Is computed tomographic colonography effective for colorectal cancer screening?

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Is computed tomographic colonography effective for colorectal cancer screening?

Background: The majority of col-orectal cancers arise from benign neoplasms (adenomatous polyps). Adenomas of 1 cm or more in diameter confer a higher risk of col-orectal cancer than smaller ones. The goals of colorectal cancer screening in asymptomatic individuals are to detect cancers and to identify and remove adenoma-tous polyps. In 2001 the Canadian Task Force on Preventive Health Care end...

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Colorectal cancer screening has been shown to help prevent cancer-related death. Concerns about suboptimal adherence to conventional colonoscopy has led to the search for alternative screening modalities. Computed tomography colono-graphy (CTC) is a highly sensitive and minimally invasive alternative modality. The American College of Radiology has established a standardized reporting system for...

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Re: Cost-effectiveness of computed tomographic colonography screening for colorectal cancer in the Medicare population.

BACKGROUND The Centers for Medicare and Medicaid Services (CMS) considered whether to reimburse computed tomographic colonography (CTC) for colorectal cancer screening of Medicare enrollees. To help inform its decision, we evaluated the reimbursement rate at which CTC screening could be cost-effective compared with the colorectal cancer screening tests that are currently reimbursed by CMS and a...

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Double Colorectal Cancer Only Diagnosed by Computed Tomographic Colonography

A 58-year-old woman presented to her physician with rectal bleeding and intermittent diarrhea. Optical colonoscopy revealed a bulky tumor which was diagnosed as rectal cancer. She was referred to our institution for further evaluation and treatment. Slim optical colonoscopy showed an obstructive cancer in the rectosigmoid junction and no information of the proximal side of the obstruction. The ...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2004

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.1040500