European Radiology

, 18:2485

CT colonography and cost-effectiveness

Authors

  • Ifigeneia Mavranezouli
    • National Collaborating Centre for Mental Health, Centre for Outcomes Research and Effectiveness, Sub-department of Clinical Health PsychologyUniversity College London
  • James E. East
    • Wolfson Unit for EndoscopySt Marks Hospital, Imperial College London
    • Specialist X-RayUniversity College Hospital
    • Department of ImagingUniversity College Hospital
Gastrointestinal

DOI: 10.1007/s00330-008-1058-y

Cite this article as:
Mavranezouli, I., East, J.E. & Taylor, S.A. Eur Radiol (2008) 18: 2485. doi:10.1007/s00330-008-1058-y

Abstract

CT colonography (CTC) is increasingly advocated as an effective initial screening tool for colorectal cancer. Nowadays, policy-makers are increasingly interested in cost-effectiveness issues. A number of studies assessing the cost-effectiveness of CTC have been published to date. The majority of findings indicate that CTC is probably not cost-effective when colonoscopy is available, but this conclusion is sensitive to a number of key parameters. This review discusses the findings of these studies, and considers those factors which most influence final conclusions, notably intervention costs, compliance rates, effectiveness of colonoscopy, and the assumed prevalence and natural history of diminutive advanced polyps.

Keywords

ColonographyComputed tomographyColon polypsColonoscopyEconomics

Copyright information

© European Society of Radiology 2008