Evaluation of a standardized CT colonography training program for novice readers.

PURPOSE: To determine how many computed tomographic (CT) colonography training studies have to be evaluated by novice readers to obtain an adequate level of competence in polyp detection. MATERIALS AND METHODS: The study was approved by the Institutional Review Board. Informed consent was obtained from all participants. Six physicians (one radiologist, three radiology residents, two researchers) and three technicians completed a CT colonography training program. Two hundred CT colonographic examinations with colonoscopic verification were selected from a research database, with 100 CT colonographic examinations with at least one polyp 6 mm or larger. After a lecture session and short individual hands-on training, CT colonography training was done individually with immediate feedback of colonoscopy outcome. Per-polyp sensitivity was calculated for four sets of 50 CT colonographic examinations for lesions 6 mm or larger. By using logistic regression analyses, the number of CT colonographic examinations to reach 90% sensitivity for lesions 6 mm or larger was estimated. Reading times were registered. RESULTS: The average per-polyp sensitivity for lesions 6 mm or larger was 76% (207 of 270) in the first set of 50 CT colonographic examinations, 77% (262 of 342) in the second (P = .96 vs first set), 80% (310 of 387) in the third (P = .67 vs first set), and 91% (261 of 288) in the fourth (P = .018). The estimated number of CT colonographic examinations for a sufficient sensitivity was 164. Six of nine readers reached this level of competence within 175 CT colonographic examinations. Reading times decreased significantly from the first to the second set of 50 CT colonographic examinations for six readers. CONCLUSION: Novice CT colonography readers obtained sensitivity equal to that of experienced readers after practicing on average 164 CT colonographic studies.

CT: a new nondestructive method for visualizing and characterizing ancient Roman glass fragments in situ in blocks of soil.

A rare, complete ancient Roman burial site was discovered near the Dutch village of Bocholtz. In addition to many preserved grave offerings, there were countless fragments of deteriorated glass objects still buried in the ground. This glass was in very poor condition, however, and there was no possibility of excavating it directly. Instead, archeologists working at the site decided to dig up blocks of soil containing the glass fragments. High-resolution spiral computed tomography (CT) with multiplanar reformation, shaded-surface-display rendering, and volume rendering was used to obtain detailed information about the position, number, and form of the deteriorated glass fragments. CT-guided removal of the soil made it possible to restore some of the objects excavated from the blocks. In five of the 14 excavated objects, a correct Isings classification could be made based on the CT findings. In addition, CT was very important for the reconstruction of the layout of the burial chamber, the compilation of a list of grave contents, and the positioning of these contents within the chamber.

High-resolution spiral computed tomography with multiplanar reformatting, 3D surface- and volume rendering: a non-destructive method to visualize ancient Egyptian mummification techniques.

Ancient Egyptians used mummification techniques to prevent their deceased from decay. This study evaluates the potential of computed tomography (CT) in determining these techniques in a non-destructive way. Twenty-five mummies were studied by using high-resolution spiral CT, 1mm slice thickness for the head and 3mm slice thickness for the rest of the body. Images were reconstructed with 3D, multiplanar reformatting and volume rendering. In all cases the used mummification techniques could be reconstructed. The way the brain was removed, the presence of chemicals, like resin and natron, could be detected and the way the intestines were handled could be made visible. The use of CT is indispensable as a non-destructive method in the reconstruction of mummification techniques.