CT colonography in senior versus nonsenior patients: Extracolonic findings, recommendations for additional imaging, and polyp prevalence

Radiology

Volumn 259, Issue 3, 2011, Pages 767-774

  Macari, Michael ^a   Nevsky, Gregory ^a   Bonavita, John ^a   Kim, Danny C ^a   Megibow, Alec J ^a   Babb, James S ^a  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL RADIOGRAPHY; ADULT; AGE DISTRIBUTION; AGED; ARTICLE; COLON DIVERTICULOSIS; COLON POLYP; COMPUTED TOMOGRAPHIC COLONOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC IMAGING; FEMALE; HUMAN; IMAGE ANALYSIS; IMAGE PROCESSING; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; COLONIC POLYPS; COLONOGRAPHY, COMPUTED TOMOGRAPHIC; CONTRAST MEDIA; DIATRIZOATE MEGLUMINE; FEMALE; HUMANS; MALE; MIDDLE AGED; PREVALENCE; RETREATMENT; RETROSPECTIVE STUDIES;

EID: 79956336716     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.11102144     Document Type: Article

References (32)

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(12):1207-1217.
2. Kim DH, Pickhardt PJ, Taylor AJ, et al. CT colonography versus colonoscopy for the detection of advanced neoplasia. N Engl J Med 2007;357(14):1403-1412. (Pubitemid 47535594)
3. 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(23):2191-2200. (Pubitemid 37485135)
4. Levin B, Lieberman DA, McFarland B, et al. 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(3):130-160.
5. Whitlock EP, Lin JS, Liles E, Beil TL, Fu R. Screening for colorectal cancer: a targeted, updated systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2008;149(9):638-658.
6. Dhruva SS, Phurrough SE, Salive ME, Redberg RF. CMS's landmark decision on CT colonography: examining the relevant data. N Engl J Med 2009;360(26):2699-2701.
7. Knudsen AB, Lansdorp-Vogelaar I, Rutter CM, et al. Cost-effectiveness of computed tomographic colonography screening for colorectal cancer in the Medicare population. J Natl Cancer Inst 2010;102(16):1238-1252.
8. Brenner DJ, Georgsson MA. Mass screening with CT colonography: should the radiation exposure be of concern? Gastroenterology 2005;129(1):328-337.
9. Macari M, Bini EJ, Xue X, et al. Colorectal neoplasms: prospective comparison of thin-section low-dose multi-detector row CT colonography and conventional colonoscopy for detection. Radiology 2002;224(2):383-392. (Pubitemid 34809118)
10. Rickert RR, Auerbach O, Garfinkel L, Hammond EC, Frasca JM. Adenomatous lesions of the large bowel: an autopsy survey. Cancer 1979;43(5):1847-1857. (Pubitemid 9203736)
11. Clark JC, Collan Y, Eide TJ, et al. Prevalence of polyps in an autopsy series from areas with varying incidence of large-bowel cancer. Int J Cancer 1985;36(2):179-186. (Pubitemid 15243443)
12. Vatn MH, Stalsberg H. The prevalence of polyps of the large intestine in Oslo: an autopsy study. Cancer 1982;49(4):819-825. (Pubitemid 12165443)
13. Macari M, Bini EJ, Jacobs SL, et al. Significance of missed polyps at CT colonography. AJR Am J Roentgenol 2004;183(1):127-134. (Pubitemid 38789025)
14. Pickhardt PJ, Hanson ME, Vanness DJ, et al. Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact. Radiology 2008;249(1):151-159.
15. Hara AK, Johnson CD, MacCarty RL, Welch TJ. Incidental extracolonic findings at CT colonography. Radiology 2000;215(2):353-357. (Pubitemid 30237827)
16. Rajapaksa RC, Macari M, Bini EJ. Prevalence and impact of extracolonic findings in patients undergoing CT colonography. J Clin Gastroenterol 2004;38(9):767-771. (Pubitemid 39274177)
17. Zalis ME, Barish MA, Choi JR, et al. CT colonography reporting and data system: a consensus proposal. Radiology 2005;236(1):3-9. (Pubitemid 40853289)
18. Sistrom CL, Dreyer KJ, Dang PP, et al. Recommendations for additional imaging in radiology reports: multifactorial analysis of 5.9 million examinations. Radiology 2009;253(2):453-461.
19. Kim DH, Pickhardt PJ, Hanson ME, Hinshaw JL. CT colonography: performance and program outcome measures in an older screening population. Radiology 2010;254(2):493-500.
20. Pickhardt PJ, Hanson ME. Incidental adnexal masses detected at low-dose unenhanced CT in asymptomatic women age 50 and older: implications for clinical management and ovarian cancer screening. Radiology 2010;257(1):144-150.
21. Welcome to National Government Services. National Government Services Web site. http://www.empiremedicare.com/content.aspx?CatID=2&DOCID=20819. Accessed October 20, 2010.
22. 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(2):241-248.
23. Pickhardt PJ, Kim DH. Colorectal cancer screening with CT colonography: key concepts regarding polyp prevalence, size, histology, morphology, and natural history. AJR Am J Roentgenol 2009;193(1):40-46.
24. Lieberman D, Moravec M, Holub J, Michaels L, Eisen G. Polyp size and advanced histology in patients undergoing colonoscopy screening: implications for CT colonography. Gastroenterology 2008;135(4):1100-1105.
25. Regula J, Rupinski M, Kraszewska E, et al. Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med 2006;355(18):1863-1872. (Pubitemid 44664644)
26. Pickhardt PJ, Kim DH, Meiners RJ, et al. Colorectal and extracolonic cancers detected at screening CT colonography in 10 286 asymptomatic adults. Radiology 2010;255(1):83-88.
27. Baumgarten DA, Nelson RC. Outcome of examinations self-referred as a result of spiral CT of the abdomen. Acad Radiol 1997;4(12):802-805. (Pubitemid 127472007)
28. Blaivas M, Lyon M. Frequency of radiology self-referral in abdominal computed tomographic scans and the implied cost. Am J Emerg Med 2007;25(4):396-399. (Pubitemid 46710298)
29. Jones EC, Chezmar JL, Nelson RC, Bernardino ME. The frequency and significance of small (≤15 mm) hepatic lesions detected by CT. AJR Am J Roentgenol 1992;158(3):535-539.
30. Khalil HI, Patterson SA, Panicek DM. Hepatic lesions deemed too small to characterize at CT: prevalence and importance in women with breast cancer. Radiology 2005; 235(3):872-878. (Pubitemid 40695883)
31. Berland LL, Silverman SG, Gore RM, et al. Managing incidental findings on abdominal CT: white paper of the ACR incidental findings committee. J Am Coll Radiol 2010; 7(10):754-773.
32. Pickhardt PJ, Hassan C, Laghi A, Kim DH. CT colonography to screen for colorectal cancer and aortic aneurysm in the Medicare population: cost-effectiveness analysis. AJR Am J Roentgenol 2009;192(5): 1332-1340.