The role of mutidetector computed tomography (mdct) in evaluation of colorectal pathologies at a tertiary care center

Introduction: Multidetector Computed tomography is an efficient modality for characterizing colorectal pathologies. As colorectal carcinoma is the second most common cancer and has the highest mortality rate, its early detection and preoperative staging help plan treatment and surgery to prolong survival. Purpose: The objective of the study is to evaluate the effectiveness of MDCT in diagnosis of benign and malignant pathologies as well as pre operative staging of colorectal cancer. Method:60 patients were referred to the Department of Radiodiagnosis of the Government Medical College, Akola, and were evaluated with appropriate CT protocol and multiplanar reconstruction performed.Data was collected and various benign and malignant bowel wall characteristics were studied. Results: The study showed that MDCT was efficient in characterizing bening and malignant colorectal pathologies.MDCT showed 100 % sensitivity and 92.5 % specificity in diagnosing malignant pathologies. Conclusion: The study showed that degree of bowel wall thickening with pattern of enhancement was most effective in characterizing benign and malignant pathologies. Multidetector computed tomography is the most cost-efficient , easy , faster method of imaging in colorectal pathologies and helps in early diagnosis of malignant colorectal lesions with pre-operative staging and planning surgery and management.