CT结肠成像：穿孔率及潜在辐射风险
CT colonography: perforation rates and potential radiation risks.
作者信息
Berrington de Gonzalez A, Kim Kwang Pyo, Yee Judy
机构信息
Division of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, National Cancer Institute, 6120 Executive Boulevard, Bethesda, MD 20892, USA.
出版信息
Gastrointest Endosc Clin N Am. 2010 Apr;20(2):279-91. doi: 10.1016/j.giec.2010.02.003.
Abstract
Computed tomographic colonography (CTC) has emerged as an alternative screening tool for colorectal cancer due to the potential to provide good efficacy combined with greater acceptability than optical colonoscopy or fecal occult blood testing. However, some organizations have raised concerns about the potential harms, including perforation rates and radiation-related cancer risks, and have not recommended that it currently be used as a screening tool in the general population in the US. In this article the authors review the current evidence for these potential harms from CTC and compare them to the potential harms from the alternatives including colonoscopy and double-contrast barium enema.
摘要
计算机断层结肠成像（CTC）已成为一种用于结直肠癌的替代筛查工具，因为它有可能提供良好的效果，并且比光学结肠镜检查或粪便潜血检测具有更高的可接受性。然而，一些组织对其潜在危害表示担忧，包括穿孔率和辐射相关的癌症风险，并且不建议目前在美国普通人群中将其用作筛查工具。在本文中，作者回顾了目前关于CTC这些潜在危害的证据，并将它们与包括结肠镜检查和双对比钡灌肠在内的替代方法的潜在危害进行了比较。
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本文引用的文献
1
Trends in colorectal cancer test use in the medicare population, 1998-2005.
Am J Prev Med. 2009 Jul;37(1):1-7. doi: 10.1016/j.amepre.2009.03.009. Epub 2009 May 7.
2
Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults.
Radiology. 2009 Apr;251(1):175-84. doi: 10.1148/radiol.2511081296.
3
Extracolonic findings at virtual colonoscopy: an important consideration in asymptomatic colorectal cancer screening.
J Gen Intern Med. 2009 Jan;24(1):69-73. doi: 10.1007/s11606-008-0835-2. Epub 2008 Oct 29.
4
Comparison of CT colonography, colonoscopy, sigmoidoscopy and faecal occult blood tests for the detection of advanced adenoma in an average risk population.
Gut. 2009 Feb;58(2):241-8. doi: 10.1136/gut.2008.156448. Epub 2008 Oct 13.
5
Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement.
Ann Intern Med. 2008 Nov 4;149(9):627-37. doi: 10.7326/0003-4819-149-9-200811040-00243. Epub 2008 Oct 6.
6
Accuracy of CT colonography for detection of large adenomas and cancers.
N Engl J Med. 2008 Sep 18;359(12):1207-17. doi: 10.1056/NEJMoa0800996.
7
Unsuspected extracolonic findings at screening CT colonography: clinical and economic impact.
Radiology. 2008 Oct;249(1):151-9. doi: 10.1148/radiol.2491072148.
8
Effective doses in radiology and diagnostic nuclear medicine: a catalog.
Radiology. 2008 Jul;248(1):254-63. doi: 10.1148/radiol.2481071451.
9
Radiation dose in CT colonography--trends in time and differences between daily practice and screening protocols.
Eur Radiol. 2008 Oct;18(10):2222-30. doi: 10.1007/s00330-008-0994-x. Epub 2008 May 20.
10
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