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Other Comments:
The article was written in satisfactory way. Actually volumetric CT has achieved a fundamental role in planning surgical tractament of colonrectal cancer.
The limit of CT is a low specifity for linfonodal involment in order to distinguish between normal-reactive lynfonodes and metastatic lynfonodes.
The capability to discern the tumor grading through contrast enhancement is interesting, of course the specificity of this is quite high, but not optimal.
Intersting the correlation with persitent enhancement of peri-tumoral prominent veins and angio-invasion of the tumor.
Volumetric CT actually has a fundamental role in preoperative staging.
The article gives usefull surgical indications for radiology interpretation.
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Competing interests:
No
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Invited by the author to review this article? :
Yes -
Have you previously published on this or a similar topic?:
Yes
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References:
3-T MRI with phased-array surface coil in the local staging of rectal cancer. Radiol. Medica (2011) 116:375-388 (ed. springer) -
Experience and credentials in the specific area of science:
Abdominal Radiologist with expirience in MRI and CT
- How to cite: Sani F .Computed Tomography Interpretation in Colonic: Let there be more Exhaustive[Review of the article 'Computed Tomography Interpretation in Colonic Cancer: Let there be more Exhaustive ' by Vezzelli E].WebmedCentral 2013;3(4):WMCRW001653
The article has been nicely written, to demonstrate the role of CT imaging in colonic cancer. This article demonstrates the need of preopertaive imaging in mangement of colonic cancer.
There have been sveral articles on this topic, for example,
http://radiographics.rsna.org/content/20/2/419.long
However, this article once again emphasizes the role of CT.
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Yes, although a larger study would have been more helpful.
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It is a good paper, written in clear simple language. The afact laid out in this article has also been proven on mulitple papaers previously.
Nicely written article. Good demonstration with relavent images.
The sample size used( 50 patients with proven colonic cancer) is very small, and a much larger sample size would have definatley added value.
The article does not cover those cases which were diagnosed on CT, but missed on colonoscopy.
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I am radiologist with about 18 years expereince in abdominal imaging.