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Sie ersetzt den mittlerweile obsoleten Kolonkontrasteinlauf und stellt eine wichtige Erg\u00e4nzung zur Koloskopie in der Dickdarmkrebsdiagnostik dar.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Ziel dieser Arbeit ist es, einen \u00dcberblick \u00fcber den aktuellen Stellenwert und den Nutzen der CTK zur minimal-invasiven bildgebenden Diagnostik kolorektaler Karzinome (KRK) zu bieten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Mittels einer ausf\u00fchrlichen Literaturrecherche wird der aktuelle Wissensstand zur Rolle der CTK in der Dickdarmkrebsdiagnostik zusammengefasst. Dies umfasst neben der Bildgebung manifester Karzinome auch den Einsatz der CTK in der Vor- und Nachsorge des KRK.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Die CTK ist eine ausgereifte, minimal-invasive Untersuchung zur Abkl\u00e4rung kolorektaler Neoplasien. Die Detektionsrate f\u00fcr gutartige Krebsvorstufen und manifeste Karzinome ist vergleichbar mit der Detektionsrate der optischen Koloskopie. Fehldiagnosen bei KRK sind selten und meist durch Perzeptionsfehler und technische Fehler bedingt. Durch die M\u00f6glichkeit bei stenosierenden Karzinomen auch endoskopisch nicht einsehbare Darmabschnitte und extrakolische Strukturen darzustellen, k\u00f6nnen zus\u00e4tzlich zur Tumordetektion auch synchrone Dickdarmneoplasien erkannt und die abdominale Tumorausbreitung beurteilt werden. Neben der Diagnose manifester Karzinome kann die CTK durch das rechtzeitige Erkennen benigner Krebsvorstufen zur Dickdarmkrebsvorsorge eingesetzt werden. In der KRK-Nachsorge kann die CTK bei nicht erfolgreicher Koloskopie alternativ zur Rezidivdiagnostik eingesetzt werden.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Die CT-Kolonographie ist die radiologische Untersuchung der Wahl zur Detektion kolorektaler Neoplasien. Sie kommt meistens bei Personen zum Einsatz, bei denen eine Koloskopie nicht m\u00f6glich oder nur unvollst\u00e4ndig ist, kann aber auch zur opportunistischen Dickdarmkrebsvorsorge eingesetzt werden.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00117-025-01456-8","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T15:26:30Z","timestamp":1747754790000},"page":"416-425","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Stellenwert der CT-Kolonographie bei kolorektalen Karzinomen","Imaging of colorectal cancer: Role of computed tomography colonography"],"prefix":"10.1007","volume":"65","author":[{"given":"Thomas","family":"Mang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nino","family":"Bogveradze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bergman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Leitner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Scharitzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"1456_CR1","doi-asserted-by":"publisher","first-page":"2967","DOI":"10.1007\/s00330-020-07413-4","volume":"31","author":"C Spada","year":"2021","unstructured":"Spada\u00a0C, Hassan\u00a0C, Bellini\u00a0D et\u00a0al (2021) Imaging alternatives to colonoscopy: CT colonography and colon capsule. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}