PillCam COLON 2 Reading Quick Reference Guide

Quick Reference Guide Reading a PillCam® COLON 2 Study in RAPID® for PillCam Software Step 1: Preview Objective: Identify and mark entrance to cecum and body exit while obtaining a quick overview of the video. Method: 1. Set QuickView mode. 2. Set double-head viewing (green & yellow), and read at the fastest speed you feel comfortable. 3. Identify cecum and then continue viewing at a fast speed to the end of the video and mark the last rectal image.

Step 2: Review Objective: Review video and capture suspected findings (cruise and capture). Method: 1. Set standard view mode. 2. Set single-head viewing, green capsule head, and read at a comfortable speed (8 fps is a good starting choice). 3. Read from cecum to end of the video with green capsule head. 4. Reduce reading speed or scroll manually frame-by-frame when viewing complex anatomy and when capsule is moving fast, on the lookout for single-frame findings. 5. When end of the video is reached, return to cecum. 6. Set to yellow capsule head and again read from cecum to end. Tips: • •

If the study includes findings, mark the hepatic and splenic flexures found during reading. Do not analyze findings at this step.

Step 3: Analysis and Report Objective: Analyze captured findings and complete study report. Method: 1. Select Report tab. 2. Click on the thumbnail of suspected findings and scroll backand-forth to view suspected findings from multiple angles and perspectives. 3. When using the polyp size estimation tool, locate the image of the polyp that shows the maximum polyp surface area. Tips: •

When possible, do not conclude findings based on a single image; use scrolling to view multiple images.

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Use blood vessels and vascular pattern in decision-making.

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Beware of folds mimicking polyps.

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Pay special attention to the cecum as the illeocecal valve can look like a polyp.