According to a presentation CT colonography (CTC) is feasible in rural health centers with the help of teleradiology. Remote CTC was performed on 86 patients at the two remote medical centers namely Fort Defiance Indian Hospital in Fort Defiance, Ariz., and Tuba City Indian Medical Center in Tuba City, Ariz. Technologists at the facilities performed CTC on the patients and the obtained data was then sent to a local teleradiology server, where it was uploaded to a CTC workstation and interpreted by an off-site radiologist. The lead author Arnold Friedman, MD reported that 77 patients out of 86 who had CTC examinations were technically satisfactory examinations. The researchers graded the studies for quality on a five-point scale (five being excellent, one being poor) by one author evaluating residual stool, residual fluid and degree of distention: • Residual stool assessment: 43 patients 5/5, 20 patients 4/5, 18 patients 3/5, one patient 2/5, three patients 1/5 (one of which did not take prep), one patient failed (could not retain gas); • Residual fluid assessment: 37 patients 5/5, 27 patients 4/5, 16 patients 3/5, two patients 2/5, three patients 1/5, one patient failed; and • Distention assessment: 36 patients 5/5, 11 patients 4/5, 13 patients 3/5, 17 patients 2/5, eight patients 1/5, one patient failed. Based on their findings, CTC can be introduced with minimal effort to rural underserved communities, adequately performed locally and then interpreted remotely by an expert.