Academic Radiology
Volume 16, Issue 5 , Pages 564-571 , May 2009

CT Colonography Versus Optical Colonoscopy for Screening Asymptomatic Patients for Colorectal Cancer: A Patient, Intervention, Comparison, Outcome (PICO) Analysis

Received 22 September 2008 ,Accepted 6 January 2009.

References 

  1. Rabeneck L. Population-based colorectal cancer screening; an overview of Ontario's program. Oncol Exchange. 2007;6:25–27
  2. Quintero E, Parra-Blanco A. Noninvasive diagnostic tools in colorectal cancer mass screening. Curr Colorect Cancer Rep. 2007;3:29–34
  3. Swan J, Breen N, Coates RJ, et al. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97:1528–1540
  4. Umar S, Richmond E, Griebel DJ. Colorectal cancer prevention: diet, drugs or nothing. Curr Colorect Cancer Rep. 2007;3:16–23
  5. McAlearney AS, Reeves KW, Kickinson SL, et al. Racial differences in colorectal cancer screening practices and knowledge within a low-income population. Cancer. 2008;112:391–398
  6. Shih YC, Zhao L, Elting LS. Does Medicare coverage of colonoscopy reduce racial/ethnic disparities in cancer screening among the elderly?. Health Aff (Millwood). 2006;25:1153–1162
  7. Vining DJ, Gelfand DW, Bechtold RE, Scharling ES, Grishaw EK, Shifrin GY. Technical feasibility of colon imaging with helical CT and virtual reality. [abstract] AJR Am J Roentgenol. 1994;162(suppl):S104
  8. Haynes B. Of studies, syntheses, synopses, summaries, and systems: the “5S” evolution of information services for evidence-based healthcare decisions. Evid Based Nurs. 2007;10:6–7
  9. Dodd GD. Evidence-based practice in radiology: steps 3 and 4—appraise and apply diagnostic radiology literature. Radiology. 2007;242:342–353
  10. Staunton M. Evidence-based practice in radiology: steps 1 and 2—asking answerable questions and searching for evidence. Radiology. 2007;242:23–31
  11. Pickhardt PJ, Choi JR, Nugent PA, Schindler WR. The effect of diagnostic confidence on the probability of optical colonoscopic confirmation of potential polyps detected on CT colonography: prospective assessment in 1,339 asymptomatic adults. AJR Am J Roentgenol. 2004;183:1661–1665
  12. National Health Service Centre for Evidence-Based Medicine. Levels of evidence and grades of recommendations. Available at: http://www.cebm.net/level_of_evidence.asp.
  13. Mulhall BP, Veerappan GR, Jackson JL. Meta-analysis: computed tomographic colonography. Ann Intern Med. 2005;142:635–650
  14. Halligan S, Altman DG, Taylor SA, et al. CT colonography in the detection of colorectal polyps and cancer: systematic review, meta-analysis, and proposed minimum data set for study level reporting. Radiology. 2005;237:893–904
  15. Pickhardt PJ, Choi JR, Hwang I, Butler JA, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med. 2003;349:2191–2199
  16. Johnson CD, Chen M-H, Tolendano AY, et al. Accuracy of CT colonography for detection of large adenomas and cancers. N Engl J Med. 2008;359:1207–1217
  17. Iannaccone R, Laghi A, Catalano C, et al. Detection of colerectal lesions: lower-dose multi-detector row helical CT colonography compared with conventional colonoscopy. Radiology. 2003;229:775–781
  18. Iannaccone R, Catalano C, Mangiapane F, et al. Colorectal polyps: detection with low-dose multi-detector row helical CT colonography versus two sequential colonoscopies. Radiology. 2005;237:927–937
  19. Vogt C, Cohnene M, Beck A, et al. Detection of colorectal polyps by multislice CT colonography with ultra-low-dose technique: comparison with high-resolution videocolonoscopy. Gastrointest Endosc. 2004;60:201–209
  20. Copel L, Sosna J, Kruskal JB, Raptopoulos V, Farrel RJ, Morrin MM. CT colonography in 546 patients with incomplete colonoscopy. Radiology. 2007;244:471–478
  21. Yun J, Ro HJ, Park JB, et al. Diagnostic performance of CT colonography for the detection of colorectal polyps. Korean J Radiol. 2007;8:484–491
  22. Wessling J, Domagk K, Lugenring N, et al. Virtual colonography: identification and differentiation of colorectal lesions using multi-detector computed tomography. Scand J Gastroenterol. 2005;40:468–476
  23. Macari M, Bini E, Jacobs S, et al. Colorectal polyp and cancers in asymptomatic average-risk patients: evaluation with CT colonography. Radiology. 2004;230:629–636
  24. Edwards JT, Mendelson RM, Fritschi L, et al. Colorectal neoplasia screening with CT colonography in average-risk asymptomatic subjects: community-based study. Radiology. 2004;230:459–464
