| Abstract: |
This article provides standards for gastroenterologists for performing and interpreting diagnostic computed tomography (CT) colonography, a relatively new technique used to image the colon. The article provides a brief background section and an executive summary of the recommendations before presenting the full task force review and recommendations. Topics include the current status of CT colonography; current indications for CT colonography, including failed colonoscopy, evaluation of the colon proximal to an obstructing lesion, evaluation of patients with contraindications to colonoscopy, and as screening for asymptomatic normal-risk adults; qualifications and training of personnel; examination and equipment specifications, including colonic preparation, the CT acquisition technique, and CT interpretation; reading and reporting the results; quality control and safety; and regulatory issues, including the implications of the Stark laws, referrals, split interpretation and billing for services, oversight, and risk management issues. In each topic area, the authors provide specific task force recommendations. 1 figure. 2 tables. 115 references. |