CT colonography with decreased purgation: Balancing preparation, performance, and patient acceptance

American Journal of Roentgenology

Volumn 193, Issue 6, 2009, Pages 1531-1539

  Mahgerefteh, Shmuel ^a   Fraifeld, Shifra ^a   Blachar, Arye ^b   Sosna, Jacob ^a,c  

^a HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

^b TEL AVIV SOURASKY MEDICAL CENTER   (Israel)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Bowel preparation; Colorectal cancer screening; Computer aided detection; CT colonography; Electronic cleansing; Fecal tagging; Fluid tagging; Oral catharsis; Stool tagging; Virtual colonoscopy

Indexed keywords

COLONOSCOPY; COMPUTED TOMOGRAPHIC COLONOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; FECES ANALYSIS; HUMAN; IMAGE ANALYSIS; INTESTINE PREPARATION; PATIENT ATTITUDE; PATIENT SATISFACTION; PRIORITY JOURNAL; REVIEW; SYSTEMATIC REVIEW;

CATHARTICS; COLONOGRAPHY, COMPUTED TOMOGRAPHIC; COLONOSCOPY; COLORECTAL NEOPLASMS; HUMANS; PATIENT SATISFACTION;

EID: 73449141495     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.09.2342     Document Type: Review

References (61)

1. American Cancer Society Website. Cancer facts & figures, 2008. www.cancer.org/downloads/STT/ 2008CAFFfinalsecured.pdf. Accessed November 3, 2008
2. Centers for Disease Control and Prevention Website. Colorectal cancer screening rates. www.cdc.gov/CANCER/colorectal/statistics/screening-rates.htm. Published 2006. Updated February 14, 2008. Accessed December 3, 2008
3. Winawer SJ, Zauber AG. The advanced adenoma as the primary target of screening. Gastrointest Endosc Clin N Am 2002; 12:1-9, v
4. Centers for Disease Control and Prevention Website. Breast cancer: mammography - mammography percentages by race and ethnicity. www.cdc.gov/CANCER/breast/statistics/screening.htm. Accessed December 3, 2008
5. Bielen D, Thomeer M, Vanbeckevoort D, et al. Dry preparation for virtual CT colonography with fecal tagging using water-soluble contrast medium: initial results. Eur Radiol 2003; 13:453-458
6. Bosworth HB, Rockey DC, Paulson EK, et al. Prospective comparison of patient experience with colon imaging tests. Am J Med 2006; 119:791-799
7. Cotton PB, Durkalski VL, Pineau BC, et al. Computed tomographic colonography (virtual colonoscopy): a multicenter comparison with standard colonoscopy for detection of colorectal neoplasia. JAMA 2004; 291:1713-1719
8. Florie J, van Gelder RE, Schutter MP, et al. Feasibility study of computed tomography colonography using limited bowel preparation at normal and low-dose levels study. Eur Radiol 2007; 17:3112-3122
9. 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
10. 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
11. Jensch S, de Vries AH, Pot D, et al. Image quality and patient acceptance of four regimens with different amounts of mild laxatives for CT colonography. AJR 2008; 191:158-167
12. Ristvedt SL, McFarland EG, Weinstock LB, Thyssen EP. Patient preferences for CT colonography, conventional colonoscopy, and bowel preparation. Am J Gastroenterol 2003; 98:578-585
13. Svensson MH, Svensson E, Lasson A, Hellstrom M. Patient acceptance of CT colonography and conventional colonoscopy: prospective comparative study in patients with or suspected of having colorectal disease. Radiology 2002; 222:337-345
14. Thomeer M, Bielen D, Vanbeckevoort D, et al. Patient acceptance for CT colonography: what is the real issue? Eur Radiol 2002; 12:1410-1415
15. Weitzman ER, Zapka J, Estabrook B, Goins KV. Risk and reluctance: understanding impediments to colorectal cancer screening. Prev Med 2001; 32:502-513
16. White TJ, Avery GR, Kennan N, Syed AM, Hartley JE, Monson JR. Virtual colonoscopy vs conventional colonoscopy in patients at high risk of colorectal cancer: a prospective trial of 150 patients. Colorectal Dis 2009; 11:138-145
17. Iannaccone R, Laghi A, Catalano C, et al. Computed tomographic colonography without cathartic preparation for the detection of colorectal polyps. Gastroenterology 2004; 127:1300-1311
