Radiation-related cancer risks from CT colonography screening: A risk-benefit analysis

American Journal of Roentgenology

Volumn 196, Issue 4, 2011, Pages 816-823

  Berrington De González, Amy ^a   Kim, Kwang Pyo ^b   Knudsen, Amy B ^c   Lansdorp Vogelaar, Iris ^d   Rutter, Carolyn M ^e   Smith Bindman, Rebecca ^f   Yee, Judy ^g   Kuntz, Karen M ^h   Van Ballegooijen, Marjolein ^d   Zauber, Ann G ⁱ   Berg, Christine D ^a  

^a NATIONAL CANCER INSTITUTE   (United States)

^b Kyung Hee University   (South Korea)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d ERASMUS MEDICAL CENTER   (Netherlands)

^e CENTER FOR HEALTH STUDIES   (United States)

^f UNIVERSITY OF CALIFORNIA   (United States)

^g SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER   (United States)

^h UNIVERSITY OF MINNESOTA   (United States)

ⁱ MEMORIAL SLOAN KETTERING CANCER CENTER   (United States)

Author keywords

Colonography; Colorectal cancer; CT; CT colonography radiation risk; Radiation risk; Screening

Indexed keywords

ADULT; AGED; ARTICLE; CANCER MORTALITY; CANCER PREVENTION; CANCER RISK; CANCER SCREENING; COMPUTED TOMOGRAPHIC COLONOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC VALUE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MATHEMATICAL COMPUTING; PRIORITY JOURNAL; RADIATION DOSE; RADIATION HAZARD; RADIATION RELATED PHENOMENA; RADIATION SAFETY; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; SEX DIFFERENCE; SIMULATION; COLORECTAL TUMOR; COMPARATIVE STUDY; MASS SCREENING; MIDDLE AGED; MONTE CARLO METHOD; RADIATION INDUCED NEOPLASM; RADIOGRAPHY;

AGED; AGED, 80 AND OVER; COLONOGRAPHY, COMPUTED TOMOGRAPHIC; COLORECTAL NEOPLASMS; FEMALE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; MONTE CARLO METHOD; NEOPLASMS, RADIATION-INDUCED; RADIATION DOSAGE; RISK ASSESSMENT;

EID: 79957807907     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.10.4907     Document Type: Article

References (34)

