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Related Experiment Videos

Consensus on current clinical practice of virtual colonoscopy.

Matthew A Barish1, Jorge A Soto, Joseph T Ferrucci

  • 1Department of Radiology, 3D and Image Processing Center, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, USA. mabarish@partners.org

AJR. American Journal of Roentgenology
|February 25, 2005
PubMed
Summary

Virtual colonoscopy is a credible screening method. Experts agree on its performance, interpretation, and reporting standards for clinical use.

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Area of Science:

  • Gastroenterology
  • Radiology
  • Medical Imaging

Background:

  • Virtual colonoscopy (VC) is an emerging colorectal cancer screening tool.
  • Expert consensus is needed to standardize VC performance, interpretation, and reporting.

Purpose of the Study:

  • To establish expert consensus on virtual colonoscopy (VC) guidelines.
  • To define optimal practices for VC's clinical role, performance, interpretation, and reporting.

Main Methods:

  • A survey was distributed to 33 virtual colonoscopy (VC) experts.
  • Responses were compiled to formulate a consensus statement, which was then reviewed by respondents.

Main Results:

  • 93.9% of experts consider VC a credible screening method.

Related Experiment Videos

  • Consensus was reached on preferred laxatives, the necessity of prone/supine imaging, and acceptable slice thickness (3 mm).
  • Most experts favor axial review for interpretation, lower radiation doses for screening, and not reporting small polyps (<4 mm).

    • Conclusions:

    • A developing consensus exists among experts regarding virtual colonoscopy (VC) protocols.
    • Standardized guidelines for VC performance, interpretation, and reporting are emerging.