  25. Kim DH, Pickhardt PJ, Hoff G, Kay CL. Computed tomographic colonography for colorectal screening. Endoscopy. 2007;39:545–549
  26. Rozen P. Report of the World Organization for Digestive Endoscopy Colorectal Cancer Screening Committee Meeting, Chicago, 2005. Eur J Cancer Prevent. 2006;15:95–102
  27. Rex DK. Colonoscopy is justified for any polyp discovered during computed tomographic colonography. Am J Gastroenterol. 2005;100:1903–1908
  28. Mandel JS, Bond JH, Church TR. Reducing mortality from colorectal cancer by screening for fecal occult blood. N Engl J Med. 1993;328:1365–1371
  29. Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O. Randomised study of screening for colorectal cancer with fecal occult-blood test. Lancet. 1996;348:1647–1671
  30. Garber AM, Phelps CE. Economic foundation of cost effectiveness analysis. J Health Econ. 1997;16:1–31
  31. Brown ML, Fintor L. Cost-effectiveness of breast cancer screening: preliminary results of a systematic review of the literature. Breast Cancer Res Treat. 1993;25:113–118
  32. Ladabaum U, Song K, Fendrick AM. Colorectal neoplasia screening with virtual colonoscopy: when, at what cost, and with what national impact?. Clin Gastroenterol Hepatol. 2004;2:554–563
  33. Heitman SJ, Manns BJ, Hilsden RJ, et al. Cost-effectiveness of computerized tomographic colonography versus colonoscopy for colorectal cancer screening. CMAJ. 2005;173:877–881
  34. Kiberd B. Colon cancer screening. CMAJ. 2006;174:975
  35. Peltekian K. Colon cancer screening. CMAJ. 2006;174:975
  36. Pickhardt PJ, Hassan C, Laghi A, Zullo A, Kim DH, Iafrate F, et al. Cost-effectiveness of colorectal cancer screening with computed tomography colonography: the impact of not reporting diminutive lesions. Cancer. 2007;109:2213–2221
  37. Pickhardt PJ, Hassan C, Laghi A, et al. Small and diminutive polyps detected at screening CT colonography: a decision analysis for referral to colonoscopy. AJR Am J Roentgenol. 2008;190:136–144
  38. Pickhardt PJ. By-patient performance characteristics of CT colonography: importance of polyp size threshold data. Radiology. 2003;229:291–293
  39. Marshall JB, Barthel JS. The frequency of total colonoscopy and terminal ileum intubation in the 1990s. Gastrointest Endosc. 1993;39:518–520
  40. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. N Engl J Med. 1993;329:1977–1981
  41. Hixson LJ, Fennerty MB, Sampliner RE, Garewal HS. Prospective blinded trial of the colonoscopic miss-rate of large colorectal polyps. Gastrointest Endosc. 1991;37:125–127
  42. Chung DJ, Huh KC, Choi WJ, Kim JK. CT colonography using 16-MDCT in the evaluation of colorectal cancer. AJR Am J Roentgenol. 2005;184:98–103
  43. Johnson CD, Harmsen WS, Wilson LA, et al. Prospective blinded evaluation of computed tomographic colonography for screen detection of colorectal polyps. Gastroenterology. 2003;125:311–319
  44. Gluecker TM, Johnson CD, Harmsen WS, et al. Colorectal cancer screening with CT colonography, colonoscopy, and double-contrast barium enema examination: prospective assessment of patient perceptions and preferences. Radiology. 2003;227:378–384
  45. Hara AK, Johnson CD, MacCarty RL, Welch TJ. Incidental extracolonic findings at CT colonography. Radiology. 2000;215:353–357
  46. Beebe TJ, Johnson CD, Stoner SM, Anderson KJ, Limburg PJ. Assessing attitudes toward laxative preparation in colorectal cancer screening and effects on future testing: potential receptivity to computed tomographic colonography. Mayo Clin Proc. 2007;82:666–671
  47. Iannaccone R, Laghi A, Catalano C, et al. CT colonography without cathartic preparation for the detection of colorectal polyps. Gastroenterology. 2004;127:1300–1311
  48. Van Gelder RE, Nio CY, Florie J, et al. Computed tomographic colonography compared with colonoscopy in patients at increased risk for colorectal cancer. Gastroenterology. 2004;127:41–48
  49. Huda W. Radiation dosimetry in diagnostic radiology. AJR Am J Roentgenol. 1997;169:1487–1488
  50. Wise KN. Solid cancer risks from radiation exposure for the Australian population. Australas Phys Eng Sci Med. 2003;26:53–62
  51. Johnson CD, Toledano AY, Herman BA, et al. American College of Radiology Imaging Network A6656. Computerized tomographic colonography: performance evaluation in a retrospective multicenter setting. Gastroenterology. 2003;12:688–695

PII: S1076-6332(09)00036-1

doi: 10.1016/j.acra.2009.01.008

Academic Radiology
Volume 16, Issue 5 , Pages 564-571 , May 2009

Article Tools