Extracolonic findings of computed tomographic colonography in Koreans
AIM： To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic （CT） colonography. METHODS： The significance of extracolonic lesions was classified as high, intermediate, or low. Medical records were reviewed to establish whether further investigations...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2009-03, Vol.15 (12), p.1487-1492 |
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| container_title | World journal of gastroenterology : WJG |
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| creator | Park, Sung-Keun Park, Dong-Il Lee, Sun-Young Lee, Sang-Kil Kim, Young-Ho Lee, Soon-Jin Byeon, Jeong-Sik Huh, Kyu-Chan Shim, Ki-Nam |
| description | AIM： To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic （CT） colonography.
METHODS： The significance of extracolonic lesions was classified as high, intermediate, or low. Medical records were reviewed to establish whether further investigations were carried out pertaining to the extracolonic lesions that were detected by CT colonography.
RESULTS： A total of 920 cases from 7 university hospitals were included, and 692 extracolonic findings were found in 532 （57.8%） patients. Of 692 extracolonic findings, 60 lesions （8.7%） were highly significant, 250 （36.1%） were of intermediate significance, and 382 （55.2%） were of low significance. CT colonography revealed fewer extracolonic findings in subjects who were without symptoms （P 〈 0.001）, younger （P 〈 0.001）, or who underwent CT colonography with no contrast enhancement （P = 0.005）. CT colonography with contrast enhancement showed higher cost-effectiveness in detecting highly significant extracolonic lesions in older subjects and in subjects with symptoms.
CONCLUSION： Most of the extracolonic findings detected using CT colonography were of less significant lesions. The role of CT colonography would be optimized if this procedure was performed with contrast enhancement in symptomatic older subjects. |
| doi_str_mv | 10.3748/wjg.15.1487 |
| format | Article |
| fullrecord | <record><control><sourceid>wanfang_jour_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2665144</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>30021685</cqvip_id><wanfj_id>wjg200912013</wanfj_id><sourcerecordid>wjg200912013</sourcerecordid><originalsourceid>FETCH-LOGICAL-c435t-2ea1e3debd300d26e7687e5c65b227ae83f1ed60908b764072845ade1bd2a6e3</originalsourceid><addsrcrecordid>eNpVkc9P2zAYhq2JaXRsJ-5ThNAuKJ1_xHZyQZpQx9CQuHC3HPtL6i6xi50M-O_n0mqMk2X70ePX34vQKcFLJqv62-OmXxK-JFUt36EFpaQpaV3hI7QgGMuyYVQeo48pbTCmjHH6AR2TfEgbyhZotXqaojZhCN6ZonPeOt-nInSFCeN2nsAWUxhDH_V2nYEXcL97LpwvfoUI2qdP6H2nhwSfD-sJuv-xur_6Wd7eXd9cfb8tTcX4VFLQBJiF1jKMLRUgRS2BG8FbSqWGmnUErMANrlspKizzP7i2QFpLtQB2gi732u3cjmAN-Jx9UNvoRh2fVdBOvb3xbq368EdRITipqiw43wsete-079UmzNHnxCoPkWLcEIoJy9jXwzsxPMyQJjW6ZGAYtIcwJyUklhUWIoMXe9DEkFKE7l8WgtWunJ1XEa525WT6y__xX9lDGxk4O-jWwfcPuQnVavO7cwOoPDFKRM3ZX4lwl14</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67074066</pqid></control><display><type>article</type><title>Extracolonic findings of computed tomographic colonography in Koreans</title><source>MEDLINE</source><source>Baishideng "World Journal of" online journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Park, Sung-Keun ; Park, Dong-Il ; Lee, Sun-Young ; Lee, Sang-Kil ; Kim, Young-Ho ; Lee, Soon-Jin ; Byeon, Jeong-Sik ; Huh, Kyu-Chan ; Shim, Ki-Nam</creator><creatorcontrib>Park, Sung-Keun ; Park, Dong-Il ; Lee, Sun-Young ; Lee, Sang-Kil ; Kim, Young-Ho ; Lee, Soon-Jin ; Byeon, Jeong-Sik ; Huh, Kyu-Chan ; Shim, Ki-Nam</creatorcontrib><description>AIM： To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic （CT） colonography.
METHODS： The significance of extracolonic lesions was classified as high, intermediate, or low. Medical records were reviewed to establish whether further investigations were carried out pertaining to the extracolonic lesions that were detected by CT colonography.
