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THIS MONTH’S HIGHLIGHT

Is CT colonography still the best alternative imaging technique to colonoscopy for screening or investigating a suspicion of colorectal cancer? The answer in the new ESGE/ESGAR guidelines

Dear readers,

As conventionally established and despite the increasingly alarming global pandemic, five years after the last issue of their guidelines the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) convened once again to review their recommendations on the imaging alternatives to colonoscopy to be adopted for screening or investigating a suspicion of colorectal cancer (CRC). Nine guideline statements have been developed that encompass relevant new evidence on the role of CT colonography (CTC) and the recently introduced colon capsule endoscopy (CCE) in this setting.

The specific topics addressed in these new guidelines, the main messages arising from them and the advances and differences compared to the previous recommendations are examined in depth by Prof. Laghi in this month’s review, which illustrates and comments on the use of CTC and CCE and their respective utility in specific scenarios, also in the light of the quality of the scientific evidence.

To enable a comprehensive knowledge of these new clinical indications, we also provide the full paper presenting the updated guidelines. Finally, we propose a selection of clinical cases from our archive illustrating the use of CTC as the most reliable imaging approach for colorectal cancer in daily clinical practice.

Suggestions for topics to be covered in future issues of this newsletter are welcome as usual. Please send your ideas to us at editorial@mdct.net.

From the MDCT.net team

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ANALYSIS & OPINION

The new ESGE-ESGAR guidelines on CT Colonography and Colon Capsule Endoscopy
Perspective by A. Laghi
The European Society of Gastrointestinal and Abdominal Radiology (ESGAR), in partnership with the European Society of Gastrointestinal Endoscopy (ESGE), have recently updated the guidelines on CT colonography (CTC), which now also encompass colon capsule endoscopy (CCE), a new medical technique which can be considered, together with CTC, an alternative imaging method to colonoscopy.
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CLINICAL CASES FROM THE MDCT.NET ARCHIVE

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