Table 2.
Logistical factors that would be necessary to implement CT colonography population screening
Test characteristics | Patient management considerations |
Access and availability | Information systems to (a) send out invitations for initial screening with integrated reminders to ensure participation and (b) recall individuals for repeat screening |
High diagnostic accuracy and sensitivity | Consensus population age for CTC-screening |
Acceptability | Management and treatment pathways for colonic findings |
Consensus quality assurance and training for reporting radiologists, including evidence-based KPIs | Integration with other screening programmes |
Safety monitoring system to identify and manage adverse events | Management pathways for extracolonic findings |
Cost-effective in comparison to alternative screening modalities |
CTC, computed tomographic colonography; KPI, key performance indicators.