18. van Gelder RE, Birnie E, Florie J, et al. CT colonography and colonoscopy: assessment of patient preference in a 5-week follow-up study. Radiology 2004; 233:328-337
19. Vining DJ, Gelfand DW, Bechthold RE, Scharling ES, Grishaw EK, Shifrin RY. Technical feasibility of colon imaging with helical CT and virtual reality. (abstr) AJR 1994; 162[American Roentgen Ray Society 94th Annual Meeting Program Book suppl]:104
20. 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
21. 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
22. Mulhall BP, Veerappan GR, Jackson JL. Meta-analysis: computed tomographic colonography. Ann Intern Med 2005; 142:635-650
23. Sosna J, Morrin MM, Kruskal JB, Lavin PT, Rosen MP, Raptopoulos V. CT colonography of colorectal polyps: a metaanalysis. AJR 2003; 181:1593-1598
24. Graser A, Stieber P, Nagel D, et al. Comparison of CT colonography, colonoscopy, sigmoidoscopy, and faecal occult blood tests for the detection of advanced adenoma in an average risk population. Gut 2009; 58:241-248
25. Taylor SA, Halligan S, Saunders BP, Bassett P, Vance M, Bartram CI. Acceptance by patients of multidetector CT colonography compared with barium enema examinations, flexible sigmoidoscopy, and colonoscopy. AJR 2003; 181:913-921
26. Lefere P, Gryspeerdt S, Marrannes J, Baekelandt M, Van Holsbeeck B. CT colonography after fecal tagging with a reduced cathartic cleansing and a reduc ed volume of barium. AJR 2005; 184:1836-1842
27. Lefere PA, Gryspeerdt SS, Dewyspelaere J, Baekelandt M, Van Holsbeeck BG. Dietary fecal tagging as a cleansing method before CT colonography: initial results - polyp detection and patient acceptance. Radiology 2002; 224:393-403
28. Taylor SA, Slater A, Burling DN, et al. CT colonography: optimisation, diagnostic performance and patient acceptability of reduced-laxative regimens using barium-based faecal tagging. Eur Radiol 2008; 18:32-42
29. Gutiérrez-Santiago M, García-Unzueta M, Amado JA, González-Macías J, Riancho JA. Electrolyte disorders following colonic cleansing for imaging studies [in Spanish]. Med Clin (Barc) 2006; 126:161-164
30. Pochaczevsky R. Oral barium tracer: an adjunct for barium enema preparation. Mt Sinai J Med 1984; 51:479-481
31. Skucas J. Contrast media. In: Gore RJ, Levine MS, eds. Textbook of gastrointestinal radiology, 2nd ed. Philadelphia, PA: Saunders, 2000:2-14
32. 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
33. Zalis ME, Perumpillichira J, Del Frate C, Hahn PF. CT colonography: digital subtraction bowel cleansing with mucosal reconstruction: initial observations. Radiology 2003; 226:911-917
34. Zalis ME, Perumpillichira JJ, Magee C, Kohlberg G, Hahn PF. Tagging-based, electronically cleansed CT colonography: evaluation of patient comfort and image readability. Radiology 2006; 239:149-159
35. Callstrom MR, Johnson CD, Fletcher JG, et al. CT colonography without cathartic preparation: feasibility study. Radiology 2001; 219:693-698
36. Johnson CD, Manduca A, Fletcher JG, et al. Noncathartic CT colonography with stool tagging: performance with and without electronic stool subtraction. AJR 2008; 190:361-366
37. Dachman AH, Dawson DO, Lefere P, et al. Comparison of routine and unprepped CT colonography augmented by low fiber diet and stool tagging: a pilot study. Abdom Imaging 2007; 32:96-104
38. Winawer S, Fletcher R, Rex D, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 2003; 124:544-560
39. Taylor SA, Laghi A, Lefere P, Halligan S, Stoker J. European Society of Gastrointestinal and Abdominal Radiology (ESGAR): consensus statement on CT colonography. Eur Radiol 2007; 17: 575-579
40. Harewood GC, Wiersema MJ, Melton LJ 3rd. A prospective, controlled assessment of factors influencing acceptance of screening colonoscopy. Am J Gastroenterol 2002; 97:3186-3194
41. Neri E, Turini F, Cerri F, Vagli P, Bartolozzi C. CT colonography: same-day tagging regimen with iodixanol and reduced cathartic preparation. Abdom Imaging 2009; 34:642-647
