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Colonography

Colonography

VIDEO: Reimbursement for CT colonography has been a complicated path, but radiologists shouldn’t wait to pursue local coverage and set up a screening program, said Perry Pickhardt, MD.

Computed tomographic colonography in patients symptomatic of colorectal cancer resulted in a significantly higher rate of additional colonic investigation.

Computed tomographic colonography (CTC), or virtual colonoscopy, was more sensitive than barium enema in detecting colorectal cancer and large polyps.

Concerns over inappropriate use of CTC prompted CMS to halt reimbursement, but research shows that CTC is not being used inappropriately.

Reducing the CT colonography radiation dose from 120 kVp to 100 kVp resulted in a significant decrease in dose but minimal decrease in 3D image quality.

Adding virtual colonoscopy, or CT colonography, by adding the test to HEDIS could improve colorectal cancer screening compliance.

CHICAGO — CT colonography’s path to reimbursement has been a complicated process, standing as a reminder for radiologists to get involved in political advocacy.

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