RESULTS： A total of 920 cases from 7 university hospitals were included, and 692 extracolonic findings were found in 532 （57.8%） patients. Of 692 extracolonic findings, 60 lesions （8.7%） were highly significant, 250 （36.1%） were of intermediate significance, and 382 （55.2%） were of low significance. CT colonography revealed fewer extracolonic findings in subjects who were without symptoms （P 〈 0.001）, younger （P 〈 0.001）, or who underwent CT colonography with no contrast enhancement （P = 0.005）. CT colonography with contrast enhancement showed higher cost-effectiveness in detecting highly significant extracolonic lesions in older subjects and in subjects with symptoms.
CONCLUSION： Most of the extracolonic findings detected using CT colonography were of less significant lesions. The role of CT colonography would be optimized if this procedure was performed with contrast enhancement in symptomatic older subjects.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.15.1487</identifier><identifier>PMID: 19322923</identifier><language>eng</language><publisher>United States: Department of Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital 108, Pyung-dong, Jongro-gu, Seoul 110-746, South Korea%Department of Internal Medicine, Konkuk University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Yonsei University College of Medicine, Seoul 110-746, South Korea%Departments of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Departments of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul 110-746, South Korea%Department of Internal Medicine, Konyang University School of Medicine, Daejon 302-718, South Korea%Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul 110-746, South Korea</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bone Diseases - diagnostic imaging ; Bone Diseases - pathology ; Brief ; Calcinosis - diagnostic imaging ; Colon - diagnostic imaging ; Colon - pathology ; Colonography, Computed Tomographic - methods ; Contrast Media ; CT结肠成像 ; CT表现 ; Fatty Liver - diagnostic imaging ; Fatty Liver - pathology ; Female ; Hospitals, University ; Humans ; Image Enhancement ; Infarction - diagnostic imaging ; Infarction - pathology ; Kidney Diseases - diagnostic imaging ; Kidney Diseases - pathology ; Korea ; Male ; Middle Aged ; Pleura - diagnostic imaging ; Pleura - pathology ; Prostatic Hyperplasia - diagnostic imaging ; Prostatic Hyperplasia - pathology ; Sensitivity and Specificity ; 医疗记录 ; 大学医院 ; 对比增强 ; 电脑断层 ; 调查结果</subject><ispartof>World journal of gastroenterology : WJG, 2009-03, Vol.15 (12), p.1487-1492</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>2009 The WJG Press and Baishideng. All rights reserved. 2009</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-2ea1e3debd300d26e7687e5c65b227ae83f1ed60908b764072845ade1bd2a6e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2665144/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2665144/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19322923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Sung-Keun</creatorcontrib><creatorcontrib>Park, Dong-Il</creatorcontrib><creatorcontrib>Lee, Sun-Young</creatorcontrib><creatorcontrib>Lee, Sang-Kil</creatorcontrib><creatorcontrib>Kim, Young-Ho</creatorcontrib><creatorcontrib>Lee, Soon-Jin</creatorcontrib><creatorcontrib>Byeon, Jeong-Sik</creatorcontrib><creatorcontrib>Huh, Kyu-Chan</creatorcontrib><creatorcontrib>Shim, Ki-Nam</creatorcontrib><title>Extracolonic findings of computed tomographic colonography in Koreans</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM： To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic （CT） colonography.
METHODS： The significance of extracolonic lesions was classified as high, intermediate, or low. Medical records were reviewed to establish whether further investigations were carried out pertaining to the extracolonic lesions that were detected by CT colonography.
RESULTS： A total of 920 cases from 7 university hospitals were included, and 692 extracolonic findings were found in 532 （57.8%） patients. Of 692 extracolonic findings, 60 lesions （8.7%） were highly significant, 250 （36.1%） were of intermediate significance, and 382 （55.2%） were of low significance. CT colonography revealed fewer extracolonic findings in subjects who were without symptoms （P 〈 0.001）, younger （P 〈 0.001）, or who underwent CT colonography with no contrast enhancement （P = 0.005）. CT colonography with contrast enhancement showed higher cost-effectiveness in detecting highly significant extracolonic lesions in older subjects and in subjects with symptoms.
CONCLUSION： Most of the extracolonic findings detected using CT colonography were of less significant lesions. The role of CT colonography would be optimized if this procedure was performed with contrast enhancement in symptomatic older subjects.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Diseases - diagnostic imaging</subject><subject>Bone Diseases - pathology</subject><subject>Brief</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Colon - diagnostic imaging</subject><subject>Colon - pathology</subject><subject>Colonography, Computed Tomographic - methods</subject><subject>Contrast Media</subject><subject>CT结肠成像</subject><subject>CT表现</subject><subject>Fatty Liver - diagnostic imaging</subject><subject>Fatty Liver - pathology</subject><subject>Female</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Image Enhancement</subject><subject>Infarction - diagnostic imaging</subject><subject>Infarction - pathology</subject><subject>Kidney Diseases - diagnostic imaging</subject><subject>Kidney Diseases - pathology</subject><subject>Korea</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pleura - diagnostic imaging</subject><subject>Pleura - pathology</subject><subject>Prostatic Hyperplasia - diagnostic imaging</subject><subject>Prostatic Hyperplasia - pathology</subject><subject>Sensitivity and Specificity</subject><subject>医疗记录</subject><subject>大学医院</subject><subject>对比增强</subject><subject>电脑断层</subject><subject>调查结果</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc9P2zAYhq2JaXRsJ-5ThNAuKJ1_xHZyQZpQx9CQuHC3HPtL6i6xi50M-O_n0mqMk2X70ePX34vQKcFLJqv62-OmXxK-JFUt36EFpaQpaV3hI7QgGMuyYVQeo48pbTCmjHH6AR2TfEgbyhZotXqaojZhCN6ZonPeOt-nInSFCeN2nsAWUxhDH_V2nYEXcL97LpwvfoUI2qdP6H2nhwSfD-sJuv-xur_6Wd7eXd9cfb8tTcX4VFLQBJiF1jKMLRUgRS2BG8FbSqWGmnUErMANrlspKizzP7i2QFpLtQB2gi732u3cjmAN-Jx9UNvoRh2fVdBOvb3xbq368EdRITipqiw43wsete-079UmzNHnxCoPkWLcEIoJy9jXwzsxPMyQJjW6ZGAYtIcwJyUklhUWIoMXe9DEkFKE7l8WgtWunJ1XEa525WT6y__xX9lDGxk4O-jWwfcPuQnVavO7cwOoPDFKRM3ZX4lwl14</recordid><startdate>20090328</startdate><enddate>20090328</enddate><creator>Park, Sung-Keun</creator><creator>Park, Dong-Il</creator><creator>Lee, Sun-Young</creator><creator>Lee, Sang-Kil</creator><creator>Kim, Young-Ho</creator><creator>Lee, Soon-Jin</creator><creator>Byeon, Jeong-Sik</creator><creator>Huh, Kyu-Chan</creator><creator>Shim, Ki-Nam</creator><general>Department of Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital 108, Pyung-dong, Jongro-gu, Seoul 110-746, South Korea%Department of Internal Medicine, Konkuk University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Yonsei University College of Medicine, Seoul 110-746, South Korea%Departments of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Departments of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul 110-746, South Korea%Department of Internal Medicine, Konyang University School of Medicine, Daejon 302-718, South Korea%Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul 110-746, South Korea</general><general>The WJG Press and Baishideng</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>20090328</creationdate><title>Extracolonic findings of computed tomographic colonography in Koreans</title><author>Park, Sung-Keun ; Park, Dong-Il ; Lee, Sun-Young ; Lee, Sang-Kil ; Kim, Young-Ho ; Lee, Soon-Jin ; Byeon, Jeong-Sik ; Huh, Kyu-Chan ; Shim, Ki-Nam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-2ea1e3debd300d26e7687e5c65b227ae83f1ed60908b764072845ade1bd2a6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Diseases - diagnostic imaging</topic><topic>Bone Diseases - pathology</topic><topic>Brief</topic><topic>Calcinosis - diagnostic imaging</topic><topic>Colon - diagnostic imaging</topic><topic>Colon - pathology</topic><topic>Colonography, Computed Tomographic - methods</topic><topic>Contrast Media</topic><topic>CT结肠成像</topic><topic>CT表现</topic><topic>Fatty Liver - diagnostic imaging</topic><topic>Fatty Liver - pathology</topic><topic>Female</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Image Enhancement</topic><topic>Infarction - diagnostic imaging</topic><topic>Infarction - pathology</topic><topic>Kidney Diseases - diagnostic imaging</topic><topic>Kidney Diseases - pathology</topic><topic>Korea</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pleura - diagnostic imaging</topic><topic>Pleura - pathology</topic><topic>Prostatic Hyperplasia - diagnostic imaging</topic><topic>Prostatic Hyperplasia - pathology</topic><topic>Sensitivity and Specificity</topic><topic>医疗记录</topic><topic>大学医院</topic><topic>对比增强</topic><topic>电脑断层</topic><topic>调查结果</topic><toplevel>online_resources</toplevel><creatorcontrib>Park, Sung-Keun</creatorcontrib><creatorcontrib>Park, Dong-Il</creatorcontrib><creatorcontrib>Lee, Sun-Young</creatorcontrib><creatorcontrib>Lee, Sang-Kil</creatorcontrib><creatorcontrib>Kim, Young-Ho</creatorcontrib><creatorcontrib>Lee, Soon-Jin</creatorcontrib><creatorcontrib>Byeon, Jeong-Sik</creatorcontrib><creatorcontrib>Huh, Kyu-Chan</creatorcontrib><creatorcontrib>Shim, Ki-Nam</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Sung-Keun</au><au>Park, Dong-Il</au><au>Lee, Sun-Young</au><au>Lee, Sang-Kil</au><au>Kim, Young-Ho</au><au>Lee, Soon-Jin</au><au>Byeon, Jeong-Sik</au><au>Huh, Kyu-Chan</au><au>Shim, Ki-Nam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracolonic findings of computed tomographic colonography in Koreans</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2009-03-28</date><risdate>2009</risdate><volume>15</volume><issue>12</issue><spage>1487</spage><epage>1492</epage><pages>1487-1492</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM： To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic （CT） colonography.
METHODS： The significance of extracolonic lesions was classified as high, intermediate, or low. Medical records were reviewed to establish whether further investigations were carried out pertaining to the extracolonic lesions that were detected by CT colonography.
RESULTS： A total of 920 cases from 7 university hospitals were included, and 692 extracolonic findings were found in 532 （57.8%） patients. Of 692 extracolonic findings, 60 lesions （8.7%） were highly significant, 250 （36.1%） were of intermediate significance, and 382 （55.2%） were of low significance. CT colonography revealed fewer extracolonic findings in subjects who were without symptoms （P 〈 0.001）, younger （P 〈 0.001）, or who underwent CT colonography with no contrast enhancement （P = 0.005）. CT colonography with contrast enhancement showed higher cost-effectiveness in detecting highly significant extracolonic lesions in older subjects and in subjects with symptoms.
CONCLUSION： Most of the extracolonic findings detected using CT colonography were of less significant lesions. The role of CT colonography would be optimized if this procedure was performed with contrast enhancement in symptomatic older subjects.</abstract><cop>United States</cop><pub>Department of Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital 108, Pyung-dong, Jongro-gu, Seoul 110-746, South Korea%Department of Internal Medicine, Konkuk University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Yonsei University College of Medicine, Seoul 110-746, South Korea%Departments of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Departments of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 110-746, South Korea%Department of Internal Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul 110-746, South Korea%Department of Internal Medicine, Konyang University School of Medicine, Daejon 302-718, South Korea%Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul 110-746, South Korea</pub><pmid>19322923</pmid><doi>10.3748/wjg.15.1487</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | World journal of gastroenterology : WJG, 2009-03, Vol.15 (12), p.1487-1492 |
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| source | MEDLINE; Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Bone Diseases - diagnostic imaging Bone Diseases - pathology Brief Calcinosis - diagnostic imaging Colon - diagnostic imaging Colon - pathology Colonography, Computed Tomographic - methods Contrast Media CT结肠成像 CT表现 Fatty Liver - diagnostic imaging Fatty Liver - pathology Female Hospitals, University Humans Image Enhancement Infarction - diagnostic imaging Infarction - pathology Kidney Diseases - diagnostic imaging Kidney Diseases - pathology Korea Male Middle Aged Pleura - diagnostic imaging Pleura - pathology Prostatic Hyperplasia - diagnostic imaging Prostatic Hyperplasia - pathology Sensitivity and Specificity 医疗记录 大学医院 对比增强 电脑断层 调查结果 |
| title | Extracolonic findings of computed tomographic colonography in Koreans |
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