TY - JOUR
T1 - Computed tomography colonography: Current issues
AU - Nio, Yung
AU - van Gelder, Rogier E.
AU - Stoker, Jaap
PY - 2006
Y1 - 2006
N2 - OBJECTIVE: Direct and indirect evidence supports the concept of screening for adenomas and early stage colorectal cancer in reducing the incidence and disease-specific mortality. Controversy remains as to the appropriateness of and preferred methods for screening an asymptomatic population. METHODS: Review of computed tomography (CT) colonography based on the literature and personal experience. RESULTS AND CONCLUSIONS: Current discrepancies in the data on accuracy and patient acceptance of CT colonography reflect differences in the performance and evaluation of this examination. Before CT colonography can be implemented in colorectal cancer screening, factors that cause this variability must be elucidated. Studies in which high-resolution scanning, three-dimensional review methods and an enhanced colonoscopic reference are used achieve an accuracy that is similar to colonoscopy. At the same time the evidence that ultra-low radiation dose CT colonography is feasible is mounting, a development that dramatically reduces one of the largest obstacles for large-scale application of this technique
AB - OBJECTIVE: Direct and indirect evidence supports the concept of screening for adenomas and early stage colorectal cancer in reducing the incidence and disease-specific mortality. Controversy remains as to the appropriateness of and preferred methods for screening an asymptomatic population. METHODS: Review of computed tomography (CT) colonography based on the literature and personal experience. RESULTS AND CONCLUSIONS: Current discrepancies in the data on accuracy and patient acceptance of CT colonography reflect differences in the performance and evaluation of this examination. Before CT colonography can be implemented in colorectal cancer screening, factors that cause this variability must be elucidated. Studies in which high-resolution scanning, three-dimensional review methods and an enhanced colonoscopic reference are used achieve an accuracy that is similar to colonoscopy. At the same time the evidence that ultra-low radiation dose CT colonography is feasible is mounting, a development that dramatically reduces one of the largest obstacles for large-scale application of this technique
U2 - https://doi.org/10.1080/00365520600664482
DO - https://doi.org/10.1080/00365520600664482
M3 - Article
C2 - 16782633
SN - 0036-5521
VL - 41
SP - 139
EP - 145
JO - Scandinavian journal of gastroenterology
JF - Scandinavian journal of gastroenterology
IS - Suppl. 243
ER -