CT结肠成像术的临床应用及其在结直肠癌中的研究进展

胡飞翔; 童　彤; 彭卫军

doi:10.3969/j.issn.1007-3969.2015.11.006

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CT结肠成像术的临床应用及其在结直肠癌中的研究进展

更新时间：2025-12-31

- CT结肠成像术的临床应用及其在结直肠癌中的研究进展
- Research progress and clinical applications of computed tomographic colonography in coloretal cancer
- 中国癌症杂志 2015年25卷第11期页码：871-876
- 作者机构：
  
  复旦大学附属肿瘤医院放射诊断科，复旦大学上海医学院肿瘤学系,上海,200032
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1007-3969.2015.11.006
  中图分类号：
- 网络出版：2016-02-01，
  
  纸质出版：2015-02-01
- 稿件说明：
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胡飞翔,童　彤,彭卫军. CT结肠成像术的临床应用及其在结直肠癌中的研究进展[J]. 中国癌症杂志, 2015, 25(11): 871-876.

胡飞翔, 童　彤, 彭卫军. Research progress and clinical applications of computed tomographic colonography in coloretal cancer[J]. China Oncology, 2015, 25(11): 871-876.
胡飞翔,童　彤,彭卫军. CT结肠成像术的临床应用及其在结直肠癌中的研究进展[J]. 中国癌症杂志, 2015, 25(11): 871-876. DOI： 10.3969/j.issn.1007-3969.2015.11.006.

胡飞翔, 童　彤, 彭卫军. Research progress and clinical applications of computed tomographic colonography in coloretal cancer[J]. China Oncology, 2015, 25(11): 871-876. DOI： 10.3969/j.issn.1007-3969.2015.11.006.

摘要

CT结肠成像术(computed tomographic colonography，CTC)对于结直肠癌(coloretal cancer，CRC)具有良好的评价效果，自CTC开展以来已取得了很多突破性的研究进展。CTC相比传统结肠镜(conventional colonoscopy，CC)和钡灌肠(barium enema，BE)而言，具有微侵入性、检查时间短、易于患者接受和并发症较少等特点。电子清洁(electronic cleansing，EC)、双能CT(dual-energy CT，DECT)等新技术的应用丰富了CTC检查。2005年，虚拟肠镜工作小组提出“CT结肠成像报告和数据系统(computed tomographic colonography reporting and data system，C-RADS)”标准报告方案，他们提议报告需要包括病变大小、数量、形态、位置、衰减量及建议病灶监测。综述了CTC的临床应用及其研究进展，并就检查技术、适应证、禁忌证及安全风险进行了简单介绍。

Abstract

Computed tomography colonography (CTC) is a well-established technique for evaluation of colorectal cancer (CRC). Significant advances have been made in the technique of CTC since its inception. Besides being an excellent tool for detection of CRC

it is minimally invasive

less time-consuming and well tolerated by patients. Furthermore

it has fewer complications than conventional colonoscopy (CC) or barium enema (BE). The application of new technologies

such as electronic cleansing (EC) and dual-energy CT (DECT)

enriches the examination of CTC. In 2005

a standardized reporting scheme

“CT colonography reporting and data system (C-RADS)”

was put forward by the working group on virtual colonoscopy. They proposed that the report should include lesion size

number

morphology

location

attenuation and recommendations for lesion surveillance. New research progress and clinical applications of CTC in CRC are reviewed in this article. In addition

the paper also briefly touches upon technique

indications

contraindications

safety and risk of CTC.

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