Reassessing the role of radiology in Hemoccult screening
- 1 April 1986
- journal article
- research article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 146 (4) , 697-701
- https://doi.org/10.2214/ajr.146.4.697
Abstract
During a recent regional screening program, 98 patients with a positive Hemoccult test were evaluated radiographically. Double-contrast barium enema (DCBE) detected all six carcinomas and 92% of 37 polyps. DCBE was also the most cost-effective procedure. Colonoscopy dramatically increased screening costs without providing evidence to support its use in all Hemoccult-positive patients. It is recommended that DCBE be the initial diagnostic test in Hemoccult-positive patients, to be supplemented in selected patients by flexible sigmoidoscopy or colonoscopy depending on the pathology evident on DCBE and on clinical circumstances.This publication has 14 references indexed in Scilit:
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