Gastroenterology
Volume 137, Issue 3 , Pages 792-794 , September 2009

Computed Tomography Colonography: A Current Appraisal

  • C. Daniel Johnson

      Affiliations

    • Corresponding Author InformationReprint requests Address reprint requests to C. Daniel Johnson, MD, Department of Radiology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, Arizona 85259

References 

  1. Johnson CD, Chen MH, Toledano AY, et al. Accuracy of CT colonography for detection of large adenomas and cancers. N Engl J Med. 2008;359:1207–1217
  2. Pickhardt PJ, Choi JR, Hwang I, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med. 2003;349:2191–2200
  3. Pickhardt PJ. Incidence of colonic perforation at CT colonography: review of existing data and implications for screening of asymptomatic adults. Radiology. 2006;239:313–316
  4. Burling D, Halligan S, Slater A, et al. Potentially serious adverse events at CT colonography in symptomatic patients: national survey of the United Kingdom. Radiology. 2006;239:464–471
  5. Barish RJ. Radiation risk from airline travel. J Am Coll Radiol. 2004;1:784–785
  6. Health Physics Society. Radiation risk in perspective: position statement of the Health Physics Society. Adopted 1996 January; revised 2004 August.
  7. Strzelczyk JJ, Damilakis J, Marx MV, et al. Facts and controversies about radiation exposure, part 1: controlling unnecessary radiation exposures. J Am Coll Radiol. 2006;3:924–931
  8. Waye JD, Kahn O, Auerbach ME. Complications of colonoscopy and flexible sigmoidoscopy. Gastrointest Endosc Clin North Am. 1996;6:343–377
  9. Taylor SA, Halligan S, Saunders BP, et al. Acceptance by patients of multidetector CT colonography compared with barium enema examinations, flexible sigmoidoscopy, and colonoscopy. AJR Am J Roentgenol. 2003;181:913–921
  10. Bosworth HB, Rockey DC, Paulson EK, et al. Prospective comparison of patient experience with colon imaging tests. Am J Med. 2006;119:791–799
  11. 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
  12. Beebe TJ, Johnson CD, Stoner SM, et al. 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
  13. Johnson KT, Carston MJ, Wentz RJ, et al. Development of a cathartic-free colorectal cancer screening test using virtual colonoscopy: a feasibility study. AJR Am J Roentgenol. 2007;188:W29–W36
  14. Jensch S, de Vries AH, Peringa J, et al. CT colonography with limited bowel preparation: performance characteristics in an increased-risk population. Radiology. 2008;247:122–132
  15. Gluecker TM, Johnson CD, Wilson LA, et al. Extracolonic findings at CT colonography: evaluation of prevalence and cost in a screening population. Gastroenterology. 2003;124:911–916
  16. Hara AK, Johnson CD, MacCarty RL, et al. Incidental extracolonic findings at CT colonography. Radiology. 2000;215:353–357
  17. Hellstrom M, Svensson MH, Lasson A. Extracolonic and incidental findings on CT colonography (virtual colonoscopy). AJR Am J Roentgenol. 2004;182:631–638
  18. Rajapaksa RC, Macari M, Bini EJ. Prevalence and impact of extracolonic findings in patients undergoing CT colonography. J Clin Gastroenterol. 2004;38:767–771
  19. Pickhardt PJ, Hanson ME, Vanness DJ, et al. Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact. Radiology. 2008;249:151–159
  20. U.S. Department of Health & Human Services: Agency for Healthcare Research and Quality [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; c2005 Feb. U.S. Preventive Services Task Force. Screening for abdominal aortic aneurysm topic page [cited 2009 May 21]. Available from: http://www.ahrq.gov/CLINIC/uspstf/uspsaneu.htm.
  21. Casarella WJ. A patient's viewpoint on a current controversy. Radiology. 2002;224:927
  22. Levin B, Lieberman DA, McFarland B, et al. American Cancer Society Colorectal Cancer Advisory Group; US Multi-Society Task Force; American College of Radiology Colon Cancer Committee Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin. 2008;58:130–160
  23. Fletcher J, Johnson C, Toledano A, et al. ACRIN 6664: lessons for CT colonography (CTC) training and certification. Paper presented at: Radiological Society of North American Scientific Assembly and Annual Meeting; 2005 Nov 22–Dec 2; Chicago, IL.
  24. Rockey DC, Barish M, Brill JV, et al. Standards for gastroenterologists for performing and interpreting diagnostic computed tomographic colonography. Gastroenterology. 2007;133:1005–1024
  25. ACR practice guideline for the performance of computed tomography (CT) colonography in adults [Internet; cited 2009 May 21]. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines/dx/gastro/ct_colonography.aspx/
  26. National Radiology Data Registry [Internet]. Reston (VA): American College of Cardiology; c2004–2006 [cited 2009 May 21]. Available from: https://nrdr.acr.org/portal/Nrdr/Main/page.aspx.

 Conflicts of interest The author discloses the following: CT colonography software license, GE Healthcare; barium administration license, Bracco.

PII: S0016-5085(09)01185-8

doi: 10.1053/j.gastro.2009.07.029

Gastroenterology
Volume 137, Issue 3 , Pages 792-794 , September 2009

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