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CT Colonography (Virtual Colonoscopy)

Published: August 9, 2026Updated: August 16, 2026

An imaging test that uses CT scans and computer software to examine the colon for polyps and colorectal cancer without inserting a scope into the rectum.

Quick summary

["Virtual colonoscopy is a less-invasive way to screen the colon, but it still requires careful bowel preparation and any concerning finding may require a standard colonoscopy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
67220-4
Short code
Virtual CT colonoscopy PhenX
Synonyms
Virtual CT colonoscopy PhenX
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
phenx
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Virtual colonoscopy, also called CT colonography, uses a CT scanner and specialized software to create detailed images of the large intestine. It can help identify polyps, abnormal growths, and other changes that may be associated with colorectal cancer.

Why might I need this test?

This test may be used to screen average-risk adults for colorectal cancer or to investigate symptoms such as blood in the stool, unexplained abdominal changes, or a change in bowel habits. It may also be considered for people who cannot or do not wish to undergo standard colonoscopy, depending on their medical situation.

How is the test performed?

For the examination, air is gently placed into the rectum and a CT scanner takes images of the abdomen and pelvis. The images are then reviewed on a computer. Unlike standard colonoscopy, virtual colonoscopy generally does not require sedation, although some patients may be given a medicine to help them relax.

How do I prepare for the test?

The colon must be thoroughly cleaned so that the images are not obscured by stool. Your imaging center will provide specific instructions about the bowel-preparation product, diet, and timing. Follow those instructions exactly and tell the care team about medications, allergies, pregnancy, kidney disease, or mobility limitations before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Virtual colonoscopy

Frequently asked questions

Is virtual colonoscopy the same as a standard colonoscopy?
No. Virtual colonoscopy uses CT images rather than a flexible scope, so it generally does not require sedation and allows the images to be reviewed afterward. However, it cannot remove polyps during the examination, and suspicious findings usually require a standard colonoscopy.
Will I feel anything during the test?
You may feel pressure, cramping, or fullness in the abdomen as air is placed in the colon. These sensations are usually temporary, but tell the technologist if you experience significant pain, dizziness, or trouble breathing.
What happens if the results are abnormal?
The radiologist will summarize the findings and recommend follow-up, which may include a standard colonoscopy, diagnostic imaging, or other evaluation. Ask your clinician to explain the report and the next steps based on your symptoms and medical history.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy