ACR Appropriateness Criteria® Colorectal Cancer Screening.

Journal Article (Journal Article)

This review summarizes the relevant literature regarding colorectal screening with imaging. For individuals at average or moderate risk for colorectal cancer, CT colonography is usually appropriate for colorectal cancer screening. After positive results on a fecal occult blood test or immunohistochemical test, CT colonography is usually appropriate for colorectal cancer detection. For individuals at high risk for colorectal cancer (eg, hereditary nonpolyposis colorectal cancer, ulcerative colitis, or Crohn colitis), optical colonoscopy is preferred because of its ability to obtain biopsies to detect dysplasia. After incomplete colonoscopy, CT colonography is usually appropriate for colorectal cancer screening for individuals at average, moderate, or high risk. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Full Text

Duke Authors

Cited Authors

  • Expert Panel on Gastrointestinal Imaging:, ; Moreno, C; Kim, DH; Bartel, TB; Cash, BD; Chang, KJ; Feig, BW; Fowler, KJ; Garcia, EM; Kambadakone, AR; Lambert, DL; Levy, AD; Marin, D; Peterson, CM; Scheirey, CD; Smith, MP; Weinstein, S; Carucci, LR

Published Date

  • May 2018

Published In

Volume / Issue

  • 15 / 5S

Start / End Page

  • S56 - S68

PubMed ID

  • 29724427

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2018.03.014


  • eng

Conference Location

  • United States