Keywords:
Outcomes, Outcomes analysis, Diagnostic procedure, Colonography CT, Genital / Reproductive system female, Colon, CT-Colonography
Authors:
E. O'Dwyer1, S. Liddy2, R. Kumar Sarkar3, A. O'Neill3, J. Feeney4; 1 Dublin 24/IE, 2Dublin 24/IE, 3Dublin/IE, 4Dublin, Dublin/IE
DOI:
10.1594/ecr2018/C-2743
Methods and materials
A retrospective review was performed of all patients who underwent pre-operative CT colonography for DIE between January 2014 and January 2016 in teritary referral centre for DIE.
Clinical,
radiological and intraoperative data were recorded.
Patient selection:
All potential surgical candidates were discussed in MDT meeting with consultant radiologist with subspecialist interest in gynaecological imaging,
consultant gynaecologist and consultant colorectal surgeon.
Patients were referred for CT colonography if high clinical and radiological suspicion of DIE from prior pre-operative imaging.
CT colonography:
CT colonography is a reliatively non invasive procedure,
well tolerated by majority of patients.
The patient ingested Picolax bowel preparation and oral contrast faecal tagging agent one day prior to study.
Buscopan 20mg iv was administered pre CT and the patient was scanned in supine +/- prone/lateral decubitus position following automated insufflation of carbon dioxide (25mmHg) per rectum on helical CT scanner (Toshiba 64 Aquilion,
Japan).
IV contrast was administered to obtain a diagnostic quality CT abdomen/pelvis.
Endoluminal images were reviewed on a dedicated workstation (Vitrea Software,
Vital Images,
USA).
All images were reported by Consultant Radiologist with subspecialist interest in Gynaecological and Abdominal imaging.
Analysis:
Surgical data regarding location of disease and type of surgical procedure (adhesionolysis and/or bowel resection) were retrospectively recorded by Gynaecology Resident.
Images were retrospectively reviewed by a Consultant Radiologist (with subspecialist interest in Gynaecological and Abdominal imaging) and two Radiology Residents to determine if areas of suspected DIE and severity of disease on imaging correlated to surgical findings.