European Society of Gastrointestinal and Abdominal Radiology (ESGAR): consensus statement on CT colonography.

Abstract:

:Rapid clinical dissemination of CT colonography (CTC) is occurring in parallel with continued research into technique optimisation and diagnostic performance. A need exists therefore for current guidance as to basic prerequisites for effective clinical implementation. A questionnaire detailing CTC technique, analysis, training and clinical implementation was developed by the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) CTC committee and circulated to all faculty members of previous ESGAR "hands-on" CTC training courses. Responses were collated and a consensus statement produced. Of 27 invited to participate, 24 responded. Reasonable consensus was reached on bowel preparation, colonic distension, patient positioning, use of IV contrast and optimal scan parameters. Both primary 2D and primary 3D analysis were advocated equally, with some evidence that more experienced readers prefer primary 2D. Training was universally recommended, although there was no consensus regarding minimum requirements. CTC was thought superior to barium enema, although recommended for screening only in the presence of validated local experience. There was consensus that polyps 4 mm or less could be ignored assuming agreement from local gastroenterological colleagues. There is increasing consensus amongst European experts as to the current best practice in CTC.

journal_name

Eur Radiol

journal_title

European radiology

authors

Taylor SA,Laghi A,Lefere P,Halligan S,Stoker J

doi

10.1007/s00330-006-0407-y

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

575-9

issue

2

eissn

0938-7994

issn

1432-1084

journal_volume

17

pub_type

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