Virtual colonoscopy: stamp of approval or word of warning?
Mené sur 3 838 et 1 610 patients (âge : 55 ans ou plus), cet essai multicentrique britannique évalue, du point de vue du taux d'explorations coliques supplémentaires et par rapport à un lavement baryté ou à une coloscopie conventionnelle, la performance d'une coloscopie virtuelle pour détecter un cancer colorectal symptomatique/asymptomatique ou de gros polypes (≥10 mm)
Computerised tomographic colonography (CTC) has been investigated as a less invasive alternative to colonoscopy for whole colon assessment. In crossover studies, it has been shown to be as accurate as conventional colonoscopy, 1 and might be preferred by patients. 2 However, any positive or equivocal finding with CTC necessitates referral for colonoscopy, affecting the cost-effectiveness, complication rates, and overall burden associated with this procedure. Before its widespread use can be advocate ...
The Lancet , résumé, 2012