Report from RSNA: McFarland plots course toward acceptance of CT colonography

December 3, 2008 Report from RSNA: McFarland plots course toward acceptance of CT colonography By James Brice In the aftermath of Medicare's less than encouraging evaluation of virtual CT colonography for colorectal cancer screening, Dr. Elizabeth McFarland used the RSNA's Annual Oration in Diagnostic Radiology to identify past achievements and ongoing initiatives she believes will lead to the modality's acceptance. CT colonography was given a mixed reception at a Nov. 19 hearing before the influential Medicare Evidence Development & Coverage Advisory Committee. The MedCAC warmed to cost data indicating that CT colonography is less expensive than invasive colonoscopy without polypectomy, but the committee balked at endorsing its clinical merits because colonography had been recently rated as insufficient by the U.S. Preventive Health Task Force. Concerns about extracolonic findings and radiation exposure also arose during the hearing.

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