Potentially important extracolonic findings at screening CT colonography: Incidence and outcomes data from a clinical screening program

American Journal of Roentgenology

Volumn 206, Issue 2, 2016, Pages 313-318

  Pooler, B Dustin ^a   Kim, David H ^a   Pickhardt, Perry J ^a  

^a UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

Author keywords

Colorectal cancer screening; CT colonography; CT Colonography Reporting and Data System; Extracolonic findings; Incidental findings; Virtual colonoscopy

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ACUTE APPENDICITIS; ADULT; ANEURYSM; ARTICLE; COLORECTAL CANCER; COMPUTED TOMOGRAPHIC COLONOGRAPHY; CYSTOCOLIC FISTULA; ENDOMETRIOSIS; FEMALE; FOLLOW UP; HUMAN; HYDROSALPINX; INCIDENCE; INFLAMMATORY BOWEL DISEASE; INTESTINE MALROTATION; KIDNEY AGENESIS; KIDNEY POLYCYSTIC DISEASE; LIVER CIRRHOSIS; MAJOR CLINICAL STUDY; MALE; MALIGNANT NEOPLASTIC DISEASE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RADIOLOGIST; SARCOIDOSIS; SCREENING; UROLITHIASIS; VISCERAL ARTERY ANEURYSM; CLASSIFICATION; COLORECTAL TUMOR; INCIDENTAL FINDING; MASS SCREENING; METHODOLOGY; MIDDLE AGED; RADIOGRAPHY; STANDARDS;

COLONOGRAPHY, COMPUTED TOMOGRAPHIC; COLORECTAL NEOPLASMS; FEMALE; HUMANS; INCIDENCE; INCIDENTAL FINDINGS; MALE; MASS SCREENING; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); RESEARCH DESIGN;

EID: 84956709755     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.15.15193     Document Type: Article

References (22)

1. Kim DH, Pickhardt PJ, Taylor AJ, et al. CT colonography versus colonoscopy for the detection of advanced neoplasia. N Engl J Med 2007; 357:1403-1412
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. Pooler BD, Kim DH, Hassan C, Rinaldi A, Burnside ES, Pickhardt PJ. Variation in diagnostic performance among radiologists at screening CT colonography. Radiology 2013; 268:127-134
4. Pickhardt PJ, Hassan C, Laghi A, Zullo A, Kim DH, Morini S. Cost-effectiveness of colorectal cancer screening with computed tomography colonography: the impact of not reporting diminutive lesions. Cancer 2007; 109:2213-2221
5. 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
6. Pooler BD, Baumel MJ, Cash BD, et al. Screening CT colonography: multicenter survey of patient experience, preference, and potential impact on adherence. AJR 2012; 198:1361-1366
7. Plumb AA, Boone D, Fitzke H, et al. Detection of extracolonic pathologic findings with CT colonography: a discrete choice experiment of perceived benefits versus harms. Radiology 2014; 273:144-152
8. Zalis ME, Barish MA, Choi JR, et al. CT colonography reporting and data system: a consensus proposal. Radiology 2005; 236:3-9
9. Sutherland T, Coyle E, Lui B, Lee WK. Extracolonic findings at CT colonography: a review of 258 consecutive cases. J Med Imaging Radiat Oncol 2011; 55:149-152
10. Pickhardt PJ, Taylor AJ. Extracolonic findings identified in asymptomatic adults at screening CT colonography. AJR 2006; 186:718-728
11. Kim YS, Kim N, Kim SY, et al. Extracolonic findings in an asymptomatic screening population undergoing intravenous contrast-enhanced computed tomography colonography. J Gastroenterol Hepatol 2008; 23:E49-E57
12. Badiani S, Tomas-Hernandez S, Karandikar S, Roy-Choudhury S. Extracolonic findings (ECF) on CT colonography (CTC) in patients presenting with colorectal symptoms. Acta Radiol 2013; 54:851-862
13. Pickhardt PJ, Hanson ME, Vanness DJ, et al. Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact. Radiology 2008; 249:151-159
14. Wernli KJ, Rutter CM, Dachman AH, Zafar HM. Suspected extracolonic neoplasms detected on CT colonography: literature review and possible outcomes. Acad Radiol 2013; 20:667-674
15. Pickhardt PJ. Screening CT colonography: how I do it. AJR 2007; 189:290-298
16. Pickhardt PJ, Lee AD, Taylor AJ, et al. Primary 2D versus primary 3D polyp detection at screening CT colonography. AJR 2007; 189:1451-1456
17. Ginnerup Pedersen B, Rosenkilde M, Christiansen TE, Laurberg S. Extracolonic findings at computed tomography colonography are a challenge. Gut 2003; 52:1744-1747
18. Pooler BD, Kim DH, Lam VP, Burnside ES, Pickhardt PJ. CT Colonography Reporting and Data System (C-RADS): benchmark values from a clinical screening program. AJR 2014; 202:1232-1237
19. Hassan C, Pickhardt PJ, Laghi A, et al. Computed tomographic colonography to screen for colorectal cancer, extracolonic cancer, and aortic aneurysm. Arch Intern Med 2008; 168:696-705
20. Macari M, Nevsky G, Bonavita J, Kim DC, Megibow AJ, Babb JS. CT colonography in senior versus nonsenior patients: extracolonic findings, recommendations for additional imaging, and polyp prevalence. Radiology 2011; 259:767-774
21. Pickhardt PJ, Hassan C, Laghi A, Kim DH. CT colonography to screen for colorectal cancer and aortic aneurysm in the medicare population: costeffectiveness analysis. AJR 2009; 192:1332-1340
22. Zalis ME, Blake MA, Cai WL, et al. Diagnostic accuracy of laxative-free computed tomographic colonography for detection of adenomatous polyps in asymptomatic adults a prospective evaluation. Ann Intern Med 2012; 156:692-702