Skip to main content
Top
Published in: La radiologia medica 10/2015

01-10-2015 | ABDOMINAL RADIOLOGY

The Italian consensus to virtual colonoscopy

Authors: Ennio Biscaldi, Roberto Di Mizio, Davide Bellini, Nicola Flor, Franco Iafrate, Gabriella Jussich, Emanuele Neri, Daniele Regge, Andrea Laghi

Published in: La radiologia medica | Issue 10/2015

Login to get access

Abstract

Objectives

To produce an informed consent for CT colonography (CTC), to be diffused by the Italian Society of Radiology, aimed to make patients and referring physicians aware of CTC examination protocol, advantages and disadvantages, limits and potential related risks.

Materials and methods

Delphi method was used to create a consensus among experts on an informed consent for CTC. The overall agreement among different consulted specialists was evaluated and ranked using the Cronbach’s correlation coefficient (α) at two time points: after the first and the second ‘round’ of consultation.

Results

The Cronbach index was 0.84 at the end of the first round and 0.93 at the end of the second round. The number of disagreements dropped from an overall of 11–5, from the first to the second round.

Conclusions

The experts were able to produce an informed consent for CTC, hoping that this may be the beginning of a process focused on implementation of quality standards in CTC.
Appendix
Available only for authorised users
Literature
1.
go back to reference Pendse DA, Taylor SA (2013) Complications of CT colonography: a review. Eur J Radiol 82:1159–1165CrossRefPubMed Pendse DA, Taylor SA (2013) Complications of CT colonography: a review. Eur J Radiol 82:1159–1165CrossRefPubMed
2.
go back to reference Neri E, Faggioni L, Cerri F, Turini F, Angeli S, Cini L et al (2010) CT colonography versus double-contrast barium enema for screening of colorectal cancer: comparison of radiation burden. Abdom Imaging 35:596–601CrossRefPubMed Neri E, Faggioni L, Cerri F, Turini F, Angeli S, Cini L et al (2010) CT colonography versus double-contrast barium enema for screening of colorectal cancer: comparison of radiation burden. Abdom Imaging 35:596–601CrossRefPubMed
3.
go back to reference Moawad FJ, Maydonovitch CL, Cullen PA, Barlow DS, Jenson DW, Cash BD (2010) CT colonography may improve colorectal cancer screening compliance. Am J Roentgenol 195:1118–1123CrossRef Moawad FJ, Maydonovitch CL, Cullen PA, Barlow DS, Jenson DW, Cash BD (2010) CT colonography may improve colorectal cancer screening compliance. Am J Roentgenol 195:1118–1123CrossRef
4.
go back to reference Johnson CD, Chen MH, Toledano AY, Heiken JP, Dachman A, Kuo MD et al (2008) Accuracy of CT colonography for detection of large adenomas and cancers. N Engl J Med 359:1207–1217CrossRefPubMedPubMedCentral Johnson CD, Chen MH, Toledano AY, Heiken JP, Dachman A, Kuo MD et al (2008) Accuracy of CT colonography for detection of large adenomas and cancers. N Engl J Med 359:1207–1217CrossRefPubMedPubMedCentral
5.
go back to reference Kim DH, Pickhardt PJ, Taylor AJ, Leung WK, Winter TC, Hinshaw JL et al (2007) CT colonography versus colonoscopy for the detection of advanced neoplasia. N Engl J Med 357:1403–1412CrossRefPubMed Kim DH, Pickhardt PJ, Taylor AJ, Leung WK, Winter TC, Hinshaw JL et al (2007) CT colonography versus colonoscopy for the detection of advanced neoplasia. N Engl J Med 357:1403–1412CrossRefPubMed
6.
go back to reference Pickhardt PJ, Choi JR, Hwang I, Butler JA, Puckett ML, Hildebrandt HA et al (2003) Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med 349:2191–2200CrossRefPubMed Pickhardt PJ, Choi JR, Hwang I, Butler JA, Puckett ML, Hildebrandt HA et al (2003) Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med 349:2191–2200CrossRefPubMed
