Colonografia por tomografia computadorizada na visão do médico encaminhador: qual o seu valor segundo a visão de especialistas?

Abstract

ObjectiveTo map the view of surgeons on the role played by computed tomography colonography (CTC).Materials and MethodsAn electronic questionnaire was sent to members of the Brazilian College of Surgeons. The questionnaire consisted of 16 multiple-choice questions about demographics and general knowledge about CTC.ResultsThe authors obtained 144 responses; 90.3% of the specialists were men, 60% with less than 30 years from graduation, 77.1% were gastrointestinal surgeons, 22.9% were general surgeons, 53.5% were involved in academic activity, and 59.7% had their professional activity in cities with more than 500,000 inhabitants. As regards the knowledge about CTC, 84.7% of the respondents knew the method, 70.8% knew how it is performed, 56.9% reported knowing the bowel preparation used for the procedure, 31.3% used the method, and 53.5% knew some CTC service in their city. About half of the respondents did not know the precise indication of the method. The method is most frequently known and used by professionals working in cities with more than 500,000 inhabitants (p < 0.005). There was a tendency of a more frequent use of the method by the professionals pursuing an academic career.ConclusionDespite its infrequent use in Brazil, CTC is a well known method, particularly in large urban centers and in the academic environment.

Which is your diagnosis?

“…The Brazilian radiological literature has recently highlighted the relevance of imaging methods in the improvement of the diagnosis of digestive system conditions ( 1 - 12 ) .…”

MDCT in the preoperative staging of gastric adenocarcinoma

“…Multiple studies have also been developed to evaluate the accuracy of gastric adenocarcinoma staging by means of the different imaging modalities. The role of pelvic and abdominal multidetector-row CT in the investigation of the digestive system has been discussed in several studies recently published in the Brazilian literature ( 6 - 13 ) and this has been the method of choice for preoperative staging of the disease ( 2 , 5 , 14 , 15 ) .…”

Colonografia por tomografia computadorizada: um método de rastreamento conhecido porém pouco utilizado

“…In the study developed by Kierszenbaum et al ( 11 ) , included in the present issue of Radiologia Brasileira , and that is apparently unprecedented at least in the Brazilian literature, the authors, by means of a questionnaire, have mapped the view of general and gastric surgeons about the role of CTC. The analysis of the study results demonstrates that the method is widely known, particularly in large urban centers and academic centers, but is poorly requested by physicians.…”