42. Adams WJ, Meagher AP, Lubowski DZ, King DW. Bisacodyl reduces the volume of polyethylene glycol solution required for bowel preparation. Dis Colon Rectum 1994; 37:229-233; discussion 233-234
43. Rostom A, Jolicoeur E, Dube C, et al. A randomized prospective trial comparing different regimens of oral sodium phosphate and polyethylene glycol-based lavage solution in the preparation of patients for colonoscopy. Gastrointest Endosc 2006; 64:544-552
44. Akerkar GA, Yee J, Hung R, McQuaid K. Patient experience and preferences toward colon cancer screening: a comparison of virtual colonoscopy and conventional colonoscopy. Gastrointest Endosc 2001; 54:310-315
45. Forbes GM, Mendelson RM. Patient acceptance of virtual colonoscopy. Endoscopy 2000; 32:274-275
46. Roberts-Thomson IC, Tucker GR, Hewett PJ, et al. Single-center study comparing computed tomography colonography with conventional colonoscopy. World J Gastroenterol 2008; 14:469-473
47. DiPalma JA, Wolff BG, Meagher A, Cleveland M. Comparison of reduced volume versus four liters sulfate-free electrolyte lavage solutions for colonoscopy colon cleansing. Am J Gastroenterol 2003; 98:2187-2191
48. Malik P, Balaban DH, Thompson WO, Galt DJ. Randomized study comparing two regimens of oral sodium phosphates solution versus low-dose polyethylene glycol and bisacodyl. Dig Dis Sci 2009; 54:833-841
49. Iafrate F, Hassan C, Zullo A, et al. CT colonography with reduced bowel preparation after incomplete colonoscopy in the elderly. Eur Radiol 2008; 18:1385-1395
50. Von Wagner C, Knight K, Halligan S, et al. Patient experiences of colonoscopy, barium enema and CT colonography: a qualitative study. Br J Radiol 2009; 82:13-19
51. Pickhardt PJ. Colonic preparation for computed tomographic colonography: understanding the relative advantages and disadvantages of a noncathartic approach. Mayo Clin Proc 2007; 82:659-661
52. McFarland EG, Brink JA, Pilgram TK, et al. Spiral CT colonography: reader agreement and diagnostic performance with two- and three-dimensional image-display techniques. Radiology 2001; 218:375-383
53. Sandler RS. NCA for screening computed tomography colonography (CTC) for colorectal cancer. Bethesda, MD: American Gastroenterological Association Institute, June 18, 2008; CAG-00396N. www.gastro.org/user-assets/Documents/02- Clinical-Practice/CTC/AGA-Institute-comment-ltr-re-CTC-for-CRC-screening-6-18- 08.pdf. Accessed December 5, 2008
54. 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 2008; 190:136-144
55. Cai W, Zalis ME, Näppi J, Harris GJ, Yoshida H. Structure-analysis method for electronic cleansing in cathartic and noncathartic CT colonography. Med Phys 2008; 35:3259-3277
56. Baker ME, Bogoni L, Obuchowski NA, et al. Computer-aided detection of colorectal polyps: can it improve sensitivity of less-experienced readers? Preliminary findings. Radiology 2007; 245:140-149
57. Summers RM, Yao J, Pickhardt PJ, et al. Computed tomographic virtual colonoscopy computeraided polyp detection in a screening population. Gastroenterology 2005; 129:1832-1844
58. Näppi J, Yoshida H. Fully automated three-dimensional detection of polyps in fecal-tagging CT colonography. Acad Radiol 2007; 14:287-300
59. Näppi J, Yoshida H. Automated scheme for preparation-independent detection of colorectal lesions with comparison to conventional CAD in CT colonography. In: Yoshida H. Proceedings of the MICCAI 2008 workshop on computational and visualization challenges in the new era of virtual colonoscopy. New York, NY: Medical Image Computing and Computer-Assisted Intervention, 2008:127-135; www.virtualcolon-miccai2008.org/. Accessed March 19, 2009
60. Dachman AH, Kelly KB, Zintsmaster MP, et al. Formative evaluation of standardized training for CT colonographic image interpretation by novice readers. Radiology 2008; 249:167-177
61. Slater A, Taylor SA, Tam E, et al. Reader error during CT colonography: causes and implications for training. Eur Radiol 2006; 16:2275-2283