Virtual Colonoscopy
Virtual colonoscopy is a promising new screening test for colorectal cancer. It is method
to detect tumors and precancerous lesions (polyps) in the colon. Virtual Colonoscopy
relies on advances in CT (CAT scan) to produce high quality pictures of the colon. A
radiologist, a physician with advanced
training in medical imaging, then uses
special computer software to examine the
images for polyps. Virtual colonoscopy
eliminates the need to insert a long tube
into the colon (as with Conventional
Colonoscopy) or fill the colon with liquid
barium (as with Barium Enema). Research
performed at many centers across the
country has provided substantial evidence
that Virtual Colonoscopy is better able to
detect polyps than Barium Enema and is
nearly as accurate as Conventional
Colonoscopy. In addition, most patients
report that Virtual Colonoscopy is more
comfortable than either Barium Enema or
Conventional Colonoscopy.
In the 24-hour period prior to the exam, patients follow a special regimen to cleanse their
bowel of stool and excess fluid. Typically, this regimen includes taking a laxative and
abstaining from solid foods (certain specially formulated solid foods are available). The
day of the test, they come to the hospital for a CAT scan. At the start of the procedure, a
small rubber tube is inserted into the rectum so that the colon can be filled with air. A
CAT scan is then performed while the patient lies comfortably. The total time required
for the study is approximately 10-20 minutes. Because sedation is not required, patients
are free to leave the CT suite immediately without the need for observation or recovery.
Patients can resume normal activities immediately after the procedure and can eat, work
or drive without a delay.
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