Guideline decision tool · Radiology
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CT Colonography C-RADS Classification — free guideline decision tool

Get the colonic (C0–C4) and extracolonic (E0–E4) categories and management for CT colonography per C-RADS v2023. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Colonic category (C)C2 — 1–2 polyps 6–9 mm (incl. C2b diverticular stricture)
Extracolonic category (E, optional)E1/E2 — Normal or clinically unimportant

→Colonic managementCTC surveillance / colonoscopy

  • Colon C2:1–2 polyps 6–9 mm (intermediate); incl. C2b diverticular mass-like stricture (probably benign); management: CTC surveillance (~3 years) or colonoscopy/polypectomy (per patient preference and risk)
  • Extracolonic E1/E2:Normal or clinically unimportant / stable known (e.g. simple renal/hepatic cyst, gallstones); management: No further work-up
  • Note:C-RADS v2023: colonic C0–C4 (adds C2b diverticular mass-like stricture), extracolonic E0–E4 (E1/E2 merged,[pending update] reporting optional); category set by the highest-grade lesion
Colonic category (C)C0 — Inadequate / non-diagnostic
Extracolonic category (E, optional)Not assessed / not selected

→Colonic managementRepeat / supplement

  • Colon C0:Inadequate / non-diagnostic (poor prep or distension, or awaiting prior comparison); management: Repeat or supplement, then re-classify
  • Note:C-RADS v2023: colonic C0–C4 (adds C2b diverticular mass-like stricture), extracolonic E0–E4 (E1/E2 merged,[pending update] reporting optional); category set by the highest-grade lesion
  • Basis:C-RADS CT Colonography Reporting and Data System v2023

Common questions

What is CT Colonography C-RADS Classification?

Get the colonic (C0–C4) and extracolonic (E0–E4) categories and management for CT colonography per C-RADS v2023. Instant, browser-side.

How is CT Colonography C-RADS Classification calculated? What is the core formula?

C1 normal → routine screening (5–10 yr); C2 (1–2 polyps 6–9 mm) → CTC surveillance ~3 yr or colonoscopy; C3 (≥ 10 mm or ≥ 3 polyps 6–9 mm) → colonoscopy; C4 suspected malignant → surgical/oncology referral.

When is CT Colonography C-RADS Classification used?

Classify a CT colonography study and set the management for both colonic and extracolonic findings.

What are the key clinical points for CT Colonography C-RADS Classification?

Category set by the highest-grade lesion. v2023 adds C2b (diverticular mass-like stricture) and merges E1/E2. Extracolonic E1/E2 need no follow-up; E3 work-up as indicated; E4 further management. [pending update]extracolonic reporting is optional in v2023.

What are the limits and cautions when using CT Colonography C-RADS Classification?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does CT Colonography C-RADS Classification upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is CT Colonography C-RADS Classification calculated in practice? Can you show a worked example?

Inputs: Colonic category (C) C2 — 1–2 polyps 6–9 mm (incl. C2b diverticular stricture), Extracolonic category (E, optional) E1/E2 — Normal or clinically unimportant → Result: Colonic management CTC surveillance / colonoscopy(Colon C2: 1–2 polyps 6–9 mm (intermediate); incl. C2b diverticular mass-like stricture (probably benign); management: CTC surveillance (~3 years) or colonoscopy/polypectomy (per patient preference and risk), Extracolonic E1/E2: Normal or clinically unimportant / stable known (e.g. simple renal/hepatic cyst, gallstones); management: No further work-up, Note: C-RADS v2023: colonic C0–C4 (adds C2b diverticular mass-like stricture), extracolonic E0–E4 (E1/E2 merged,[pending update] reporting optional); category set by the highest-grade lesion) Inputs: Colonic category (C) C0 — Inadequate / non-diagnostic, Extracolonic category (E, optional) Not assessed / not selected → Result: Colonic management Repeat / supplement(Colon C0: Inadequate / non-diagnostic (poor prep or distension, or awaiting prior comparison); management: Repeat or supplement, then re-classify, Note: C-RADS v2023: colonic C0–C4 (adds C2b diverticular mass-like stricture), extracolonic E0–E4 (E1/E2 merged,[pending update] reporting optional); category set by the highest-grade lesion, Basis: C-RADS CT Colonography Reporting and Data System v2023)

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Run CT Colonography C-RADS Classification now

Get the colonic (C0–C4) and extracolonic (E0–E4) categories and management for CT colonography per C-RADS v2023. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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