CT Enterography

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after February 8, 2023:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.25
Procedures: 2.25
Abdomen and Pelvis: 2.25

Magnetic Resonance Imaging: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Body: 1.25

Nuclear Medicine Technology: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Endocrine and Oncology Procedures: 0.25
Gastrointestinal and Genitourinary Procedures: 1.00

Radiography: 0.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 0.25
Thorax and Abdomen Procedures: 0.25

Registered Radiologist Assistant: 2.25
Procedures: 2.25
Abdominal Section: 2.25

Sonography: 0.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 0.25
Abdomen: 0.25

Radiation Therapy: 0.50
Patient Care: 0.25
Patient and Medical Record Management: 0.25
Procedures: 0.25
Treatment Sites and Tumors: 0.25

Outline

1. Introduction
2. CT Enterographic Technique
3. Crohn Disease
4. Ulcerative Colitis
5. GI Tract Bleeding
6. Small Bowel Neoplasms
7. Celiac Disease
8. Mesenteric Ischemia
9. Other Findings
10. Summary

Objectives

Upon completion of this course, students will:

1. understand the benefits of capsule endoscopy over CT enterography
2. be familiar with the advantages of CT enterography
3. be familiar with the advantages and disadvantages of CT & MR enteroclysis
4. recognize some of the disadvantages of CT enterography
5. understand the patient preparation required for CT enterography
6. learn how to improve visualization of mucosa and achieve better bowel distention
7. learn proper contrast agent dose and timing for CT enterography
8. know under what conditions to perform single vs. dual phase CT enterography
9. recognize the indications for CT enterography
10. learn the CT criteria that indicate active Crohn disease
11. be familiar with the appearance of edematous bowel walls
12. know what CT features are most indicative of Crohn disease
13. be familiar with the signs that identify chronic, long term Crohn disease
14. recognize some of the limitations of capsule endoscopy and when it should not be used
15. know the modality of choice for imaging enteroenteric and enterovesical fistulas
16. be able to identify a fistula on a CT image
17. know what condition manifests as a continuous pattern of bowel wall involvement that starts from the rectum, without evidence of slip lesions
18. know the term for ulcerative colitis that extends from the large bowel to include the terminal ileum
19. understand colonoscopy’s role in the primary diagnostic stages of small bowel disease
20. identify some of the characteristics of toxic megacolon
21. recognize some of the causes of GI tract bleeding
22. be familiar with the phases of the triple phase CT enterography technique
23. identify the most common cause of occult GI bleeding
24. be familiar with conditions which my lead to GI bleeding
25. understand the limitations in early detection of small bowel neoplasms
26. recognize the characteristics of benign GIST in the bowel
27. recognize the characteristics of malignant GIST in the bowel
28. recognize the characteristic of lymphoma when located in the small bowel
29. know the condition which is a chronic inflammatory disorder of the small bowel induced in genetically susceptible people by the irritant gluten
30. name the three most common causes of mesenteric ischemia