Newsletter - July 2014     Dear MDCT.net users, Virtual colonoscopy (also called computed tomographic colonography, or CTC) is now a recommended radiological procedure for colon imaging. Since the early 1990s when it was developed, CTC technology has been finely improved, its capabilities have widely expanded, and its clinical indications have progressively evolved. Recent guidelines recognize CTC as the most acceptable, minimally invasive screening method for the detection of colorectal cancer and adenomatous polyps in both symptomatic and asymptomatic patients. This month, MDCT.net publishes a comprehensive review of CTC’s recommended applications and contraindications in A. Laghi’s “Focus on”. Another contribution by the same author summarizes CTC’s safety profile, referring in particular to data from a meta-analysis that documents the low risk of colonic perforation. Three new clinical cases show the real-life use of CTC, and a selection of recently published research papers demonstrates the characteristics, benefits and risks of this examination in specific settings. Finally, the proposed e-book relates the history of CTC as both a colorectal imaging and screening modality and illustrates new directions in the practice of this advanced technique. We remind you that suggestions for new topics to be covered in future issues are very appreciated: for this purpose please contact us at editorial@mdct.net . From the MDCT.net team     view »       • Bellini D, Rengo M, De Cecco CN, Iafrate F, Hassan C, Laghi A. Perforation rate in CT colonography: a systematic review of the literature and meta-analysis. Eur Radiol. 2014 Jul;24(7):1487-96 • Di Martino M, Saba L, Bosco S et al.  Hepatocellular carcinoma (HCC) in non-cirrhotic liver: clinical, radiological and pathological findings. Eur Radiol. 2014 Jul;24(7):1446-1454 • Plumb AA, Halligan S, Pendsé DA et al.  Sensitivity and specificity of CT colonography for the detection of colonic neoplasia after positive faecal occult blood testing: systematic review and meta-analysis Eur Radiol. 2014 May;24(5):1049-1058 • Flor N, Ceretti AP, Mezzanzanica M et al. Impact of contrast-enhanced computed tomography colonography on laparoscopic surgical planning of colorectal cancer. Abdom Imaging. 2013 Oct;38(5):1024-1032 • Flor N, Rigamonti P, Pisani Ceretti A et al.  Diverticular disease severity score based on CT colonography. Eur Radiol. 2013 Oct;23(10):2723-2729 • Perez-Johnston R, Hahn PF, Shenoy-Bhangle AS et al. Percutaneous biopsy of focal lesions of the gastrointestinal tract . Abdom Imaging. 2013 Dec;38(6):1197-1202       Low rate of perforation during CT colonography A. Laghi view »     Abdominal pain and mild anemia Man, 76 years old view » Rectal bleeding Woman, 57 years old view » Gastrointestinal bleeding Man, 88 years old view »     Colorectal Cancer Screening and Computerized Tomographic Colonography A Comprehensive Overview Brooks D. Cash, ed. Springer 2013 • Table of Contents • Indications and Evidence for CTC view »     If you wish to be removed from this email list, please click here If you would like to view our Privacy Policy, click here