CTC surveillance edges optical coloscopy for management of small polyps

November 30, 2008 DiagnosticImaging.com. CTC surveillance edges optical coloscopy for management of small polyps By John C. Hayes Using surveillance of 6 to 9-mm polyps with CT colonography instead of referring them for immediate colonoscopy and polypectomy provides a significant cost-effectiveness edge, according to a study presented Sunday. Death rates might increase by a small amount with a CTC surveillance strategy, but it would avoid nearly 10,000 colonoscopy referrals and, with them, 10 bowel perforations, possibly including one death, producing an incremental cost-effectiveness ratio of $372,853 per life saved, according to the study led by Dr. Perry J. Pickhardt of the University of Wisconsin-Madison.

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