Radiological techniques
Abdominal X-Ray
Barium enema
Ultrasound
CT scan
MRI scan
Nuclear medicine
PET or PET/CT
Abdominal X-Ray
Pretty useless
Useful for some complications (e.g. blockage)
Barium enema
Good for detection
Poor for staging
Preparation
Diet and laxatives
Can be difficult
Ultrasound
Poor for detection
“Good” for liver
CT
“Good” for detection
“Good” for staging
Contrast, oral and IV
New developments
MRI
To illustrate the power of the magnet Dr Hacking showed a number of slides showing various objects including a drip stand, chair and vacuum cleaner that had been drawn to the machine. Loose metal objects could become lethal flying objects as they were drawn to the magnet.
MRI
Rectum
Liver
Nuclear Medicine
Little role for conventional Nuclear Medicine
PET scan
PET in Colorectal Cancer
Rising CEA with normal CT
? Prior to metastasis resection
Problems