al.

affiliation:Department of Radiology, Beijing Huairou Hospital, Beijing 101400, China

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Abstract

Objective To investigate the clinical value of multi-row spiral CT colon imaging (CTC) for preoperative colon cancer. Methods 35 cases of colon cancer patients diagnosed by fiber colonoscopy CT scan, all patients completed the CTC examination and surgical treatment in hospital, the CT data to workstation post-processing, CTC of image, the proceeds of CTC test results compared with surgical pathology results. Results All 35 cases of colon cancer were detected by CTC, and the sensitivity was 100%. The diagnostic compliance rate of CTC for T staging was 50.0% in T1, 83.3% in T2, 88.2% in T3, 100% in T4, and the diagnosis compliance rate of N stage was 60.8%, N1 period 57.9%, and N2 period 50% respectively. Conclusion CTC, as a noninvasive examination method, can accurately determine the degree of disease, and has a very positive significance for the rational formulation of the treatment plan, which has high clinical value.

【Keyword】CT; Colon Cancer; Preoperative Staging; Virtual Endoscopy

【Chart number】R735.3+5;R445.3

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2017.06.013