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. Levin B, Lieberman DA, McFarland B, et al.; the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. 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 (Pubitemid 351830299)
3. U.S. Preventive Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2008; 149:627-637
4. Centers for Medicare and Medicaid Services Website. Decision memo for screening computed tomography (CTC) for colorectal cancer (CAG-00396N) for Medicare and Medicaid Services (CMS) 2009. www.cms.gov/mcd/ viewdraftdecisionmemo.asp?from2=viewdraftdecisionmemo.asp&id=220&. Accessed May 15, 2009
5. Land CE. Estimating cancer risks from low doses of ionizing radiation. Science 1980; 209:1197-1203 (Pubitemid 10019749)
6. Brenner DJ, Georgsson MA. Mass screening with CT colonography: should the radiation exposure be of concern? Gastroenterology 2005; 129:328-337 (Pubitemid 41002065)
7. Committee to Assess Health Risks From Exposure to Low Levels of Ionizing Radiation, Board on Radiation Effects Research, Division of Earth and Life Studies, National Research Council of the National Academies. Health risks from exposure to low levels of ionizing radiation: BEIR VII phase 2. Washington, DC: National Academies Press, 2006
8. 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; 102:1238-1252
9. ACRIN Website. Protocol 6664: the National CT Colonography Trial. www.acrin.org/TabID/151/Default.aspx. Accessed January 10, 2009
10. Stamm G, Nagel HD. CT-Expo: a novel program for dose evaluation in CT [in German]. Rofo 2002; 174:1570-1576 (Pubitemid 36055040)
11. [No authors listed]. 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 1991; 21:1-201
12. Preston DL, Ron E, Tokuoka S, et al. Solid cancer incidence in atomic bomb survivors: 1958-1998. Radiat Res 2007; 168:1-64
13. Preston DL, Mattsson A, Holmberg E, Shore R, Hildreth NG, Boice JD Jr. Radiation effects on breast cancer risk: a pooled analysis of eight cohorts. Radiat Res 2002; 158:220-235 (Pubitemid 34851818)
14. SEER research data 1973-2006 when using SEER*Stat: Surveillance, Epidemiology, and End Results (SEER) program (www.seer.cancer.gov)
15. SEER*Stat database: incidence - SEER9 Regs Research Data, Nov 2009 Sub (1973-2006) - Linked to county attributes - Total U.S., 1969-2006 counties, National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released April 2009, based on November 2008 submission
16. Pickhardt PJ, Hanson ME, Vanness DJ, et al. Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact. Radiology 2008; 249:151-159
17. Yee J, Kumar NN, Godara S, et al. Extracolonic abnormalities discovered incidentally at CT colonography in a male population. Radiology 2005; 236:519-526 (Pubitemid 41023435)
18. 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 (Pubitemid 36389793)
19. Conference of Radiation Control Program Directors. National evaluation of X-ray trends (NEXT): tabulation of graphical summary of 2000 survey of computed tomography. Frankfort, KY: CRCPD, 2007: publication. no. E-07-2
20. National Cancer Institute Website. Cancer Intervention and Surveillance Modeling Network: standardized model documents. cisnet.cancer. gov/profiles/. Accessed January 2010
21. van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol 2006; 101:343-350 (Pubitemid 43381678)
22. 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; 224:383-392 (Pubitemid 34809118)
23. Liedenbaum MH, Venema HW, Stoker J. Radiation dose in CT colonography: trends in time and differences between daily practice and screening protocols. Eur Radiol 2008; 18:2222-2230
24. American College of Radiology Website. ACR practice guideline for the performance of computed tomography (CT) colonography in adults: resolution 36. www.acr.org/SecondaryMainMenuCategories/quality-safety/guidelines/dx/gastro/ ct-colonography.aspx. Revised 2009. Accessed August 8, 2010
25. Nagel HD. CT parameters that influence the radiation dose: radiation dose from adults and pediatric multidetector computed tomography. Berlin, Germany: Springer-Verlag, 2007:51-79
26. Cohnen M, Vogt C, Aurich V, Beck A, Häussinger D, Mödder U. Multi-slice CT-colonography in low-dose technique: preliminary results. Rofo 2002; 174:835-838 (Pubitemid 34812237)
27. 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 (Pubitemid 41636383)
28. Committee on the Biological Effects of Ionizing Radiation, Board on Radiation Effects Research, Commission on Life Sciences, National Research Council. Health effects of exposure to low levels of ionizing radiation: BEIR V. Washington, DC: National Academy Press, 1990
29. Hassan C, Pickhardt PJ, Laghi A, et al. Computed tomographic colonography to screen for colorectal cancer, extracolonic cancer, and aortic aneurysm: model simulation with cost-effectiveness analysis. Arch Intern Med 2008; 168:696-705 (Pubitemid 351563952)
30. Little MP, Wakeford R, Tawn EJ, Bouffler SD, Berrington de González A. Risks associated with low doses and low dose rates of ionizing radiation: why linearity may be (almost) the best we can do. Radiology 2009; 251:6-12
31. International Commission on Radiological Protection. Annals of the ICRP: ICRP publication no. 99 - low-dose extrapolation of radiation related cancer risk. New York, NY: Elsevier, 2006
32. United Nations Scientific Committee on the Effects of Atomic Radiation. Effects of ionizing radiation: UNSCEAR 2006 report, vol. 1. Report to the General Assembly, with Scientific Annexes A and B: sources and effects of ionizing radiation. Vienna, Austria: United Nations Office at Vienna, 2008
33. Zalis ME, Barish MA, Choi JR, et al.; Working Group on Virtual Colonoscopy. CT colonography reporting and data system: a consensus proposal. Radiology 2005; 236:3-9 (Pubitemid 40853289)
34. National Cancer Institute Website. Surveillance, Epidemiology, and End Results program: fast stats. seer.cancer.gov/faststats. Accessed August 9, 2010