Chrome 2001
.
The Trusted Source InteliHealth Aetna InteliHealth Aetna InteliHealth
Enter Drug Name . Enter Search Term
     
. .
. .
.
Home
Health Commentaries
InteliHealth Dental
Drug Resource Center
Ask the Expert
Interactive Tools

InteliHealth Policies
Site Map
Diseases & Conditions Healthy Lifestyle Your Health Look It Up
Health News Health News
.
Associated Press

Study: Virtual Colonoscopy More Accurate
December 1, 2003

CHICAGO (AP) -- A procedure that lets doctors find abnormal growths in the colon through computer-generated images is slightly more accurate and less invasive than conventional colonoscopy, new research suggests.

Researchers hope the benefits of the so-called "virtual colonoscopy," which uses a CT scanner to produce three-dimensional pictures for evaluation, will lead to more people getting screened for the growths, known as polyps.

The American Cancer Society recommends that adults over 50 years of age get a colonoscopy every 10 years. Less than half of those who should get screened do so, the society estimates.

"Virtual colonoscopy is an accurate screening tool, and if our methods are used, this hopefully will result in more widespread screening, especially for patients that avoid screenings," said lead author Dr. Perry J. Pickhardt. "If we can screen more patients, we know it will prevent cancers and save lives."

Even so, some patients have found the virtual colonoscopy less comfortable than standard colonoscopy. Critics also pointed out that if a growth is found, a conventional colonoscopy has to be performed anyway.

Colon cancer is the second leading cause of cancer-related deaths in the United States, resulting in nearly 60,000 deaths each year. The detection and removal of polyps can help reduce fatalities and prevent cancer from developing.

In a conventional colonoscopy, patients take laxatives to cleanse their bowels 24 hours before the procedure. Patients are sedated before an instrument is inserted through the rectum that allows doctors to screen and remove any suspicious growths.

In a virtual colonoscopy, patients also take laxatives but are not sedated. A small rectal catheter is inserted, and patients hold their breath as a CT scanner takes X-rays of the colon that result in images doctors can scan for polyps.

The virtual colonoscopy study was to be presented Monday in Chicago at the annual meeting of the Radiological Society of North America.

Researchers studied 1,233 adults who had an average risk of having colonic growths. Virtual colonoscopy found polyps that were at least 10 millimeters in diameter 93.8 percent of the time and discovered growths of at least 8 millimeters 93.9 percent of the time.

In comparison, conventional colonoscopy found polyps that were at least 10 millimeters in diameter 87.5 percent of the time and discovered growths of at least 8 millimeters 91.5 percent of the time.

The study also found virtual colonoscopy did not have many false positives.

In the study, 622 patients had polyps and two polyps were malignant. Virtual colonoscopy detected both malignant polyps, but conventional colonoscopy only found one.

Critics say if a significant polyp is found during the virtual colonoscopy, a conventional colonoscopy then has to be performed to remove the polyp.

"That's two procedures as opposed to one. Since the patient has to go through the same preparation, which is the hardest part, they might as well do the conventional one," said Dr. Herman Kattlove, medical editor at the American Cancer Society.

Kattlove said that while the virtual colonoscopy could be a good screening device for the general population, the cancer society recommends conventional colonoscopy.

According to a survey of the study's patients, 54 percent said the virtual colonoscopy was more uncomfortable than the conventional colonoscopy, but researchers point out that's because virtual colonoscopy patients were not sedated.

Pickhardt, a radiology professor at the University of Wisconsin Medical School in Madison, considers the lack of sedation to be a benefit because patients do not spend any time in the recovery room.

"Neither procedure is a walk in the park, but virtual colonoscopy is significantly better tolerated," he said.

Copyright 2003 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

.
InteliHealth
. . . .
.
More News
InteliHealth .
.
Top News
General Health
This Week In Health
Addiction
Allergy
Alzheimer's
Asthma
Arthritis
Babies
Breast Cancer
Cancer
Caregiving
Cervical Cancer
Children's Health
Cholesterol
Complementary & Alternative Medicine
Dental / Oral Health
Depression
Diabetes
Ear, Nose And Throat
Eyes
Family Health
Fitness
Headache
Heart Health
HIV / AIDS
Infectious Diseases
Lung Cancer
Medications
Men's Health
Mental Health
Nutrition News
Multiple Sclerosis
Nutrition Guide
Parkinson's
Pregnancy
Prevention
Prostate Cancer
Senior Health
Sexual / Reproductive Health
Sleep
Tobacco Cessation
STDs
Stress Reduction
Stroke
Weight Management
Today In Health History
Women's Health
Workplace Health
.
.
.
.
InteliHealth

   
.
.   HONcode
.
Chrome 2001
Chrome 2001