Overview
CT colonography provides a minimally invasive option for colorectal screening and polyp detection. It requires bowel preparation and insufflation for optimal visualization. Positive findings typically require colonoscopic confirmation and removal.
Technique
Low dose CT protocols and prone supine imaging improve lesion detection. Computer aided detection assists radiologists in identifying polyps. Quality control and standardized reporting enhance program performance.
Clinical Role
CT colonography is an alternative for patients unable or unwilling to undergo optical colonoscopy. It detects clinically significant polyps and cancers with high sensitivity. Screening programs consider availability and follow up pathways.
Limitations
Extracolonic findings may require additional evaluation and increase downstream testing. Radiation exposure and bowel prep remain considerations for some patients. Shared decision making informs modality choice.