The role of routine imaging in identifying endoluminal colorectal pathology, a United Kingdom clinical experience

Unprepared CT demonstrates a good PPV (70%) for detecting endoluminal pathology, with over half of identified lesions being malignant. Although PPV is comparable between GI and non-GI radiologists, GI subspecialists refer significantly more cases for further evaluation, emphasizing the importance of subspeciality expertise. Radiologists should confidently raise suspicion of endoluminal pathology to ensure timely referral for direct visualization and tumor board discussion.

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Publication Details

Journal
Abdominal Radiology
Published
2025-12-22
DOI
https://doi.org/10.1007/s00261-025-05255-6
Primary Topic
Colorectal Cancer Screening and Detection
Type
article
Field-Weighted Citation Impact
0.00
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article

The role of routine imaging in identifying endoluminal colorectal pathology, a United Kingdom clinical experience

Nirav Y. Patel, Edward Antram, Anita Wale, Daniel Livingstone et al.
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article

The role of routine imaging in identifying endoluminal colorectal pathology, a United Kingdom clinical experience

Nirav Y. Patel, Edward Antram, Anita Wale, Daniel Livingstone, Narendranath Govindarajah, N. Beharry, Sharmin Malekout, Kesavan Kandiah, Robert Mitchell, Keith Farrell-Dillon, Kunal Patel
article en

Abstract

Unprepared CT demonstrates a good PPV (70%) for detecting endoluminal pathology, with over half of identified lesions being malignant. Although PPV is comparable between GI and non-GI radiologists, GI subspecialists refer significantly more cases for further evaluation, emphasizing the importance of subspeciality expertise. Radiologists should confidently raise suspicion of endoluminal pathology to ensure timely referral for direct visualization and tumor board discussion.

Abdominal Radiology
St George's, University of London (GB), St George's Hospital (GB)
Good health and well-being
Openalex Percentile: Top 32%
Colorectal Cancer Screening and Detection
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