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Gastroenterology sets standards for CT colonography
Date:9/7/2007

least 25-50 additional cases. In addition, it is expected that those performing CT colonography will undertake ongoing training and self assessment including attending formal continuing medical education-accredited courses in CT colonography.

The AGA Institute Task Force on CT Colonography offers the following recommendations. The full recommendations are available in the September issue of Gastroenterology.

Patient Care

  • Any polyp > 6 mm in size (i.e., widest diameter) should be reported and the patient referred for consideration of endoscopic polypectomy.

  • Patients with three or more polyps of any size in the setting of high diagnostic confidence should be referred for consideration of endoscopic polypectomy.

  • The appropriate clinical management of patients with one to two lesions no greater than 5 mm in diameter is unknown. In the absence of data, the follow-up interval recommended for these patients should be based on individual characteristics of the patient and procedure.

Quality Control and Safety

  • Practices offering CT colonography should establish a technical quality control program.

  • Endoscopic results in patients referred from CT colonography to endoscopy, including true positive and false negative rates, should be tracked.

Regulatory Issues

  • Split interpretations of CT colonography are feasible.

  • Gastroenterologists and radiologists performing split interpretations should dictate and sign separate procedure reports that clearly state the specific services they performed related to CT colonography.

Exam and Equipment Specifications

  • CT colonography should be performed using multidetector CT protocols with high spatial resolution.

  • Computer workstations for dedicated CT colonography interpretation should permit 2D and 3D
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Contact: Aimee Frank
media@gastro.org
301-941-2620
American Gastroenterological Association
Source:Eurekalert

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