CT colonography using 360° virtual dissection: A feasibility study

Kristina T. Johnson, C. Daniel Johnson, Joel Garland Fletcher, Robert L. MacCarty, Ronald L. Summers

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVE. Using a 3D rendering technique called "virtual dissection," we sought to evaluate polyp and fold distortion using a colon phantom, estimate the polyp detection performance in humans, and estimate the added benefit of double interpretation and computer-aided diagnosis. MATERIALS AND METHODS. A colon phantom containing 144 polyps of varying sizes (5-12 mm) and shapes (flat, sessile, pedunculated) was scanned. Polyp shape and distortion at virtual dissection were categorized as flame, club, pea, or bizarre. Haustral fold distortion was graded. The CT colonography examinations in 20 consecutive patients (colonoscopically proven normal findings, n = 5; polyps ≥ 1 cm, n = 17 in 15 patients) were blindly reviewed by three radiologists using the virtual dissection technique. The added benefits of double interpretation and computer-aided diagnosis were tabulated. RESULTS. Sessile polyps appeared flame (35/48 [73%]) or pea (11/48 [23%]) in shape. Flat polyps appeared flame-shaped (31/47 [66%]) or pea-shaped (16/47 [34%]). Pedunculated polyps were flame (15/45 [33%]), club (20/45 [44%]), or pea (6/45 [13%]) in shape. Axial distortion occurred along the longitudinal axis. The sensitivities of the three observers for polyps of 1 cm or more were 16/17 (94%), 14/17 (82%), and 15/17 (88%). The specificities were 5/5 (100%), 5/5 (100%), and 4/5 (80%). Sensitivities after double interpretation and computer-aided diagnosis improved but did not reach statistical significance. CONCLUSION. Although distortion of colonic structures exists at virtual dissection, it does so in recognizable patterns, so that sensitivity for polyp detection is not compromised.

Original languageEnglish (US)
Pages (from-to)90-95
Number of pages6
JournalAmerican Journal of Roentgenology
Volume186
Issue number1
DOIs
StatePublished - Jan 2006

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Computed Tomographic Colonography
Feasibility Studies
Polyps
Dissection
Peas
Colon

Keywords

  • Colon polyps
  • CT colonography
  • Virtual dissection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

CT colonography using 360° virtual dissection : A feasibility study. / Johnson, Kristina T.; Johnson, C. Daniel; Fletcher, Joel Garland; MacCarty, Robert L.; Summers, Ronald L.

In: American Journal of Roentgenology, Vol. 186, No. 1, 01.2006, p. 90-95.

Research output: Contribution to journalArticle

Johnson, Kristina T. ; Johnson, C. Daniel ; Fletcher, Joel Garland ; MacCarty, Robert L. ; Summers, Ronald L. / CT colonography using 360° virtual dissection : A feasibility study. In: American Journal of Roentgenology. 2006 ; Vol. 186, No. 1. pp. 90-95.
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abstract = "OBJECTIVE. Using a 3D rendering technique called {"}virtual dissection,{"} we sought to evaluate polyp and fold distortion using a colon phantom, estimate the polyp detection performance in humans, and estimate the added benefit of double interpretation and computer-aided diagnosis. MATERIALS AND METHODS. A colon phantom containing 144 polyps of varying sizes (5-12 mm) and shapes (flat, sessile, pedunculated) was scanned. Polyp shape and distortion at virtual dissection were categorized as flame, club, pea, or bizarre. Haustral fold distortion was graded. The CT colonography examinations in 20 consecutive patients (colonoscopically proven normal findings, n = 5; polyps ≥ 1 cm, n = 17 in 15 patients) were blindly reviewed by three radiologists using the virtual dissection technique. The added benefits of double interpretation and computer-aided diagnosis were tabulated. RESULTS. Sessile polyps appeared flame (35/48 [73{\%}]) or pea (11/48 [23{\%}]) in shape. Flat polyps appeared flame-shaped (31/47 [66{\%}]) or pea-shaped (16/47 [34{\%}]). Pedunculated polyps were flame (15/45 [33{\%}]), club (20/45 [44{\%}]), or pea (6/45 [13{\%}]) in shape. Axial distortion occurred along the longitudinal axis. The sensitivities of the three observers for polyps of 1 cm or more were 16/17 (94{\%}), 14/17 (82{\%}), and 15/17 (88{\%}). The specificities were 5/5 (100{\%}), 5/5 (100{\%}), and 4/5 (80{\%}). Sensitivities after double interpretation and computer-aided diagnosis improved but did not reach statistical significance. CONCLUSION. Although distortion of colonic structures exists at virtual dissection, it does so in recognizable patterns, so that sensitivity for polyp detection is not compromised.",
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