7.
go back to reference Ianora AAS, Moschetta M, Pedote P, Scardapane A, Angelelli G (2012) Preoperative local staging of colosigmoideal cancer: air versus water multidetector-row CT colonography. Radiol Med 117:254–267CrossRef Ianora AAS, Moschetta M, Pedote P, Scardapane A, Angelelli G (2012) Preoperative local staging of colosigmoideal cancer: air versus water multidetector-row CT colonography. Radiol Med 117:254–267CrossRef
8.
go back to reference Neri E, Halligan S, Hellström M, Lefere P, Mang T, Regge D et al (2013) The second ESGAR consensus statement on CT colonography. Eur Radiol 23:720–729CrossRefPubMedPubMedCentral Neri E, Halligan S, Hellström M, Lefere P, Mang T, Regge D et al (2013) The second ESGAR consensus statement on CT colonography. Eur Radiol 23:720–729CrossRefPubMedPubMedCentral
9.
go back to reference Spada C, Stoker J, Alarcon O, Barbaro F, Bellini D, Bretthauer M et al (2015) Clinical indications for computed tomographic colonography: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastrointestinal and Abdominal Radiology (ESGAR) Guideline. Eur Radiol 25:331–345CrossRefPubMedPubMedCentral Spada C, Stoker J, Alarcon O, Barbaro F, Bellini D, Bretthauer M et al (2015) Clinical indications for computed tomographic colonography: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastrointestinal and Abdominal Radiology (ESGAR) Guideline. Eur Radiol 25:331–345CrossRefPubMedPubMedCentral
10.
go back to reference Colagrande S, Origgi D, Zatelli G, Giovagnoni A, Salerno S (2014) CT exposure in adult and paediatric patients: a review of the mechanisms of damage, relative dose and consequent possible risks. Radiol Med 119:803–810CrossRefPubMed Colagrande S, Origgi D, Zatelli G, Giovagnoni A, Salerno S (2014) CT exposure in adult and paediatric patients: a review of the mechanisms of damage, relative dose and consequent possible risks. Radiol Med 119:803–810CrossRefPubMed
11.
go back to reference Graham B, Regehr G, Wright JG (2003) Delphi as a method to establish consensus for diagnostic criteria. J Clin Epidemiol 56:1150–1156CrossRefPubMed Graham B, Regehr G, Wright JG (2003) Delphi as a method to establish consensus for diagnostic criteria. J Clin Epidemiol 56:1150–1156CrossRefPubMed
12.
go back to reference Cronbach LJ (1946) A case study of the split-half reliability coefficient. J Educ Psychol 37:473–480CrossRefPubMed Cronbach LJ (1946) A case study of the split-half reliability coefficient. J Educ Psychol 37:473–480CrossRefPubMed
13.
go back to reference Kim S, Jabori S, O’Connell J, Freeman S, Fung CC, Ekram S et al (2013) Research methodologies in informed consent studies involving surgical and invasive procedures: time to re-examine? Patient Educ Couns 93:559–566CrossRefPubMed Kim S, Jabori S, O’Connell J, Freeman S, Fung CC, Ekram S et al (2013) Research methodologies in informed consent studies involving surgical and invasive procedures: time to re-examine? Patient Educ Couns 93:559–566CrossRefPubMed
Metadata
Title
The Italian consensus to virtual colonoscopy
Authors
Ennio Biscaldi
Roberto Di Mizio
Davide Bellini
Nicola Flor
Franco Iafrate
Gabriella Jussich
Emanuele Neri
Daniele Regge
Andrea Laghi
Publication date
01-10-2015
Publisher
Springer Milan
Published in
La radiologia medica / Issue 10/2015
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-015-0531-3

Other articles of this Issue 10/2015

La radiologia medica 10/2015 Go to the issue