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Computed tomographic colonography (virtual colonoscopy)

Guidance issued Guidance issued
 
IP Guidance Number: IPG129
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on computed tomographic colonoscopy (virtual colonography).

Description:

CT colonography is used to examine the colon and rectum, and detect abnormalities such as polyps and cancer. Polyps are growths in the lining of the colon or rectum that protrude into the intestinal canal. They may be hyperplastic, which are completely benign or adenomatousin type, which have the potential to become malignant.

Conventional colonoscopy and double contrast barium enema are the main methods currently used for examining the entire colon. The bowel must be empty before either of these procedures is performed.

CT colonography is less invasive than a conventional colonoscopy. It involves using a CT scanner to produce 2- and 3-dimensional images of the entire colon and rectum.

CT colonography is performed on an empty bowel. Sedation is not usually required. The colon is distended by insufflation with air or carbon dioxide, via a small rectal tube. Antispasmodic agents and/or contrast agents may be administered intravenously before the scan. The CT scan is done with the patient holding his or her breath for approximately 20 seconds in both the supine and prone positions.

The images are then manipulated and interpreted by a radiologist.

Arrangements:

Normal

Topic Area:

Cancer
Diagnostic procedures
Digestive system

Specialty:

Clinical radiology

Specialist advice has
been sought from:

Royal College of Radiologists.

Society of Radiographers.

British Society of Gastroenterology.

Special Interest Group in Gastrointestinal and Abdominal Radiology (SIGGAR).

Association of Coloproctology of Great Britain and Ireland
Date notified to NICE: 05 February 2003
Provisional Consultation Date: December 2004
Guidance Publication Date: 22 June 2005
Contact Details:
Project Manager
(for general enquiries or comments)
Ben Doak
ip@nice.org.uk
Technical Lead
(for procedure specific enquiries or comments)
Helen Gallo
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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