CT Colonography of a Medicare-Aged Population: Outcomes Observed in an Analysis of More Than 1400 Patients

被引：31

作者：

Cash, Brooks D. ^{[1
]}

Riddle, Mark S. ^{[1
]}

Bhattacharya, Ishan ^{[1
]}

Barlow, Duncan ^{[1
]}

Jensen, Donald ^{[1
]}

del Pino, Nicolas Moya ^{[1
]}

Pickhardt, Perry J. ^{[2
]}

机构：

[1] Natl Naval Med Ctr, Dept Gastroenterol, Bethesda, MD 20889 USA

[2] Univ Wisconsin, Dept Radiol, Sch Med, Madison, WI 53706 USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2012年 / 199卷 / 01期

关键词：

colon cancer; colorectal cancer screening; CT colonography; Medicare; screening; COMPUTED TOMOGRAPHIC COLONOGRAPHY; SERVICES TASK-FORCE; COLORECTAL-CANCER; EXTRACOLONIC FINDINGS; ASYMPTOMATIC ADULTS; ADVANCED NEOPLASIA; ADENOMA DETECTION; COLONOSCOPY; POLYPS; RISK;

D O I：

10.2214/AJR.11.7729

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. We evaluated outcomes of patients 65 years old and older who underwent CT colonography (CTC) between 2004 and 2009. CONCLUSION. The frequency of referral to colonoscopy based on a polyp size threshold of 6 mm was 14.5%. Colorectal neoplasia was found in 9.3% of patients, with advanced neoplasia in 3.3%. Potentially important extracolonic findings were observed in 2.9% of patients. The low rates of referral to colonoscopy, prevalence of advanced neoplasia, and prevalence of extracolonic findings make CTC a viable option for Medicare-aged patients.

引用

页码：W27 / W34

页数：8

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