Navigation Links
For Some, Virtual Colonoscopy May Be Just As Good

Less invasive test might spur more people to be screened, experts say,,,,

TUESDAY, June 16 (HealthDay News) - CT colonography, a less invasive option to colonoscopy, is an effective way to detect colon cancer in people who have an elevated risk of the disease because of family history or a personal history of colon polyps, new research has found.

However, the study, in the June 17 issue of the Journal of the American Medical Association, reports that CT colonography (also known as "virtual colonoscopy") is less effective at correctly identifying colon cancers in people who've had a positive fecal occult blood test (FOBT), which means they have blood in their stool. A positive FOBT is a strong indicator that cancer might be present.

"People should be aware that colorectal cancer is a preventable disease," said one of the study's authors, Dr. Cristiana Laudi, a senior clinical researcher in the departments of gastroenterology and radiology at the Institute for Cancer Research and Treatment in Candiolo, Turin, Italy. "Our data suggest that CT colonography may provide a valid screening test also in subjects at increased risk of colorectal cancer."

Laudi said the findings are particularly important because colonoscopy screenings tend to have low adherence rates, and a less invasive test might boost compliance rates.

The American Cancer Society already recommends CT colonography as an option for people who have an average risk of colorectal cancer, according to Dr. Durado Brooks, director of colorectal cancer for the society. And the study, he said, provides some evidence that CT colonography might also be useful in high-risk populations.

"The sensitivity for cancer was extremely high," Brooks said. But the test did miss some polyps, he added. And he cautioned that the findings need to be confirmed by others before any definitive recommendations can be made.

The study included 937 people who were considered at high risk for colorectal cancer because of a family history of the disease (373 people), a personal history of colon polyps (343 people) or a positive result on the FOBT (221 people). The participants were recruited from 11 medical centers in Italy and one in Belgium. They averaged 60 years old.

Each participant underwent CT colonography followed by colonoscopy on the same day. Preparation for CT colonography is usually the same as is used for colonoscopy, though Laudi said that a less potent laxative is sometimes used. But, the colon still needs to be emptied and clean for the CT test. Colonoscopy can be used to screen, diagnose and treat colorectal cancers, but it is considerably more invasive, carries a greater risk of complications and often requires sedation.

Overall, the virtual test found 85 percent of the colorectal cancers detected by colonoscopy. False-positive rates were 4 percent for advanced cancers and 15 percent for people with a positive FOBT.

"Virtual colonoscopy is a valid screening test for colorectal cancer, trading off a better acceptance and lesser invasiveness by comparison with colonoscopy, with the possibility of missing small polyps that may, however, not be so relevant in terms of risk of developing into cancer," Laudi said.

Because a positive FOBT indicates a strong likelihood of cancer and a need for treatment, Brooks said he wouldn't recommend CT colonography for people with a positive test unless there were some extraordinary individual circumstances that prevented the use of colonoscopy.

"The question remains whether clinicians are willing to accept a study with decreased sensitivity for the potential of increased adherence with recommended screening and surveillance guidelines," wrote Dr. Emily Finlayson from the University of Michigan, in an accompanying editorial in the same issue of the journal. "With the majority of individuals in the United States who meet the criteria for colorectal cancer screening and surveillance not undergoing recommended procedures, an imperfect test that has a lower risk profile and greater acceptance among patients seems to be an appealing solution."

However, people on Medicare or Medicaid currently do not have the option of CT colonography unless they're willing to pay out of pocket for the test. In May, the U.S. Centers for Medicare and Medicaid Services said that there was insufficient evidence to support the use of the test.

More information

The Radiological Society of North America has more on CT colonography.

SOURCES: Cristiana Laudi, M.D., senior clinical researcher, gastroenterology and radiology, Institute for Cancer Research and Treatment, Candiolo, Turin, Italy; Durado Brooks, M.D., director, colorectal cancer, American Cancer Society; June 17, 2009, Journal of the American Medical Association

Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. For Some, Virtual Colonography May Be Just As Good
2. NIH May Ease Some, But Not All, Stem Cell Restrictions
3. For Some, More Costly Care Is Not by Choice
4. For Some, Diabetes Care Worse Than Illness Itself
5. VirtualHealth and Silk Partner to Provide Physicians with Revenue Recovery Solutions
6. Fujifilm Takes Virtualization Technology to Next Level
7. VirtualScopics Regains NASDAQ Compliance
8. Cabot Creamery Cooperatives Vermont to Vegas Online Health and Fitness Challenge is a Virtual Blast
9. Study finds virtual doctors visits satisfactory for both patients and clinicians
10. Medicares No on Virtual Colonoscopy Stirs Expert Debate
11. Decision by Medicares CMS to Deny Coverage for Virtual Colon Cancer Tests Underscores Lack of Evidence on Cancer Prevention
Post Your Comments:
Related Image:
For Some, Virtual Colonoscopy May Be Just As Good
(Date:11/27/2015)... ... November 27, 2015 , ... Avid collector, Andrew Hawley ... Michigan boxing style concert posters. This is one of Joplin's most famous and beautiful ... at the University of Michigan in Ann Arbor. The According to Hawley, "It is ...
(Date:11/26/2015)... ... November 26, 2015 , ... Patients at ... Michigan, have come together on Thanksgiving Day to share the things that they ... on the Serenity Point YouTube channel, patients displayed what they wrote on index ...
(Date:11/26/2015)... ... November 26, 2015 , ... ... eReferral system for diagnostic imaging in the Waterloo region. Using the Ocean Platform, ... Medicine tests directly from their electronic medical record (EMR) without the need for ...
(Date:11/26/2015)... ... November 26, 2015 , ... The Catalent ... and the need to integrate dose form selection in early phase drug development. ... membership organization supporting and bringing together the UK’s emerging life sciences companies, corporate ...
(Date:11/26/2015)... , ... November 26, 2015 , ... PRMA Plastic Surgery ... 19, 2015, our surgeons performed their 6,000th free flap breast reconstruction surgery! , “What ... up every day excited to rebuild lives and it’s an honor to have served ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... November 26, 2015 ... the "Radioimmunoassay Market by Type (Reagents ... Industry, Academics, Clinical Diagnostic Labs), Application (Research, ... to 2020" report to their offering. ... the addition of the "Radioimmunoassay Market ...
(Date:11/25/2015)... Nov. 25, 2015  Amgen (NASDAQ: AMGN ) ... (BLA) with the United States ... a biosimilar candidate to Humira ® (adalimumab). Amgen ... submitted to the FDA and represents Amgen,s first BLA ... E. Harper , M.D., executive vice president of Research ...
(Date:11/25/2015)... , Nov. 25, 2015 On Tuesday, ... federal bellwether trial against Wright Medical Technology, Inc. ... their Conserve metal-on-metal hip implant device, awarded $11 ... a two week trial and three days of ... hip device was defectively designed and unreasonably dangerous, ...
Breaking Medicine Technology: